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 Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland 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. Maryland (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 Inc (NPI 1144282583)

Field	Value
Entity Type	Organization
Organization	Mercy Medical Center Inc
Address	301 Saint Paul Pl
City	Baltimore
State	MD
ZIP	21202
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 3, 2006

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

166 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0378	Hospital observation service, per hour	1,880	$650	$1.2M
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.	6,050	$170	$1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	170	$5,850	$988K
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.	8,200	$100	$819.7K
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.	2,680	$220	$582.2K
99281	The provider sees a patient for the lowest level emergency department visit.	8,240	$40	$288.3K
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.	3,820	$60	$236.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	29,240	$10	$233.9K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,250	$80	$94.7K
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…	1,490	$40	$55.1K

Showing 1–10 of 166

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Mercy Medical Center Inc — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

166 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	16	20	420	$2,390	$2.2M
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.	37	150	1,540	$100	$1.2M
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.	40	150	760	$130	$964.3K
G0378	Hospital observation service, per hour	16	40	1,330	$510	$824.7K
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…	66	80	500	$70	$691.2K
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.	17	150	940	$70	$345.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	44	50	660	$30	$289.2K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	45	50	640	$30	$284.4K
Q0138	Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	3	10	350	$300	$275.8K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	26	30	550	$20	$244.7K

Showing 1–10 of 166

Nearby Providers

Other providers in the same ZIP code as Mercy Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baltimore City Schools	MD	Local Education Agency (LEA)	$0	$95.8M
Mayor And City Council Of Baltimore	MD	Land Ambulance	$6.3M	$38M
Health Care For The Homeless, Inc	MD	Federally Qualified Health Center (FQHC)	$0	$26.8M
Maryland Family Care, Inc.	MD	Family Medicine Physician	$0	$24.6M
Hope Resource Center, LLC	MD	Community/Behavioral Health Agency	$0	$18.1M
Pha Healthcare LLC	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$18M
St Paul Place Specialists, Inc.	MD	Dermatology Physician	$0	$13.3M
Lighthouse Behavioral Health Center, LLC	MD	Substance Abuse Rehabilitation Facility	$0	$11.5M
Emergency Physicians Spps	MD	Emergency Medicine Physician	$0	$9.8M
Heavens Place-outpatient Detox & Recovery Center	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M

Mercy Medical Center Inc — Billing Profile & Reimbursement Data

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Mercy Medical Center Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References