The Mercy Hospital INC

The Mercy Hospital INC was paid $7.34M by Medicaid between Jan 2018 and Oct 2024, across 55 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) — 36% of everything it billed.

33Billing provider infoTHE MERCY HOSPITAL INC
SPRINGFIELD, MA 01104

33aNPI1750360798assigned 01/10/2006

33bProvider typeMulti-Specialty Clinic/Center

28Total paid$7.34M

24GClaims308,330

24DCodes billed55

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Massachusetts

Rank by total paid#3 of 16

Median peer was paid$198K

This provider vs. median37×

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.

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	85,938	$1.41M
2019	76,760	$1.22M
2020	73,816	$1.08M
2021	25,443	$495K
2022	18,320	$1.25M
2023	16,645	$1.16M
2024incomplete	11,408	$725K

Box 24 · Service lines

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)	36%	208,519	8,506	$2.67M
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	26%	44,084	13,699	$1.87M
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	14%	9,399	3,574	$1.02M
97530	Therapeutic activities, direct patient contact, each 15 minutes	7.7%	9,754	3,992	$567K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	4.2%	13,497	5,575	$309K
97162		3.5%	4,333	4,167	$257K
97035		2.6%	5,304	1,923	$192K
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%	2,301	323	$165K
92523		<1%	355	350	$48K
97163		<1%	776	754	$30K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	1,038	480	$29K
97167		<1%	270	266	$27K

43 more codes

97161		<1%	236	$24K
92567		<1%	650	$18K
V5266	Battery for use in hearing device	<1%	782	$15K
99283	Emergency room visit (moderate)	<1%	77	$13K
97166		<1%	176	$11K
97165		<1%	85	$8K
92579		<1%	275	$8K
V5014	Repair/modification of a hearing aid	<1%	202	$7K
92587		<1%	64	$7K
99285	Emergency room visit (most serious)	<1%	31	$6K
92552		<1%	83	$5K
92557		<1%	92	$5K
99284	Emergency room visit (serious)	<1%	20	$4K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	29	$2K
92593		<1%	80	$2K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	13	$2K
97535	Self-care/home management training, each 15 minutes	<1%	23	$840.67
G8978	Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals	<1%	1,242	$689.12
97032		<1%	33	$634.49
97010		<1%	22	$583.38
92556		<1%	75	$489.96
V5264	Ear mold/insert, not disposable, any type	<1%	27	$455.57
92591		<1%	12	$385.01
71046	Radiologic examination, chest; 2 views	<1%	26	$376.37
G8979	Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	<1%	1,536	$344.56
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	49	$326.14
80048	Basic metabolic panel (calcium, ionized)	<1%	26	$205.16
80053	Comprehensive metabolic panel	<1%	15	$125.19
87086	Culture, bacterial; quantitative colony count, urine	<1%	14	$103.04
81025		<1%	16	$101.76
83690		<1%	13	$69.19
81001		<1%	23	$66.70
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	13	$55.70
92582		<1%	44	$21.30
G8984	Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals	0%	666	$0.00
G8985	Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	0%	899	$0.00
G8988	Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	0%	160	$0.00
G8982	Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	0%	311	$0.00
92583		0%	13	$0.00
G8981	Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals	0%	223	$0.00
G8980	Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting	0%	210	$0.00
G8987	Self care functional limitation, current status, at therapy episode outset and at reporting intervals	0%	101	$0.00
G8986	Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting	0%	13	$0.00

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 officialPERUGINO, ANTONIO (VICE PRESIDENT AND CFO)

Parent organizationTHE MERCY HOSPITAL INC