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    OpenPayerNPI Medicare & MedicaidSt Jude Childrens Research Hospital Inc
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    St Jude Childrens Research Hospital Inc — Billing Profile & Reimbursement Data

    NPI 1033112230 · Memphis, TN · Children's Hospital

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    St Jude Childrens Research Hospital Inc is a children's hospital provider located in Memphis, Tennessee. This profile covers 0 Medicare and 141 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSt Jude Childrens Research Hospital Inc
    Address262 Danny Thomas Pl
    CityMemphis
    StateTN
    ZIP38105
    TaxonomyChildren's Hospital
    NPI EnumeratedMay 23, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    141 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…2,790$240$664.5K
    85025A 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…53,560$10$428.5K
    P9040Red blood cells, leukocytes reduced, irradiated, each unit1,320$330$427.7K
    80053The 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.37,300$10$410.3K
    36430In this procedure, the provider punctures and places a catheter into a vein to transfuse blood or blood components directly into the patient’s bloodstream.1,610$180$284.8K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…820$230$188.7K
    96409In this procedure, the provider administers the chemotherapy drug using an intravenous push technique. Use this code when the provider administers a single or initial drug.1,640$110$179.8K
    86900The lab analyst performs a test to determine the patient’s blood type within the ABO blood group system using serum plasma as the specimen.4,920$40$177K
    83021The lab analyst measures and calculates the hemoglobin fractions in a whole blood sample demonstrated by this hemoglobin fractionation test by chromatography.8,310$20$174.4K
    83615The lab analyst measures the lactate dehydrogenase, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in red blood…20,920$10$125.5K

    Showing 1–10 of 141

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    141 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient59601,340$50$1.1M
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…12201,060$210$535.6K
    88185The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…710770$140$500.5K
    P9040Red blood cells, leukocytes reduced, irradiated, each unit1101,320$330$428.3K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.2433401,400$40$354.2K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…26401,860$70$294.9K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…1440200$20$234.7K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.1071203,760$30$225K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,7903,760610$40$202.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,7014,050620$30$183.9K

    Showing 1–10 of 141

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with St Jude Childrens Research Hospital Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephen HuddlestonTNRetina Specialist (Ophthalmology) Physician$5.7M$0
    Ashley HatchettTNFamily Nurse Practitioner$1.7M$0
    Kenneth WeissTNSports Medicine (Orthopaedic Surgery) Physician$275.2K$0
    Eugene KimMNDiagnostic Radiology Physician$248.2K$16.1K
    Thomas GielTNSports Medicine (Orthopaedic Surgery) Physician$261.2K$0
    Edward BartonCANeurology Physician$260.1K$0
    Garnett MurphyTNOrthopaedic Foot and Ankle Surgery Physician$255.9K$0
    Benjamin KingTNOphthalmology Physician$251.4K$0
    Andrew WodowskiTNSports Medicine (Orthopaedic Surgery) Physician$236.2K$0
    Scott SullivanCTDiagnostic Radiology Physician$219K$0

    Nearby Providers

    Other providers in the same ZIP code as St Jude Childrens Research Hospital Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shelby County GovernmentTNCommunity Health/Public Health Clinical Nurse Specialist$0$2.7M
    Andrew SmithTNDiagnostic Radiology Physician$29.9K$0
    Karen Arispe AnguloTNAnatomic Pathology & Clinical Pathology Physician$29.3K$0
    Armita BahramiTNAnatomic Pathology & Clinical Pathology Physician$27.9K$0
    Sara YarrowTNCertified Registered Nurse Anesthetist$27.5K$0
    Paul YiTNDiagnostic Radiology Physician$16.8K$0
    Amanda ScottTNAudiologist$15.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Tennessee Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    St Jude Childrens Research Hospital Inc — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee