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 Medical Center (NPI 1720029333)

Key Findings

Field	Value
Entity Type	Organization
Organization	Mercy Medical Center
Address	701 10th St Se
City	Cedar Rapids
State	IA
ZIP	52403
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicaid	$26.4M
Medicare	$0

MER CY MEDICAL CENTER is effectively single-payer in the available data: there is no Medicare billing on file while total Medicaid revenue is $26.4M, indicating the provider’s observable patient-revenue footprint in this dataset is dominated by Medicaid. The NPI was enumerated 2006-06-08 (~20 years ago), so this Medicaid concentration reflects a long-tenured facility rather than a recent entrant.

Revenue concentration is extreme: the top three Medicaid codes (99283, 99284, 0202U) together account for 71.5% of the provider’s total Medicaid revenue. Individually, 99283 contributes $8.3M (32.3%), 99284 contributes $7.7M (30.1%), and 0202U contributes $2.3M (9.1%), which signals very high dependence on a narrow set of services for Medicaid receipts.

The coding mix points to a heavy emergency-department and acute outpatient orientation. Two ED E/M codes, 99283 (67.7K claims, $123 avg paid/claim, $8.3M) and 99284 (41.7K claims, $186 avg paid/claim, $7.7M), together make up the majority of Medicaid revenue and indicate large ED throughput and substantial moderate-acuity ED care.

0202U (BioFire FilmArray RP2.1 testing) ranks #1 in-state and is labeled an extreme outlier, reflecting unusually high use of proprietary respiratory PCR testing (6.9K claims, $340 avg paid/claim, $2.3M). This pattern, paired with significant U0003 and 87426 activity, suggests the facility runs high-volume respiratory infectious-disease diagnostics alongside ED services.

Infusion and IV therapy services are also prominent: 96374 (16.3K claims, $102 avg paid/claim, $1.7M) ranks #2 in-state (99th percentile) and 96361 (12K claims, $34 avg paid/claim, $408.1K) ranks #2 (99th percentile), with 96375 also notably above typical volume. These ranks indicate an advanced outpatient/ED infusion capability and frequent use of IV therapies for Medicaid patients.

Several other laboratory and basic service codes show exceptional claim volume relative to peers: 80053 (76.3K claims, $1 avg paid/claim, $76.3K) is #1 in-state (100th percentile) and 36415 (56K claims, $1 avg paid/claim, $56K) is high-volume (98th percentile). Those figures point to very large specimen and panel throughput even if per-claim reimbursement is low.

Competitive standing by code shows the provider is a statewide leader for multiple categories. 99283 is an extreme outlier and ranks #2 of 305 providers (100th percentile); 99284 is an extreme outlier and ranks #9 of 275 providers (97th percentile); 0202U ranks #1 of 50 (100th percentile). These ranks collectively characterize the facility as a dominant in-state provider for ED visits and certain high-volume lab tests.

Other service lines appear present but less dominant: higher-acuity ED code 99285 (5.2K claims, $301 avg paid/claim, $1.6M) sits at the 80th percentile (typical), and cardiology imaging 93306 (1.8K claims, $355 avg paid/claim, $641.8K) is mid-range (63rd percentile). This suggests the hospital’s strength is concentrated in high-volume ED throughput and diagnostics, with more typical volumes for specialty imaging and high-acuity ED encounters.

Medicaid: Complete Services Breakdown

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

155 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The 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.	67,700	$120	$8.3M
99284	The 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.	41,650	$190	$7.7M
0202U	This 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…	6,890	$340	$2.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	16,260	$100	$1.7M
99285	The 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.	5,230	$300	$1.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	14,580	$50	$787.3K
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…	1,810	$360	$641.8K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	12,000	$30	$408.1K
99282	The 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.	5,920	$70	$402.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	6,190	$50	$315.5K

Showing 1–10 of 155

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 Medical Center — 10 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

155 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	13	70	1,440	$90	$2.8M
99284	The 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	280	850	$140	$801.8K
99285	The 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.	36	180	340	$170	$722K
99283	The 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.	2	310	1,320	$100	$543.4K
90834	In 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…	495	680	670	$70	$343.5K
H0015	Alcohol 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…	13	20	2,150	$80	$334.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2	90	320	$120	$327.7K
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…	17	40	900	$90	$249.3K
90853	Group 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…	30	120	980	$50	$230.3K
0202U	This 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…	1	50	130	$320	$224.4K

Showing 1–10 of 155

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Medical Center	IA	Cardiovascular Disease Physician	$0	$5.1M
Mercy Medical Center	IA	Psychiatry Physician	$0	$2.8M
Kambeez Berenji	VA	Interventional Cardiology Physician	$456.3K	$0
Arjun Ramesh	IA	Interventional Pain Medicine Physician	$249K	$0
Ryan Hollenbeck	IA	Interventional Cardiology Physician	$221.6K	$0
Amandeep Singh Dhaliwal	IA	Cardiovascular Disease Physician	$205.3K	$0
Fadi Yacoub	IA	Internal Medicine Physician	$183.3K	$0
Chong Lee	WI	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$183.3K	$0
Mark Milton	IA	Clinical Cardiac Electrophysiology Physician	$168.2K	$0
Rohan Penmetcha	IA	Cardiovascular Disease Physician	$142.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Iowa Health Center	IA	Family Medicine Physician	$0	$24.5M
Eastern Iowa Health Center	IA	Family Medicine Physician	$0	$18.5M
Eastern Iowa Health Center	IA	General Practice Dentistry	$0	$14.4M
Linn County Emergency Medicine PC	IA	Emergency Medicine Physician	$0	$9.8M
C R Iv Service Inc	IA	Home Infusion Therapy Pharmacy	$0	$5.8M
Physicians' Clinic Of Iowa, PC	IA	Surgery Physician	$0	$4.9M
C R Pharmacy Service Inc	IA	Oxygen Equipment & Supplies (DME)	$0	$2.4M
Bogdan Cherascu	IA	Rheumatology Physician	$2.4M	$0
Vijay Aluri	IA	Rheumatology Physician	$2M	$0
Eastern Iowa Sleep Center, LLC	IA	Sleep Disorder Diagnostic Clinic/Center	$243.7K	$1.6M

Mercy Medical Center — Billing Profile & Reimbursement Data

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Mercy Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References