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

Why is the Medicaid comparison limited to Michigan 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. Michigan (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.

St Francis Hospital (NPI 1063587046)

Field	Value
Entity Type	Organization
Organization	St Francis Hospital
Address	3409 Ludington St
City	Escanaba
State	MI
ZIP	49829
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

75 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	96,730	$30	$3.3M
99213	The 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…	44,450	$30	$1.5M
99214	The 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…	27,980	$40	$1.1M
J0578	Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy	120	$6,410	$744K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	130	$1,120	$145.9K
99203	The provider sees a new 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 provider…	3,370	$40	$141.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,870	$50	$140.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,250	$40	$120.2K
99204	The provider sees a new 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 provider…	1,300	$70	$95K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,760	$50	$91.4K

Showing 1–10 of 75

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

St Francis Hospital — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

75 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	3	290	5,950	$50	$689.7K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	7	10	220	$1,370	$593.7K
Q9991	Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg	7	10	200	$1,370	$577.2K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	124	160	260	$820	$506.6K
J0578	Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy	1	10	110	$4,080	$461K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,315	1,960	870	$100	$376.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	717	950	610	$80	$328.2K
99214	The 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…	99	4,380	1,000	$70	$289.9K
99213	The 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…	86	4,770	1,060	$50	$247.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	505	780	140	$190	$192.4K

Showing 1–10 of 75

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Francis Hospital	MI	Critical Access Hospital	$0	$14.4M
Marc Knepp	IL	Pediatric Cardiology Physician	$4.9K	$214.3K
Monica Cespedes Santana	PR	Infectious Disease Physician	$7.9K	$162.2K
Daniel Maxwell	MI	Pulmonary Disease Physician	$118.6K	$0
Rudolph Evonich	WI	Clinical Cardiac Electrophysiology Physician	$105.7K	$0
Florin Stuleanu	WI	Pulmonary Disease Physician	$84K	$0
Bradley Klumb	WI	Orthopaedic Surgery Physician	$77.2K	$0
Kayela Corrigan	MI	Nurse Practitioner	$74.9K	$0
Donnevan Blake	WI	Cardiovascular Disease Physician	$74.2K	$350
Vijaya Munagala	WI	Clinical Cardiac Electrophysiology Physician	$72.3K	$120

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Homecare Services	MI	In Home Supportive Care Agency	$0	$38.3M
Upcap Services, Inc.	MI	Case Management Agency	$0	$13M
Bridgewood Non Profit Housing Corp	MI	Foster Care Agency	$0	$8.7M
Dlp Marquette General Hospital LLC	MI	Land Ambulance	$1.1M	$4.4M
Darrell Kohli	MI	Ophthalmology Physician	$250.7K	$0
Guardian Flight LLC	MI	Air Ambulance	$229.7K	$0
Roderick Hood	MI	Physician Assistant	$192K	$0
Kimber Gauthier	MI	Family Medicine Physician	$139.2K	$0
Walgreen Co	MI	Pharmacy	$136.7K	$0
Stephen Manier	MI	Diagnostic Radiology Physician	$115.9K	$0

St Francis Hospital — Billing Profile & Reimbursement Data

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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