Mercy Clinics, INC
Mercy Clinics, INC was paid $821K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 29% of everything it billed.
DES MOINES, IA 50314
Next to other Internal 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 | 3,844 | $206K | |
| 2019 | 3,585 | $188K | |
| 2020 | 2,424 | $125K | |
| 2021 | 2,259 | $106K | |
| 2022 | 727 | $44K | |
| 2023 | 863 | $83K | |
| 2024incomplete | 554 | $69K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 29% | 6,357 | 2,737 | $240K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 26% | 1,798 | 1,737 | $215K |
| 99222 | Initial hospital care, per day, moderate complexity | 13% | 1,332 | 1,269 | $109K |
| 99239 | Hospital discharge day management, more than 30 minutes | 12% | 1,551 | 1,476 | $101K |
| 99223 | Prolong inpt eval add15 m | 7.6% | 606 | 558 | $62K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.2% | 679 | 410 | $35K |
| 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 | 3.5% | 948 | 633 | $28K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 532 | 336 | $12K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 222 | 219 | $11K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 133 | 50 | $4K |
| 99221 | <1% | 30 | 29 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 30 | 28 | $2K |
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 |
|---|---|---|
| Mercy Clinics INC | Des Moines, IA | $10.69M |
| Mercy Clinics INC | Pleasant Hill, IA | $3.71M |
| Mercy Clinics, INC. | Clive, IA | $2.91M |
| Mercy Clinics, INC. | Indianola, IA | $2.80M |
| Mercy Clinics, INC. | Des Moines, IA | $2.77M |
| Mercy Clinics, INC | Des Moines, IA | $2.51M |
| Mercy Clinics, INC | West Des Moines, IA | $2.43M |
| Mercy Clinics, INC. | Des Moines, IA | $2.36M |
| Mercy Clinics, INC. | Des Moines, IA | $2.05M |
| Mercy Clinics INC | Clive, IA | $1.68M |
| Mercy Clinics, INC | Ankeny, IA | $1.48M |
| Mercy Clinics, INC | Johnston, IA | $1.47M |
| Mercy Clinics, INC | Des Moines, IA | $1.17M |
| Mercy Clinics, INC | Des Moines, IA | $792K |
| Mercy Clinics, INC | Waukee, IA | $742K |
| Mercy Clinics, INC | Des Moines, IA | $631K |
| Mercy Clinics, INC | Des Moines, IA | $563K |
| Mercy Clinics, INC | Des Moines, IA | $533K |
| Mercy Clinics, INC | Carlisle, IA | $480K |
| Mercy Clinics, INC | West Des Moines Ines, IA | $452K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.