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 Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri 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. Missouri (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 St. Francis Hospital (NPI 1023053477)

Field	Value
Entity Type	Organization
Organization	Mercy St. Francis Hospital
Address	100 West Highway 60
City	Mountain View
State	MO
ZIP	65548
Taxonomy	Critical Access Hospital
NPI Enumerated	June 19, 2006

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	11,940	$140	$1.7M
Y7506	N/A	8,300	$180	$1.5M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	6,750	$150	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	4,660	$200	$946K
X4011	N/A	1,590	$330	$522.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	5,570	$80	$440K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	4,490	$70	$296.5K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	390	$320	$124.3K
86140	The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.	790	$40	$33.9K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	110	$280	$30.4K

Showing 1–10 of 50

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

Claims Volume vs. Missouri Distribution

Mercy St. Francis Hospital — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	80	110	5,700	$340	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	67	100	2,240	$80	$2.2M
Y7506	N/A	22	100	980	$250	$1.6M
Y7507	N/A	48	50	270	$360	$594.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	73	90	1,850	$120	$384.1K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	71	600	140	$170	$384.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	80	110	2,100	$70	$364.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	96	240	1,740	$40	$353.4K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	89	320	980	$40	$352.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	83	950	120	$150	$288.2K

Showing 1–10 of 50

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mercy St. Francis Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunthosh Parvathaneni	MO	Clinical Cardiac Electrophysiology Physician	$196K	$7.2K
Sharad Bansal	MO	Cardiovascular Disease Physician	$132.6K	$0
Gerard Oghlakian	MO	Advanced Heart Failure and Transplant Cardiology Physician	$120.6K	$0
Anoop Parameswaran	MO	Cardiovascular Disease Physician	$116K	$0
Richard Tompson	MO	Pain Medicine (Anesthesiology) Physician	$97.2K	$6.3K
Curtis Horstman	MO	Emergency Medicine Physician	$83.7K	$4.2K
Stephen Stufflebam	MO	Certified Registered Nurse Anesthetist	$82.6K	$0
Marvin Jones	MO	Certified Registered Nurse Anesthetist	$50.4K	$17.7K
Swetha Nemargommula	IL	Critical Care Medicine (Internal Medicine) Physician	$63.7K	$0
Ray Woodmansee	MO	Emergency Medicine Physician	$50K	$8K

Nearby Providers

Other providers in the same ZIP code as Mercy St. Francis Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dawn Henry	MO	Adult Health Nurse Practitioner	$27.7K	$0

Mercy St. Francis Hospital — Billing Profile & Reimbursement Data

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Mercy St. Francis Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References