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    OpenPayerNPI Medicare & MedicaidMercy Health Services-iowa, Corp
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    Mercy Health Services-iowa, Corp — Billing Profile & Reimbursement Data

    NPI 1245846682 · Dubuque, IA · Clinical Medical Laboratory

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    Mercy Health Services-iowa, Corp is a clinical medical laboratory provider located in Dubuque, Iowa. This profile covers 172 Medicare and 88 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMercy Health Services-iowa, Corp
    Address250 Mercy Dr
    CityDubuque
    StateIA
    ZIP52001
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedSeptember 21, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.3M
    Medicare$700.6K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    172 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…4,420$20$70.7K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…2,010$20$48.1K
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…1,040$40$39.5K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.2,560$10$33.2K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.3,030$10$30.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.3,590$10$28.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…3,420$10$27.4K
    87086Culture, bacterial; quantitative, colony count, urine.2,890$10$23.1K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…2,540$10$22.9K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…730$30$21.1K

    Showing 1–10 of 172

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 172 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    172 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830521130900$30$40.5K
    83521310880$20$17.8K
    87624410160$30$9.8K
    8397085040$40$8.3K
    8834160100270$30$8.1K
    G048071070$100$7.6K
    86235320160$20$7.1K
    80307910100$60$6.9K
    87493310170$40$6.3K
    8834253110150$30$6.2K

    Showing 1–10 of 172

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    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    88 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…1,240$130$165.8K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…3,310$40$125.7K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.2,840$30$79.5K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.2,830$30$79.1K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…1,450$40$61K
    0241UN/A440$130$57.5K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…2,320$20$46.4K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…4,210$10$46.4K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1,090$40$43.4K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.1,280$30$37K

    Showing 1–10 of 88

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    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    88 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…3650130$320$224.4K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…2760210$80$186.8K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…2590740$60$155.6K
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…930200$110$85.8K
    0241UN/A2680290$110$85.1K
    87624The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.820890$30$80.7K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.1360320$30$72.6K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.1360300$30$71.8K
    86481The lab analyst performs a test to evaluate an antigen response to certain tuberculosis (TB) antibodies by enumerating T cells that produce gamma interferon.510300$80$68.9K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…1240370$40$61K

    Showing 1–10 of 88

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    Nearby Providers

    Other providers in the same ZIP code as Mercy Health Services-iowa, Corp, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hills And Dales Child Development CenterIAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$68.5M
    Area Residential Care Inc.IAIntellectual Disabilities Intermediate Care Facility$0$32.8M
    Hillcrest Family ServicesIAChild & Adolescent Psychiatry Physician$0$32.5M
    Crescent Community Health CenterIAFederally Qualified Health Center (FQHC)$0$29.5M
    Dubuque Community School DistrictIALocal Education Agency (LEA)$0$26.6M
    The Finley HospitalIAGeneral Acute Care Hospital$0$14.1M
    City Of DubuqueIALand Ambulance$690.9K$8.9M
    Hillcrest Family ServicesIASocial Worker$0$7.1M
    Mercy Medical Center-dubuqueIAGeneral Acute Care Hospital$0$5.2M
    Hills And Dales Child Development CenterIAIntellectual Disabilities Intermediate Care Facility$0$4.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Iowa Distribution
    Mercy Health Services-iowa, Corp — 19 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa
    Medicaid Revenue by Year vs. Iowa Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Mercy Health Services-iowa, Corp — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa