Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Iowa for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Iowa only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Iowa (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Mercy Specialty Clinic (NPI 1275197998)

Mercy Specialty Clinic is a family medicine physician provider located in Clinton, Iowa. This profile covers 0 Medicare and 125 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Mercy Specialty Clinic
Address	915 13th Ave N
City	Clinton
State	IA
ZIP	52732
Taxonomy	Family Medicine Physician
NPI Enumerated	April 29, 2019

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

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

125 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	46,300	$50	$2.1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	36,590	$30	$1.1M
87637	The 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)…	3,000	$130	$390.1K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	8,000	$50	$360K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	5,780	$50	$289.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,240	$70	$288.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,710	$80	$203.3K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	3,710	$50	$200.1K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	1,260	$110	$133.5K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	1,280	$100	$124.5K

Showing 1–10 of 125

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Mercy Specialty Clinic — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

125 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	20	40	900	$90	$249.3K
U0003	Infectious 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…	47	60	210	$80	$186.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	15	1,060	480	$40	$154.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	38	1,310	760	$20	$153.1K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	13	40	170	$90	$140.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	23	170	540	$50	$101.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	28	190	300	$50	$91.7K
87637	The 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)…	4	30	200	$110	$85.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	173	250	240	$30	$72.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	43	60	320	$30	$72.6K

Showing 1–10 of 125

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Mixsell	IA	Family Medicine Physician	$427.8K	$1.4M
Srikanth Kasula	IA	Interventional Cardiology Physician	$861.7K	$9.8K
Rafat Padaria	IA	Cardiovascular Disease Physician	$705.1K	$0
Edmund Coyne	IA	Cardiovascular Disease Physician	$623K	$920
Mouhamed Al Sheikha	IA	Nephrology Physician	$527.9K	$3.9K
Stephen Harrison	IL	Family Medicine Physician	$431.6K	$57.5K
Nicolas Shammas	IA	Interventional Cardiology Physician	$407.5K	$0
Jon Robken	IA	Cardiovascular Disease Physician	$343.8K	$0
John Millichap	IL	Neurology with Special Qualifications in Child Neurology Physician	$49.3K	$239.6K
William Witcik	IA	Cardiovascular Disease Physician	$282.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Skyline Center Inc	IA	Community/Behavioral Health Agency	$0	$24.4M
Mercy Medical Center-clinton, Inc	IA	General Acute Care Hospital	$0	$14.3M
Comprehensive Rehab Incorporated	IA	Rehabilitation Clinic/Center	$0	$9M
Bridgeview Community Mental Health Center	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.5M
Arch, Inc	IA	Intellectual Disabilities Intermediate Care Facility	$0	$7M
Pathway Living Center, Inc.	IA	Community/Behavioral Health Agency	$0	$6.2M
City Of Clinton	IA	Ambulance	$276.7K	$4.6M
Community Health Care Inc	IA	Federally Qualified Health Center (FQHC)	$0	$3.7M
Clinton Community School District	IA	Local Education Agency (LEA)	$0	$3.2M
Iowa Emergency Services LLC	IA	Emergency Medicine Physician	$0	$3M

Mercy Specialty Clinic — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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