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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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 Health System Corporation (NPI 1669685129)

Field	Value
Entity Type	Organization
Organization	Mercy Health System Corporation
Address	903 Mineral Point Ave
City	Janesville
State	WI
ZIP	53548
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 8, 2007

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2012	Behavioral health day treatment, per hour	52,270	$60	$3.1M
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…	43,690	$50	$2.3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	28,210	$40	$1.2M
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…	11,990	$80	$983.2K
H0022	Alcohol and/or drug intervention service (planned facilitation)	2,170	$60	$123.9K
99213	The 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…	3,220	$30	$90.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,090	$60	$60K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	1,130	$30	$36.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	490	$70	$35K
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…	960	$30	$29.7K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Mercy Health System Corporation — 4 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	3	50	8,810	$110	$2.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	48	1,630	270	$40	$205.3K
99213	The 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…	336	1,760	250	$40	$173.2K
H0022	Alcohol and/or drug intervention service (planned facilitation)	50	190	400	$30	$140.3K
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…	22	900	410	$70	$130.4K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	91	120	770	$40	$117.9K
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…	8	790	400	$40	$109.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	81	350	210	$60	$95.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	199	690	160	$60	$90.4K
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…	26	110	270	$50	$87.4K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mercy Health System Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health System Corporation	WI	General Acute Care Hospital	$0	$25.4M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Mercy Health System Corporation	WI	Critical Access Hospital	$0	$9.4M
Andrzej Jasek	IL	Rheumatology Physician	$1.6M	$4.9K
Niraj Pahlajani	TX	Radiation Oncology Physician	$1.4M	$0
Neetin Patel	IL	Diagnostic Radiology Physician	$330.8K	$1M
Straight Line Arla	TX	Psychiatry Physician	$242.4K	$1M
Thomas Anderson	IL	Diagnostic Radiology Physician	$67.7K	$948.5K
Ryan O'hara	UT	Vascular & Interventional Radiology Physician	$892.2K	$0
Mousab Almusaddy	IL	Critical Care Medicine (Internal Medicine) Physician	$203.4K	$595.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Assisted Care, Inc	WI	Durable Medical Equipment & Medical Supplies	$0	$4M
School District Of Janesville	WI	Local Education Agency (LEA)	$0	$3.7M
City Of Janesville	WI	Land Ambulance	$702.3K	$2.1M
Trivium LLC	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M
Healthnet Of Rock County, Inc.	WI	Dentist	$0	$1.8M
Daleena Johnson	WI	Gerontology Nurse Practitioner	$160.5K	$285.1K
Imdad Ahmed	WI	Cardiovascular Disease Physician	$333.4K	$110
Shahid Shekhani	WI	Medical Oncology Physician	$200.7K	$0
Naveed Bari	WI	Critical Care Medicine (Internal Medicine) Physician	$82.1K	$64.5K
Ehteshamul Anjum	WI	Nephrology Physician	$143.7K	$0

Mercy Health System Corporation — Billing Profile & Reimbursement Data

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Mercy Health System Corporation — 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