Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTH IOWA MERCY CLINICS

NPI: 1801147269 · MASON CITY, IA 50401 · Vascular Surgery Physician · NPI assigned 09/26/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TRAMMEL, MARK controls 20+ related entities in our dataset. Read more

$2.73M
Total Medicaid Paid
86,539
Total Claims
71,512
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAMMEL, MARK (VP FINANCE)
NPI Enumeration Date09/26/2012

Related Entities

Other providers sharing the same authorized official: TRAMMEL, MARK

ProviderCityStateTotal Paid
MERCY HEALTH SERVICES-IOWA CORP MASON CITY IA $45.69M
NORTH IOWA MERCY CLINICS MASON CITY IA $3.86M
NORTH IOWA MERCY CLINICS MASON CITY IA $2.40M
NORTH IOWA MERCY CLINICS MASON CITY IA $785K
NORTH IOWA MERCY CLINICS CLEAR LAKE IA $714K
NORTH IOWA MERCY CLINICS MASON CITY IA $655K
NORTH IOWA MERCY CLINICS MASON CITY IA $520K
NORTH IOWA MERCY CLINICS FOREST CITY IA $475K
NORTH IOWA MERCY CLINICS MASON CITY IA $469K
NORTH IOWA MERCY CLINICS MASON CITY IA $446K
MERCY HEALTH SERVICES-IOWA CORP. BUFFALO CENTER IA $382K
NORTH IOWA MERCY CLINICS CLEAR LAKE IA $231K
NORTH IOWA MERCY CLINICS MASON CITY IA $225K
NORTH IOWA MERCY CLINICS ROCKFORD IA $188K
NORTH IOWA MERCY CLINICS MASON CITY IA $155K
NORTH IOWA MERCY CLINICS MASON CITY IA $150K
NORTH IOWA MERCY CLINICS LAKE MILLS IA $132K
NORTH IOWA MERCY CLINICS MASON CITY IA $124K
NORTH IOWA MERCY CLINICS MASON CITY IA $77K
NORTH IOWA MERCY CLINICS GREENE IA $56K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,216 $38K
2019 2,378 $43K
2020 10,149 $338K
2021 20,294 $620K
2022 21,662 $657K
2023 17,069 $568K
2024 12,771 $465K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90792 Psychiatric diagnostic evaluation with medical services 4,397 4,161 $470K
99232 Subsequent hospital care, per day, moderate complexity 10,607 3,829 $399K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,093 11,852 $315K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,695 15,357 $310K
99233 Prolong inpt eval add15 m 4,149 1,336 $248K
99239 Hospital discharge day management, more than 30 minutes 2,766 2,637 $171K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,199 4,043 $170K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,590 1,552 $126K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,080 1,998 $102K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,774 8,570 $61K
99223 Prolong inpt eval add15 m 397 377 $46K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 772 730 $45K
11721 3,628 3,452 $41K
93295 1,103 1,064 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,171 1,991 $25K
99215 Prolong outpt/office vis 417 387 $22K
31575 381 370 $19K
69210 939 855 $17K
93294 1,357 1,296 $16K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,416 1,316 $14K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 67 65 $12K
99308 Subsequent nursing facility care, per day, straightforward 1,555 1,464 $12K
99238 Hospital discharge day management, 30 minutes or less 223 216 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 92 92 $8K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 43 37 $6K
93297 620 597 $6K
99222 Initial hospital care, per day, moderate complexity 43 42 $4K
95885 135 128 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 100 98 $3K
99152 453 419 $3K
20610 127 109 $3K
99205 Prolong outpt/office vis 25 25 $3K
93227 87 83 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 195 182 $2K
99221 88 81 $1K
92504 145 133 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 46 33 $1K
99307 119 114 $1K
96127 42 40 $713.99
93321 76 73 $670.87
99441 128 122 $399.08
93298 12 12 $247.96
93325 76 73 $201.21
93018 12 12 $176.47
73610 15 14 $117.40
11056 13 12 $95.77
73140 14 12 $64.59
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 40 37 $4.54
99406 17 14 $0.00