Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mercy Physician Associates, INC

Mercy Physician Associates, INC was paid $329K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoMERCY PHYSICIAN ASSOCIATES, INC
HIAWATHA, IA 52233
33aNPI1962608406assigned 06/22/2007
28Total paid$329K
24GClaims12,644
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Iowa

Rank by total paid#80 of 275
Median peer was paid$69K
This provider vs. median4.8×

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.

Entity ProliferationAuthorized official STANTON, ANNETTE controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20182,615$63K
20191,972$49K
20201,460$41K
20212,012$52K
20222,007$56K
20231,696$44K
2024incomplete882$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50% 5,801 5,354 $165K
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 45% 3,856 3,586 $149K
36415 Collection of venous blood by venipuncture 1.5% 2,322 2,152 $5K
90682 1.2% 115 112 $4K
90688 <1% 117 116 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 342 331 $2K
90686 <1% 66 65 $710.12
96127 <1% 12 12 $534.08
90460 Immunization administration through 18 years of age via any route, first or only component <1% 13 12 $421.47

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 officialSTANTON, ANNETTE (SR DIRECTOR)
Same official

Other billing entities under STANTON, ANNETTE

Full network →
ProviderLocationPaid
Mercy Physician Associates, INCTama, IA$3.94M
Mercy Physician Associates, INCMarion, IA$935K
Mercy Physician Associates, INCMonticello, IA$637K
Mercy Physician AssociatesCedar Rapids, IA$417K
Mercy Physician Associates, INCCedar Rapids, IA$381K
Mercy Physician Associates, INCMarion, IA$380K
Mercy Physician Associates, INCNorth Liberty, IA$353K
Mercy Physician Associates, INCCedar Rapids, IA$333K
Mercy Physician Associates, INCCedar Rapids, IA$246K
Mercy Physician Associates, INCNorth Liberty, IA$240K
Mercy Physician Associates, INCMt. Vernon, IA$229K
Mercy Physician Associates, INCCenter Point, IA$179K
Mercy Physician Associates, INCCedar Rapids, IA$104K
Mercy Physician Associates, INCCedar Rapids, IA$66K
Mercy Physician Associates, INCCedar Rapids, IA$50K
Mercy Physician Associates, INC.Cedar Rapids, IA$4K
Mercy Physician Associates, INCCedar Rapids, IA$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.