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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Life Center Corporation (NPI 1538689039)

Field	Value
Entity Type	Organization
Organization	Mercy Life Center Corporation
Address	1200 Reedsdale St
City	Pittsburgh
State	PA
ZIP	15233
Taxonomy	Community Health Clinic/Center
NPI Enumerated	June 26, 2017

Payer Source	Total Paid
Medicaid	$68.5M
Medicare	$0

Key Findings

MER CY LIFE CENTER CORPORATION is effectively a single-payer Medicaid provider on the claims on file: there is no Medicare billing recorded and lifetime Medicaid revenue is $68.5M, indicating the organization’s financial footprint in the dataset is concentrated exclusively in Medicaid payments. This strongly shapes contracting and utilization analysis because Medicare population exposure is not visible in these records.

Revenue is extremely concentrated in a single line code: W0500 accounts for $68.4M of the provider’s Medicaid receipts and represents 99.9% of this provider's total Medicaid revenue. The precomputed top-3 codes together account for 100.0% of Medicaid revenue, so the provider’s financial performance in this dataset is dominated by a single billing category rather than a diversified mix of E/M or procedural fees.

W0500 is the dominant operational driver for this entity: the code shows 143.7K claims at $476 avg paid/claim and ranks #1 of 7 providers in-state (100th percentile; notably above typical state volume for this code). Although the code description is not available in the file, its scale and rank imply the organization’s Medicaid business model relies heavily on services paid under W0500 rather than on traditional per-visit E/M payments.

Smaller revenue-contributing codes are present but marginal to total dollars: T1040 (514 claims, $147 avg paid/claim, $75.6K revenue) contributes 0.1% and ranks #2 of 2 in-state (0th percentile; typical), while 99215 (53 claims, $0 avg paid/claim, $0 revenue) is listed as 0.0% of revenue and ranks #735 of 1210 (39th percentile; typical). These codes do not materially diversify the provider’s revenue base in the recorded Medicaid payments.

Operational footprint in behavioral health and outpatient services appears large in volume but shows no corresponding paid revenue for many codes: examples include 90834 with 109K claims ($0 avg paid/claim, $0 revenue; ranks #13 of 692, 98th percentile; extreme outlier), 90853 with 43.2K claims ($0 avg paid/claim, $0 revenue; ranks #5 of 340, 99th percentile; extreme outlier), and 99211 with 56.4K claims ($0 avg paid/claim, $0 revenue; ranks #4 of 978, 100th percentile; extreme outlier). The dataset records very high claim volumes for psychotherapy and supportive-service codes yet reports $0 paid amounts, suggesting these service volumes are either reimbursed under a different code (potentially W0500), recorded outside the observed payment fields, or reflect non-fee-for-service reporting in the available payment data.

From a competitive standpoint in Pennsylvania, the provider is a dominant payer-ranked outlier for its top revenue code: W0500’s #1 rank and 100th percentile position mark MERCY LIFE CENTER CORPORATION as the leading in-state reporter for that code. By contrast, for commonplace outpatient E/M and many behavioral health CPT/HCPCS codes the provider’s percentile ranks range from typical to extreme outlier in volume, indicating pockets of unusually high utilization relative to peers but without parallel Medicaid-paid revenue in this file.

Tenure in the dataset is established: the provider’s NPI was enumerated 2017-06-26 (~9 years ago), so observed patterns reflect an organization with multiple years of claims history under its current NPI. That tenure supports trend and peer-comparison analyses but also means the extreme revenue concentration in W0500 has persisted long enough to be operationally significant.

Business risk and contracting implications follow from the concentration: with $68.5M of Medicaid revenue and 99.9% of that tied to W0500, the provider faces material exposure to any reimbursement policy change affecting that single code. Analysts should flag negotiating leverage or vulnerability tied to that code and prioritize review of contract language, bundled payment practices, and how high-volume psychotherapy/support codes with $0 reported payments are reconciled in payer records.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W0500	N/A	143,710	$480	$68.4M
T1040	Medicaid certified community behavioral health clinic services, per diem	510	$150	$75.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	3,610	$0	$0
90832	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…	43,690	$0	$0
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…	108,970	$0	$0
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	3,820	$0	$0
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	40	$0	$0
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	540	$0	$0
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…	43,210	$0	$0
99201	Deleted code, effective Jan. 1, 2021	80	$0	$0

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Mercy Life Center Corporation — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W0500	N/A	1	10	29,320	$620	$30.5M
T1017	Targeted case management, each 15 minutes	58	210	18,200	$100	$2.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	42	100	9,680	$110	$1.5M
H2011	Crisis intervention service, per 15 minutes	30	70	2,210	$250	$1.3M
H2030	Mental health clubhouse services, per 15 minutes	17	20	7,340	$120	$1.2M
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…	13	690	2,240	$80	$1M
H0038	Self‑help/peer services, per 15 minutes	65	160	2,290	$150	$865.4K
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…	38	150	2,970	$100	$699.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	148	560	1,400	$90	$485.7K
90832	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…	10	540	1,490	$50	$316.4K

Showing 1–10 of 26

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Life Center Corporation	PA	Public Health or Welfare Agency	$0	$75.5M
Pediatric Services Of America, LLC	PA	Home Health Agency	$0	$34.9M
Tadiso Incorporated	PA	Voluntary or Charitable Agency	$138.6K	$28.7M
Signature Diagnostics Inc	PA	Clinical Medical Laboratory	$3.7K	$177.4K

Mercy Life Center Corporation — Billing Profile & Reimbursement Data

Sign up for Mercy Life Center Corporation — Billing Profile & Reimbursement Data policy alerts

Mercy Life Center Corporation — Billing Profile & Reimbursement Data

Sign up for Mercy Life Center Corporation — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References