The Mercy Hospital INC
The Mercy Hospital INC was paid $10.93M by Medicaid between Jan 2018 and Apr 2021, across 10 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 88% of everything it billed.
HOLYOKE, MA 01040
Next to other Psychiatric Hospital Unit providers in Massachusetts
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 244,590 | $4.16M | |
| 2019 | 235,169 | $3.92M | |
| 2020 | 156,259 | $2.39M | |
| 2021 | 30,845 | $454K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 88% | 648,039 | 26,791 | $9.61M |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 4.6% | 1,906 | 235 | $506K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.9% | 5,494 | 3,398 | $320K |
| 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 assessment, counseling; crisis intervention, and activity therapies or education | 2.2% | 2,800 | 427 | $237K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1.1% | 3,892 | 1,777 | $119K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 708 | 425 | $59K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 473 | 472 | $55K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | <1% | 3,296 | 793 | $17K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 209 | 67 | $4K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 46 | 28 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.