Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MERCY HEALTH SYSTEM CORPORATION

NPI: 1669685129 · JANESVILLE, WI 53548 · Clinic/Center · NPI assigned 05/08/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MALAS, JOSEPH controls 19+ related entities in our dataset. Read more

$8.15M
Total Medicaid Paid
149,633
Total Claims
76,425
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMALAS, JOSEPH (CFO AUTHORIZED OFFICIAL)
Parent OrganizationMERCY HEALTH CORPORATION
NPI Enumeration Date05/08/2007

Related Entities

Other providers sharing the same authorized official: MALAS, JOSEPH

ProviderCityStateTotal Paid
MERCY HEALTH SYSTEM CORPORATION JANESVILLE WI $25.46M
GENESIS HEALTH SYSTEM DAVENPORT IA $23.22M
MERCY HEALTH SYSTEM CORPORATION JANESVILLE WI $13.19M
MERCY HEALTH SYSTEM CORPORATION LAKE GENEVA WI $9.39M
MERCY ASSISTED CARE, INC JANESVILLE WI $4.04M
GENESIS MEDICAL CENTER, ALEDO ALEDO IL $3.62M
FREEPORT MEMORIAL HOSPITAL FREEPORT IL $1.40M
JAVON BEA HOSPITAL ROCKFORD IL $1.23M
MERCY HEALTH SYSTEM CORPORATION JANESVILLE WI $1.17M
MERCY ASSISTED CARE, INC HARVARD IL $601K
MERCYHEALTH VISITING NURSES ASSOCIATION, INC ROCKFORD IL $251K
JAVON BEA HOSPITAL ROCKFORD IL $174K
GENESIS HEALTH SYSTEM DE WITT IA $136K
MERCY ASSISTED CARE, INC JANESVILLE WI $136K
GENESIS HEALTH SYSTEM BETTENDORF IA $32K
MERCY ASSISTED CARE, INC JANESVILLE WI $12K
MERCY HARVARD HOSPITAL INC HARVARD IL $10K
ROCKFORD HEALTH PHYSICIANS ROCKFORD IL $9K
MERCY HEALTH SYSTEM CORPORATION JANESVILLE WI $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,551 $1.08M
2019 29,169 $1.28M
2020 21,471 $1.11M
2021 20,778 $1.11M
2022 20,617 $1.32M
2023 20,759 $1.33M
2024 13,288 $904K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2012 Behavioral health day treatment, per hour 52,273 3,989 $3.15M
90834 Psychotherapy, 45 minutes with patient 43,690 30,381 $2.28M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,214 23,216 $1.24M
90837 Psychotherapy, 53 minutes with patient 11,990 8,384 $980K
H0022 Alcohol and/or drug intervention service (planned facilitation) 2,173 1,064 $125K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,224 2,968 $89K
99215 Prolong outpt/office vis 1,091 963 $59K
99238 Hospital discharge day management, 30 minutes or less 1,134 1,027 $36K
90791 Psychiatric diagnostic evaluation 486 453 $35K
99222 Initial hospital care, per day, moderate complexity 487 446 $30K
90832 Psychotherapy, 30 minutes with patient 959 786 $29K
90853 Group psychotherapy (other than of a multiple-family group) 1,486 789 $24K
90792 Psychiatric diagnostic evaluation with medical services 209 197 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 714 663 $13K
99232 Subsequent hospital care, per day, moderate complexity 569 299 $11K
90847 Family psychotherapy with the patient present, 50 minutes 107 90 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 61 61 $3K
99205 Prolong outpt/office vis 33 25 $2K
90785 353 342 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 93 93 $2K
92015 Determination of refractive state 96 96 $957.12
99239 Hospital discharge day management, more than 30 minutes 16 14 $464.52
98968 46 31 $241.75
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 not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 91 24 $36.50
82570 38 24 $7.04