Clinic
Mercy Clinics, INC
Mercy Clinics, INC was paid $939K by Medicaid between Jan 2018 and Oct 2021, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoMERCY CLINICS, INC
PLEASANT HILL, IA 50327
PLEASANT HILL, IA 50327
33aNPI1922288323assigned 11/14/2007
33bProvider typeClinic/Center
28Total paid$939K
24GClaims31,474
24DCodes billed36
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Clinic/Center providers in Iowa
Rank by total paid#5 of 45
Median peer was paid$74K
This provider vs. median13×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,272 | $224K | |
| 2019 | 9,186 | $275K | |
| 2020 | 8,261 | $228K | |
| 2021 | 6,755 | $212K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 6,754 | 6,126 | $248K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 2,101 | 2,036 | $158K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,895 | 1,775 | $126K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 1,194 | 1,179 | $91K |
| 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 | 6.4% | 1,076 | 997 | $60K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.0% | 4,723 | 4,558 | $57K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.7% | 2,354 | 2,254 | $53K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 619 | 607 | $52K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.2% | 936 | 916 | $40K |
| 90686 | 1.0% | 2,443 | 2,398 | $10K | |
| 96127 | <1% | 693 | 679 | $8K | |
| 90651 | <1% | 257 | 248 | $7K |
24 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 239 | $5K |
| 90734 | <1% | 184 | $4K | |
| 99188 | <1% | 383 | $4K | |
| 90474 | <1% | 447 | $3K | |
| 90710 | <1% | 61 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 134 | $2K |
| 90670 | <1% | 1,521 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 84 | $2K |
| 90473 | <1% | 91 | $2K | |
| 0001A | <1% | 33 | $1K | |
| 0002A | <1% | 27 | $1K | |
| 90696 | <1% | 62 | $1K | |
| 99381 | <1% | 12 | $716.84 | |
| 90633 | <1% | 305 | $557.16 | |
| 90715 | <1% | 54 | $553.12 | |
| 90647 | <1% | 801 | $513.68 | |
| 90672 | <1% | 96 | $281.76 | |
| 90685 | <1% | 27 | $42.40 | |
| 85018 | <1% | 24 | $36.81 | |
| 90723 | <1% | 895 | $0.70 | |
| 90680 | <1% | 661 | $0.64 | |
| 91300 | 0% | 81 | $0.00 | |
| 99177 | 0% | 177 | $0.00 | |
| 90461 | 0% | 30 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialPHILLIPS, SHARON (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mercy Clinics, INC | Urbandale, IA | $687K |
| Mercy Clinics, INC | Ankeny, IA | $366K |
| Mercy Clinics INC | Des Moines, IA | $216K |
| Mercy Clinics, INC | Clive, IA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.