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

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

Alton Memorial Hospital (NPI 1063669117)

Field	Value
Entity Type	Organization
Organization	Alton Memorial Hospital
Address	1 Memorial Dr
City	Alton
State	IL
ZIP	62002
Taxonomy	Ambulance
NPI Enumerated	August 20, 2008

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	12,630	$190	$2.4M
A0425	Ground mileage, per statute mile	18,280	$50	$987.1K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	3,530	$100	$356.6K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	1,170	$140	$167.3K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	910	$180	$162K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Alton Memorial Hospital — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	15	360	1,340	$910	$4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	165	340	1,050	$770	$2.8M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	25	80	1,580	$140	$1.8M
A0425	Ground mileage, per statute mile	36	450	2,450	$40	$602.5K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	21	60	350	$200	$269.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centerstone Of Illinois, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36.7M
Southeastern Emergency Physicians Of Memphis LLC	IL	Emergency Medicine Physician	$0	$26.5M
Southern Illinois Health Care Foundation, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$21.1M
Nu-crown, LLC	IL	Optometrist	$0	$5.8M
City Of Alton Ill	IL	Ambulance	$254.8K	$3.4M
Osf Healthcare System	IL	Home Health Agency	$0	$3.4M
Centerstone Of Illinois, Inc	IL	Substance Use Disorder Rehabilitation Clinic/Center	$133.7K	$1.9M
Wynndel Buenger	IL	Pain Medicine Physician	$399.4K	$4.5K
Paolo Masetti	IL	Surgical Critical Care Physician	$94.1K	$182.7K
John Stirton	IL	Orthopaedic Surgery Physician	$202.4K	$20.2K

Alton Memorial Hospital — Billing Profile & Reimbursement Data

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Alton Memorial 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

Nearby Providers

Frequently Asked Questions

References