Clinic
Mercy Health System Corporation
Mercy Health System Corporation was paid $8.15M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is H2012, Behavioral health day treatment, per hour — 39% of everything it billed.
33Billing provider infoMERCY HEALTH SYSTEM CORPORATION
JANESVILLE, WI 53548
JANESVILLE, WI 53548
33aNPI1669685129assigned 05/08/2007
33bProvider typeClinic/Center
28Total paid$8.15M
24GClaims149,633
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Wisconsin
Rank by total paid#5 of 102
Median peer was paid$54K
This provider vs. median152×
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.
Entity ProliferationAuthorized official MALAS, JOSEPH controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 13,288 | $904K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2012 | Behavioral health day treatment, per hour | 39% | 52,273 | 3,989 | $3.15M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 28% | 43,690 | 30,381 | $2.28M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15% | 28,214 | 23,216 | $1.24M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 12% | 11,990 | 8,384 | $980K |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | 1.5% | 2,173 | 1,064 | $125K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 3,224 | 2,968 | $89K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,091 | 963 | $59K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,134 | 1,027 | $36K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 486 | 453 | $35K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 487 | 446 | $30K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 959 | 786 | $29K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,486 | 789 | $24K |
13 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 209 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 714 | $13K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 569 | $11K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 107 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 61 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 33 | $2K |
| 90785 | <1% | 353 | $2K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 93 | $2K |
| 92015 | Determination of refractive state | <1% | 96 | $957.12 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 16 | $464.52 |
| 98968 | <1% | 46 | $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 | <1% | 91 | $36.50 |
| 82570 | <1% | 38 | $7.04 |
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.
From NPPES
Who's on the registration
Authorized officialMALAS, JOSEPH (CFO AUTHORIZED OFFICIAL)
Parent organizationMERCY HEALTH CORPORATION
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.