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

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

Methodist Healthcare System Of San Antonio, Ltd., L.L.P. (NPI 1124074273)

Key Findings

Field	Value
Entity Type	Organization
Organization	Methodist Healthcare System Of San Antonio, Ltd., L.L.P.
Address	7700 Floyd Curl Drive
City	San Antonio
State	TX
ZIP	78229
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$68M
Medicare	$0

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and all recorded federal-payer revenue is Medicaid totaling $68M. That concentration in one payer makes Medicaid policy and network decisions likely to have outsized impact on the facility's financials and patient flow.

Medicaid revenue is highly concentrated in emergency department evaluation and management codes: the precomputed top 3 Medicaid codes account for 93.1% of this provider's total Medicaid revenue, driven by 99283 ($31.9M, 47.7% of Medicaid revenue), 99284 ($24.4M, 36.5%), and 99282 ($6M, 8.9%). These three codes together dominate the revenue mix, signaling that ED services are the primary revenue engine under Medicaid.

The claim mix and top codes indicate an emergency‑department–centric acute care operation. High volumes for 99283, 99284, and 99282 coupled with large counts of basic labs (80053, 80048), blood counts (85027), pathogen testing (87502, 87635, 87651), and EKGs (93005) point to a high-throughput ED that performs on-site diagnostics and rapid testing to support acute visits.

The provider is a statewide ED leader on multiple Medicaid metrics: 99283 ranks #2 of 732 providers in-state (100th percentile; extreme outlier), 99282 ranks #4 of 368 (99th percentile; extreme outlier), and 99284 ranks #24 of 714 (97th percentile; notably above typical state volume). Those rankings characterize the facility as a dominant Medicaid emergency-care provider in Texas rather than a modest participant for these codes.

Several laboratory and infusion/procedure codes also appear as statistical outliers, reinforcing high throughput rather than isolated services: 87502 (29.3K claims, $381.5K revenue) ranks #3 of 350 (99th percentile; extreme outlier), 87635 (32.7K claims, $261.6K) ranks #6 of 846 (99th percentile; extreme outlier), 85027 (80.8K claims, $242.4K) ranks #5 of 311 (99th percentile; extreme outlier), and 96374 (18.8K claims, $188.5K) ranks #2 of 254 (100th percentile; extreme outlier). These patterns are consistent with a facility delivering frequent rapid testing, basic lab work, and IV medication administrations to support ED throughput.

Imaging and specialty diagnostics are present but at more typical in‑state volumes: cardiac echo 93306 ($287.8K) ranks #61 of 410 (85th percentile), CT abdomen/pelvis 74177 ($260.6K) ranks #37 of 282 (87th percentile), and head CT 70450 ($114.2K) ranks #49 of 344 (86th percentile). This suggests on-site imaging capacity supporting acute care, but imaging is not the primary revenue driver compared with ED E/M codes.

The provider's NPI tenure (enumerated 2006-05-26, ~20 years ago) indicates a long-standing presence in the market. Combined with the facility's dominant Medicaid ED rankings, this longevity supports an established role as a regional emergency-care provider for Medicaid populations.

Because Medicaid fully accounts for the reported federal-payer activity and 93.1% of Medicaid revenue is concentrated in three ED E/M codes, the provider's financial profile is sensitive to changes in Medicaid ED reimbursement, utilization patterns, or state policy around emergency care. For network or rate negotiations, analysts should treat ED volume and Medicaid policy levers as the most consequential variables for this entity.

Medicaid: Complete Services Breakdown

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

187 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.	166,770	$190	$31.9M
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.	71,050	$340	$24.4M
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.	37,240	$160	$6M
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.	55,310	$10	$719K
99281	The provider sees a patient for the lowest level emergency department visit.	3,830	$140	$551.1K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	29,350	$10	$381.5K
93306	The 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…	1,630	$180	$287.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	32,700	$10	$261.6K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,830	$90	$260.6K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	80,810	$1	$242.4K

Showing 1–10 of 187

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Methodist Healthcare System Of San Antonio, Ltd., L.L.P. — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

187 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S3620	Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis;…	97	110	90	$270	$3.5M
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.	24	710	1,790	$200	$2.1M
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.	2	730	1,960	$100	$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.	185	590	740	$170	$969.2K
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…	42	340	400	$50	$553.5K
G0378	Hospital observation service, per hour	48	70	300	$500	$465K
97530	The 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.	929	1,620	1,070	$70	$333.5K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	153	240	420	$30	$296.8K
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.	4	370	360	$120	$279.5K
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	30	30	200	$20	$262.8K

Showing 1–10 of 187

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Craig	TX	Cardiovascular Disease Physician	$1.8M	$0
William Wu	TX	Cardiovascular Disease Physician	$1M	$0
Jorge Alvarez	TX	Interventional Cardiology Physician	$500.5K	$0
Kiran Jayaram	TX	Clinical Cardiac Electrophysiology Physician	$453K	$0
Robert Saad	TX	Cardiovascular Disease Physician	$404.9K	$0
David Pederson	TX	Clinical Cardiac Electrophysiology Physician	$383.3K	$0
Syed Umer	TX	Cardiovascular Disease Physician	$332.8K	$0
Jean Liu	TX	Interventional Cardiology Physician	$274.2K	$0
Randal White	TX	Cardiovascular Disease Physician	$176.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bexar County Hospital District	TX	General Acute Care Hospital	$0	$91.4M
A Plus Family Care LLC	TX	Home Health Agency	$0	$72.7M
Casa Linda Homecare, Inc.	TX	Home Health Agency	$0	$39.7M
Axiom Home Health LLC	TX	Home Health Agency	$0	$39.2M
University Of Texas Health Science Center At San Antonio	TX	Internal Medicine Physician	$0	$35.5M
Easter Seal Rehabilitation Center	TX	Registered Dietitian	$0	$24.2M
Access Quality Therapy Services, LLC	TX	Home Health Agency	$0	$23.4M
Emergency Medicine Services Of Tx, PLLC	TX	Emergency Medicine Physician	$0	$15M
San Rafael Healthcare, Inc	TX	Home Health Agency	$0	$13.6M
Pathology Reference Laboratory, L.L.C.	TX	Clinical Medical Laboratory	$1.2M	$4.7M

Methodist Healthcare System Of San Antonio, Ltd., L.L.P. — 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