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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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 Vincent Hospital-hospital Sisters-third Order Of St Francis (NPI 1114908001)

Key Findings

Field	Value
Entity Type	Organization
Organization	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Address	835 S Van Buren St
City	Green Bay
State	WI
ZIP	54301
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 8, 2005

Payer Source	Total Paid
Medicaid	$19.6M
Medicare	$0

This provider is effectively single‑payer in the available dataset: there is no Medicare billing on file and all reported federal revenue is Medicaid‑sourced, totaling $19.6M. The absence of Medicare activity on file means analysts should treat comparisons to Medicare peers as not applicable and focus competitive analysis on Medicaid volumes and in‑state peers.

Revenue concentration is high within a few ED and infusion codes: the precomputed top‑three Medicaid codes account for 38.5% of the provider's total Medicaid revenue, led by 99283 ($2.5M, 16.5%), 96361 ($1.9M, 12.8%), and 99284 ($1.4M, 9.3%). This concentration indicates a relatively small set of service lines drive a large share of Medicaid receipts.

The code mix evidences a high‑throughput emergency department and IV/infusion activity: multiple ED E/M codes (99282–99285) and infusion/IV hydration codes (96361, 96365, 96360, 96366) appear among top revenue drivers, with 99283 (34.3K claims) and 99284 (25.8K claims) generating sizable revenue and 96361 recording 13.7K claims. Together with large lab volumes (80053, 85025), this pattern is consistent with an acute care hospital operating a busy ED, infusion and diagnostic lab service line.

On competitive standing for core codes, the provider generally sits at or above high statewide percentiles but many of those codes are still labeled in the dataset as "typical, unremarkable volume for this code." Examples: 99283 ranks #19 of 362 (95th percentile, labeled typical), 99284 ranks #30 of 432 (93th percentile, labeled typical), and 96361 ranks #17 of 135 (88th percentile, labeled typical). Analysts should therefore interpret high percentile positions alongside the dataset's qualitative labels rather than assuming extraordinary market dominance for these particular codes.

There are clear statistical outliers in the Medicaid portfolio that point to specialty strengths: 29581 (layered compression bandage) is ranked #1 of 14 in‑state and flagged as an "extreme outlier, far above typical state volume," contributing $414.3K (2.8%) of Medicaid revenue, and 87804 (influenza immunoassay) ranks #3 of 148 and is similarly labeled an "extreme outlier," contributing $212.8K (1.4%). These outlier codes suggest unusually large activity in wound care/vascular bandaging and point‑of‑care influenza testing relative to peers.

Laboratory and imaging services are meaningful revenue contributors beyond ED throughput: comprehensive metabolic panel 80053 accounts for $1.2M (7.9%) with 39.6K claims, and CT head 70450 contributes $413.5K (2.8%). The combination of high volume lab panels, respiratory and COVID testing (87633, 87635), and imaging supports a vertically integrated acute‑care diagnostic operation.

Observation, oncology infusion, and monitoring capacity also appear in the mix: hospital observation service G0378 ($237.7K, 1.6%) and chemotherapy infusion 96413 ($219.3K, 1.5%) are present among top codes, signaling the facility provides post‑ED observation and outpatient oncology/infusion services as part of its Medicaid business lines. These services likely complement the ED and infusion patterns seen elsewhere in the file.

The provider has a long tenure in the NPI registry (2005-11-08 (~21 years ago)), indicating an established presence in the Green Bay market; combined with the Medicaid code mix and the presence of several high‑percentile ED and diagnostic codes, this suggests stable, ongoing acute care operations rather than a newly formed billing pattern.

Medicaid: Complete Services Breakdown

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

274 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.	34,310	$70	$2.5M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	13,740	$140	$1.9M
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.	25,760	$50	$1.4M
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.	39,600	$30	$1.2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	10,600	$80	$869.3K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	10,850	$70	$759.8K
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.	13,890	$50	$708.1K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	5,120	$100	$485.9K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	1,630	$290	$475.5K
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…	51,220	$10	$461K

Showing 1–10 of 274

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

St Vincent Hospital-hospital Sisters-third Order Of St Francis — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

274 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	17	140	3,200	$160	$1.1M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	12	20	760	$110	$1M
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.	19	360	1,550	$70	$614.4K
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.	30	430	760	$60	$484.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	18	190	1,790	$90	$390.9K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	30	40	150	$530	$381.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	10	140	2,200	$90	$358.4K
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.	34	330	1,350	$60	$338K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	136	170	720	$70	$272.7K
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	8	10	340	$210	$236.9K

Showing 1–10 of 274

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Vincent Hospital-hospital Sisters-third Order Of St Francis	WI	General Practice Physician	$0	$12.2M
St Vincent Hospital-hospital Sisters-third Order Of St Francis	WI	Clinical Medical Laboratory	$0	$2.6M
Concord Hospital, Inc.	NH	Emergency Medicine Physician	$0	$2.5M
St Vincent Hospital-hospital Sisters-third Order Of St Francis	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.7M
Haramandeep Singh	CA	Sleep Medicine (Psychiatry & Neurology) Physician	$592.2K	$0
Patrick Safo	WI	Dermatology Physician	$518.9K	$0
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Julie Chicks	WI	Addiction Medicine (Internal Medicine) Physician	$6.8K	$301.5K
Nicole Kieffer	WI	Rheumatology Physician	$307.5K	$0
St Vincent Hospital-hospital Sisters-third Order Of St Francis	WI	Ambulatory Surgical Clinic/Center	$244.3K	$26.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bellin Memorial Hospital Inc.	WI	General Acute Care Hospital	$0	$29.2M
Bellin Memorial Hospital Inc	WI	Family Medicine Physician	$0	$19.8M
County Of Brown	WI	Community/Behavioral Health Agency	$0	$12.8M
Hha Of Wisconsin, LLC	WI	Home Health Agency	$0	$5.6M
City Of Green Bay Office Of Comptroller	WI	Land Ambulance	$613K	$3.7M
Bellin Psychiatric Center Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.1M
Cerebral Palsy, Inc.	WI	Rehabilitation Clinic/Center	$0	$4M
Innovative Wisconsin, LLC	WI	Community/Behavioral Health Agency	$0	$3.8M
Almost Family Personal Care, LLC	WI	Nursing Care Agency	$0	$3.1M
Renal Life Link Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.8M

St Vincent Hospital-hospital Sisters-third Order Of St Francis — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References