Clinic
Mercy Clinics INC
Mercy Clinics INC was paid $216K by Medicaid between Jan 2018 and Jan 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoMERCY CLINICS INC
DES MOINES, IA 50314
DES MOINES, IA 50314
33aNPI1942226550assigned 07/15/2006
33bProvider typeMedical Specialty Clinic/Center
28Total paid$216K
24GClaims7,919
24DCodes billed12
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Iowa
Rank by total paid#4 of 12
Median peer was paid$29K
This provider vs. median7.4×
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 | 2,649 | $55K | |
| 2019 | 2,166 | $63K | |
| 2020 | 1,104 | $42K | |
| 2021 | 1,187 | $38K | |
| 2022 | 781 | $18K | |
| 2023 | 32 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 80% | 5,362 | 4,825 | $173K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 563 | 529 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 242 | 226 | $7K |
| 90686 | <1% | 110 | 107 | $2K | |
| 80047 | <1% | 277 | 255 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 251 | 242 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 809 | 752 | $2K |
| 85027 | <1% | 126 | 114 | $642.60 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 109 | 103 | $433.33 |
| 96127 | <1% | 41 | 38 | $361.69 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13 | 12 | $124.08 |
| 81003 | <1% | 16 | 14 | $32.12 |
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 | Pleasant Hill, IA | $939K |
| Mercy Clinics, INC | Urbandale, IA | $687K |
| Mercy Clinics, INC | Ankeny, IA | $366K |
| Mercy Clinics, INC | Clive, IA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.