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    OpenPayerNPI Medicare & MedicaidMercy Medical Center-dubuque
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    Mercy Medical Center-dubuque — Billing Profile & Reimbursement Data

    NPI 1659348506 · Dubuque, IA · General Acute Care Hospital

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    Mercy Medical Center-dubuque is a general acute care hospital provider located in Dubuque, Iowa. This profile covers 0 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMercy Medical Center-dubuque
    Address250 Mercy Dr
    CityDubuque
    StateIA
    ZIP52001
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedFebruary 28, 2006

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

    Payer SourceTotal Paid
    Medicaid$5.2M
    Medicare$0

    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
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.14,970$130$1.9M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.9,600$190$1.8M
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.4,070$70$297.1K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.2,490$100$249K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.700$260$181.2K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…1,270$50$59.5K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.1,240$50$58.1K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.540$110$57.7K
    99213The 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…2,250$30$56.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.17,780$1$53.3K

    Showing 1–10 of 88

    • More pages

    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
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.49280850$140$801.8K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.72180340$170$722K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.353101,320$100$543.4K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…613680670$70$343.5K
    H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…22202,150$80$334.3K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.2490320$120$327.7K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…56120980$50$230.3K
    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…2550130$320$224.4K
    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…4590740$60$155.6K
    99213The 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…4271,310760$20$153.1K

    Showing 1–10 of 88

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mercy Medical Center-dubuque, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stanley MathewIAPhysical Medicine & Rehabilitation Physician$1.7M$31.9K
    Michael MarksALRadiation Oncology Physician$321.4K$0
    John MillichapILNeurology with Special Qualifications in Child Neurology Physician$49.3K$239.6K
    Edward BartonCANeurology Physician$260.1K$0
    David ValentineCANeurology Physician$233.3K$0
    Kenneth KleinWIRadiation Oncology Physician$169.3K$0
    Adam BellIAAnatomic Pathology & Clinical Pathology Physician$108.6K$29.9K
    Michael PeroskiIAPsychiatry Physician$128.6K$0
    Nagendra KoneruILRadiation Oncology Physician$127.6K$0
    Matthew AndresIAAnatomic Pathology & Clinical Pathology Physician$87K$19.9K

    Nearby Providers

    Other providers in the same ZIP code as Mercy Medical Center-dubuque, 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
    Hills And Dales Child Development CenterIAIntellectual Disabilities Intermediate Care Facility$0$4.7M
    Dubuque Internal Medicine PCIAInternal Medicine Physician$0$3.9M

    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.

    Medicaid Revenue by Year vs. Iowa Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Mercy Medical Center-dubuque — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa