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

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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.

The Mercy Hospital Inc (NPI 1629062906)

Field	Value
Entity Type	Organization
Organization	The Mercy Hospital Inc
Address	1233 Main St
City	Holyoke
State	MA
ZIP	01040
Taxonomy	Psychiatric Hospital
NPI Enumerated	September 1, 2005

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	648,040	$20	$9.7M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1,910	$270	$507K
H0004	Behavioral health counseling and therapy, per 15 minutes	5,490	$60	$318.7K
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…	2,800	$90	$238K
H0005	Alcohol and/or drug services; group counseling by a clinician	3,890	$30	$120.7K
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…	710	$80	$59.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	470	$120	$54.9K
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	3,300	$10	$16.5K
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…	210	$20	$3.6K
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…	50	$40	$2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

The Mercy Hospital Inc — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	6	40	26,400	$10	$9.7M
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	19	30	8,280	$140	$8M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	14	30	1,910	$480	$3.5M
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…	28	60	2,800	$110	$659.4K
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…	752	1,620	580	$80	$599.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	12	30	3,380	$50	$460K
H0005	Alcohol and/or drug services; group counseling by a clinician	6	20	2,320	$20	$244.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	167	600	90	$110	$106.8K
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…	465	570	400	$40	$106.7K
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…	193	290	490	$30	$79K

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Mercy Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Mercy Hospital Inc	MA	General Acute Care Hospital	$0	$98.9M
Holyoke Capital Jv, LLC	MA	Psychiatric Hospital	$645.1K	$11.5M
The Mercy Hospital Inc	MA	Rehabilitation Hospital Unit	$0	$7.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$249.7M
Holyoke Medical Center, Inc.	MA	General Acute Care Hospital	$0	$125.1M
Total Wellness Centers, LLC	MA	Clinical Medical Laboratory	$1.9M	$77.2M
River Valley Counseling Center, Inc	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$64.7M
Holyoke Health Center Inc.	MA	Community Health Clinic/Center	$0	$59.3M
Access Care Partners Inc.	MA	Voluntary or Charitable Agency	$0	$38.9M
Access Care Partners Inc.	MA	Voluntary or Charitable Agency	$0	$34.2M
New England Family Dentistry, PC	MA	Point of Service	$0	$12.7M
Lakes/national Emergency Physicians Inc	MA	Emergency Medicine Physician	$0	$10.6M
Department Of Mental Health	MA	Case Management Agency	$0	$8.3M

The Mercy Hospital Inc — Billing Profile & Reimbursement Data

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The Mercy Hospital 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

Related Providers

Nearby Providers

Frequently Asked Questions

References