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NPI 1467010736 · Hiawatha, IA · Ambulatory Surgical Clinic/Center
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Mercy Surgery Center LLC is a ambulatory surgical clinic/center provider located in Hiawatha, Iowa. This profile covers 12 Medicare and 2 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Mercy Surgery Center LLC |
| Address | 1195 Boyson Rd Ste 3 |
| City | Hiawatha |
| State | IA |
| ZIP | 52233 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 3, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $67.6K |
Payer mix is heavily skewed toward Medicare: the provider reports Total Medicare revenue of $1.7M versus Total Medicaid revenue of $67.6K, so Medicare accounts for the vast majority of billed revenue while Medicaid represents a much smaller volume line on this provider’s ledger. This makes the facility effectively Medicare-driven in scale rather than a balanced dual-payer operation.
Medicare revenue is highly concentrated in a small number of procedures: the precomputed top-3 Medicare codes account for 78.0% of this provider's total Medicare revenue, with 66984 alone generating $1M (61.0% of Medicare revenue). That concentration indicates financial reliance on a few high-volume/high-reimbursement services rather than a broad, evenly distributed case mix.
Medicaid activity is effectively single-code concentrated: the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue and 66984 represents 100.0% of this provider’s Medicaid revenue ($67.6K from 192 claims). In-state ranking for Medicaid 66984 is #5 of 10 (56th percentile; typical, unremarkable volume), suggesting a modest state-level presence for Medicaid cataract work.
The code mix indicates a mixed ophthalmology–orthopedics ambulatory surgical profile consistent with the Ambulatory Surgical Clinic/Center taxonomy. Ophthalmology dominates (codes 66984, 66982, 67042, 67108, 65756 and V2785 appear across payers) while orthopedics (27447, 27130), hand surgery (64721) and shoulder arthroscopy (29827) supply secondary revenue streams, implying the ASC supports multiple surgical subspecialties rather than a single-procedure clinic.
Competitive standing is uneven across specialties: Medicare code 66984 nets $1M and the provider ranks #1679 of 15965 nationally (89th percentile; typical, unremarkable volume for this code), indicating a relatively strong national position by rank but described as "typical, unremarkable" for the code. By contrast, complex cataract work billed as 66982 shows a high national standing (rank #160 of 4580, 97th percentile; typical, unremarkable volume), pointing to above-average volume in complex intraocular lens procedures relative to peers.
Orthopedic joint replacement lines generate meaningful dollars per case but represent modest national volume: 27447 produced $156.5K (23 claims, $6805 avg paid/claim) and ranks #7776 of 12089 (33th percentile; typical, unremarkable volume), while 27130 produced $131.9K (19 claims, $6940 avg paid/claim) and ranks #5215 of 8062 (32th percentile; typical, unremarkable volume). These ranks characterize the provider as a modest participant in joint replacement flows despite the high reimbursement per case.
There are mixed percentile signals across ancillary and specialty procedures that suggest focal strengths rather than broad dominance: 64721 (carpal tunnel) is ranked #292 of 3206 (91th percentile; typical, unremarkable volume) indicating relatively strong volume in hand surgery, while corneal-tissue processing V2785 ranks #170 of 231 (21th percentile; typical, unremarkable volume) indicating relatively low activity in that narrow supply chain area. Taken together, the provider shows pockets of higher-than-average activity within an otherwise typical ASC profile.
Tenure is relatively recent but established: the provider’s NPI was enumerated on 2019-06-03 (~7 years ago), which aligns with a multi-year operational history that produced the reported Medicare and Medicaid billing patterns. The billing footprint to date suggests a stable, Medicare-focused ambulatory surgery operation with specialty concentration in ophthalmology and select orthopedics/specialty procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 1,300 | $800 | $1M |
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 20 | $6,810 | $156.5K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 20 | $6,940 | $131.9K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 150 | $800 | $119.5K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,250 | $55.2K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 80 | $610 | $46.8K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 20 | $1,850 | $35.1K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 20 | $1,430 | $27.1K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 20 | $1,440 | $25.9K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 50 | $480 | $24.7K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 4 | 10 | 20 | $3,390 | $98.2K |
| 66984 | 10 | 340 | 50 | $340 | $50.4K |
| 27447 | 145 | 190 | 40 | $870 | $41.7K |
| 66982 | 12 | 60 | 40 | $450 | $39K |
| 65756 | 9 | 10 | 20 | $1,070 | $28.9K |
| 67042 | 13 | 20 | 20 | $900 | $28.8K |
| 27130 | 95 | 140 | 30 | $790 | $25.4K |
| 64721 | 10 | 50 | 30 | $430 | $20.5K |
| 29827 | 10 | 40 | 20 | $950 | $18.1K |
| 67108 | 6 | 20 | 20 | $830 | $15K |
Showing 1–10 of 12
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 190 | $350 | $67.6K |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 10 | $0 | $0 |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 5 | 10 | 130 | $580 | $506.8K |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 6 | 10 | 40 | $1 | $410 |
Other providers in the same ZIP code as Mercy Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rem Iowa Community Services, Inc. | IA | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | $0 | $155M |
| Rem Iowa Developmental Services, Inc. | IA | Developmentally Disabled Services Day Training Agency | $0 | $18.1M |
| Paul Boeke | IA | Ophthalmology Physician | $7.1M | $0 |
| Recover Health Of Iowa, Inc. | IA | Home Health Agency | $0 | $932.3K |
| Edward Hu | IA | Ophthalmology Physician | $706.8K | $2.3K |
| Brian Dvorak | IA | Foot Surgery Podiatrist | $136.8K | $0 |
| Caroline Wilson | IA | Ophthalmology Physician | $127.7K | $0 |
| Timothy Sagers | IA | Family Medicine Physician | $126.7K | $0 |
| Brian Ray | IA | Family Medicine Physician | $115.2K | $0 |
| Todd Dolphin | IA | Podiatrist | $103.9K | $0 |
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