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 1720075104)

Field	Value
Entity Type	Organization
Organization	Mercy Life Center Corporation
Address	1200 Reedsdale St
City	Pittsburgh
State	PA
ZIP	15233
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	September 30, 2005

Payer Source	Total Paid
Medicaid	$75.5M
Medicare	$0

Key Findings

MER CY LIFE CENTER CORPORATION is effectively a single‑payer Medicaid provider: it has no Medicare billing on file and reports $75.5M in lifetime Medicaid revenue, with its NPI enumerated on 2005-09-30 (~21 years ago), indicating long tenure in the market. This profile signals an organization built around Medicaid-facing programs rather than fee‑for‑service Medicare work.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 79.4% of the provider’s total Medicaid revenue. Those three codes are T1017 ($23.2M, 30.7%), H0039 ($21.2M, 28.0%), and H0037 ($15.6M, 20.6%), meaning most of the provider’s Medicaid receipts come from targeted case management, assertive community treatment, and community psychiatric supportive per diem services.

The code mix points to an intensive community behavioral‑health operation: T1017 (targeted case management) and H0039 (assertive community treatment) are high‑volume, short‑interval service models while H0037 (community psychiatric supportive treatment program, per diem) is a per‑diem supportive/residential style service. Together these codes suggest the provider operates large-scale case management, mobile/field treatment teams, and per‑diem supportive programs rather than primarily outpatient physician visits or procedural care.

Competitive standing on core programs is dominant within Pennsylvania: T1017 ranks #2 of 205 providers and is listed as an "extreme outlier, far above typical state volume for this code," H0039 ranks #2 of 43 providers and is also an "extreme outlier," and H0037 ranks #1 of 17 providers and is described as "notably above typical state volume for this code." These ranks and percentile notes indicate the provider is a major statewide player for those high‑intensity community behavioral‑health services.

Beyond the top three, H0046 contributes $9.1M (12.0% of Medicaid revenue) and ranks #3 of 173 providers (99th percentile; notably above typical state volume), signaling additional scale in broadly coded mental health services. Smaller lines such as H2011 ($1.5M, 2.0%) and H0018 ($1.2M, 1.6%) are present at typical in‑state volumes and indicate the provider also bills crisis intervention and short‑term residential supports, but these are not primary revenue drivers.

Operationally, caseload and encounter intensity are substantial: the provider reported 169.3K claims for T1017 and 185.5K claims for H0039, reflecting very large volumes of short‑interval, per‑15‑minute billable contacts. This claim mix implies substantial field staff, care coordination infrastructure, and administrative capacity to process high volumes of time‑based behavioral health encounters.

The provider’s heavy dependence on Medicaid and concentrated reliance on a small set of community behavioral‑health codes (79.4% of Medicaid revenue from the top three codes) creates programmatic and reimbursement concentration risk: any policy, rate, or audit changes affecting T1017, H0039, or H0037 would likely have outsized impact on overall revenue. For competitive analysis and contracting, analysts should treat Mercy Life Center as a Medicaid‑centric, high‑volume behavioral‑health operator with demonstrated statewide prominence in targeted case management and assertive community treatment.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	169,270	$140	$23.2M
H0039	Assertive community treatment, face-to-face, per 15 minutes	185,550	$110	$21.2M
H0037	Community psychiatric supportive treatment program, per diem	51,170	$300	$15.6M
H0046	Mental health services, not otherwise specified	51,530	$180	$9.1M
H2011	Crisis intervention service, per 15 minutes	5,180	$290	$1.5M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	2,260	$520	$1.2M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	3,790	$240	$895.4K
S9485	Crisis intervention mental health services, per diem	2,570	$330	$859.7K
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…	3,520	$220	$771.5K
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…	2,840	$170	$467.9K

Showing 1–10 of 17

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 — 4 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	2	40	27,890	$150	$6.2M
H0037	Community psychiatric supportive treatment program, per diem	1	20	8,040	$420	$5.2M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	59	100	5,130	$370	$4.5M
T1017	Targeted case management, each 15 minutes	2	210	18,200	$100	$2.9M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	76	110	8,460	$150	$2.1M
S9485	Crisis intervention mental health services, per diem	7	20	1,610	$480	$1.3M
H2011	Crisis intervention service, per 15 minutes	20	70	2,210	$250	$1.3M
H2035	Alcohol and/or other drug treatment program, per hour	20	20	1,150	$180	$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…	315	690	2,240	$80	$1M
H0046	Mental health services, not otherwise specified	3	170	1,200	$130	$909.6K

Showing 1–10 of 17

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	Community Health Clinic/Center	$0	$68.5M
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

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Mercy Life Center Corporation — 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

Nearby Providers

Frequently Asked Questions

References