Mercy Medical Services
Mercy Medical Services was paid $573K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
KINGSLEY, IA 51028
Next to other Family Medicine Physician providers in Iowa
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,461 | $135K | |
| 2019 | 1,289 | $94K | |
| 2020 | 1,333 | $85K | |
| 2021 | 851 | $24K | |
| 2022 | 1,026 | $72K | |
| 2023 | 1,199 | $90K | |
| 2024incomplete | 967 | $73K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 94% | 4,245 | 3,455 | $538K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 4,064 | 3,287 | $35K |
| 36415 | Collection of venous blood by venipuncture | <1% | 197 | 169 | $32.48 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 56 | 53 | $1.42 |
| 87400 | 0% | 61 | 56 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 17 | 13 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 12 | 12 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 38 | 38 | $0.00 |
| 81003 | 0% | 20 | 16 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 154 | 137 | $0.00 |
| 85018 | 0% | 23 | 20 | $0.00 | |
| 90686 | 0% | 42 | 42 | $0.00 |
2 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Marian Health Center-Smhc | Sioux City, IA | $15.53M |
| Mercy Medical Services | Sioux City, IA | $2.00M |
| Mercy Medical Services | South Sioux City, NE | $1.06M |
| Mercy Medical Services | Correctionville, IA | $625K |
| Marian Health Center-Smhc | Sioux City, IA | $431K |
| Dunes Medical Laboratories | Dakota Dunes, SD | $417K |
| Mercy Medical Services | Sioux City, IA | $298K |
| Mercy Medical Services | Dakota Dunes, SD | $168K |
| Mercy Medical Services | Moville, IA | $79K |
| Mercy Medical Services | Dakota Dunes, SD | $13K |
| Mercy Medical Services | Sioux City, IA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.