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

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

Saint Francis Hospital, Inc. (NPI 1144228487)

Field	Value
Entity Type	Organization
Organization	Saint Francis Hospital, Inc.
Address	6161 S Yale Ave
City	Tulsa
State	OK
ZIP	74136
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 11, 2005

Payer Source	Total Paid
Medicaid	$43.2M
Medicare	$0

Key Findings

SAINT FRANCIS HOSPITAL, INC. reports Medicaid as its material payer with Total Medicaid revenue of $43.2M and no Medicare billing on file; this makes the provider effectively single-payer (Medicaid) in the available claims dataset. The facility’s NPI was enumerated on 2005-07-11 (~21 years ago), indicating long-standing enrollment in federal billing systems.

Revenue is highly concentrated in emergency department evaluation-and-management services: the precomputed top three Medicaid codes account for 67.9% of total Medicaid revenue, driven by 99284 ($12.2M, 29.7%), 99283 ($11.7M, 28.3%), and 99285 ($4.1M, 9.9%). This concentration indicates that the bulk of Medicaid dollars flow through ED encounters rather than routine outpatient or procedural lines.

Claims volumes and average payments for the three highest-revenue codes confirm a high-throughput emergency department: 99284 shows 48.4K claims at $253 avg paid/claim, 99283 shows 66.6K claims at $175 avg paid/claim, and 99285 shows 11.3K claims at $360 avg paid/claim. Those claim counts plus their combined revenue share suggest the hospital operates a busy ED handling a mix of low-, moderate- and high-acuity visits.

State-level competitive standing for ED services is strong: 99283 ranks #6 of 254 providers in-state (98th percentile; labeled an "extreme outlier, far above typical state volume for this code"), 99284 ranks #8 of 230 (97th percentile; "notably above typical state volume"), and 99285 ranks #22 of 182 (88th percentile; "typical, unremarkable volume"). Together these ranks portray the hospital as a major statewide provider of lower- and moderate-acuity Medicaid ED visits and a solid participant for higher-acuity ED care.

Ancillary infusion and IV administration activity is prominent and concentrated: 96374 (13.3K claims, $1.4M revenue, 3.4%), 96375 (13.2K claims, $460.7K, 1.1%), 96361 (9.7K claims, $369.8K, 0.9%), 96360 (1.6K claims, $237K, 0.6%), and 96365 (1.5K claims, $132.4K, 0.3%) all appear in the top codes, with several ranks at or near the top of state peers (96361 and 96360 rank #1 in-state at the 100th percentile; 96375 ranks #2 at the 99th percentile). This pattern supports the interpretation that the hospital delivers high volumes of IV therapies and fluid management likely tied to its busy ED and acute-care workflows, with some chemotherapy billing present (96413 $383.6K, 0.9%).

High-throughput laboratory and diagnostic services support the clinical footprint: 80053 (50K claims, $600K, 1.5%) ranks #3 of 154 (99th percentile), 85025 (57.9K claims, $405K, 1.0%) ranks #4 of 190 (98th percentile), 93010 (55.8K claims, $390.3K, 0.9%) ranks #2 of 80 (99th percentile), and 87631 (8.9K claims, $1.1M, 2.7%) ranks #1 of 14 (100th percentile). These volumes indicate substantial in-house lab and diagnostic throughput aligned with emergency and inpatient evaluation.

The provider bills meaningful revenue for a specialized injectable therapy: J0791 (774 claims, $2.5M revenue, 6.1%) and is listed as rank #1 of 1 providers in-state with no peer-volume comparison available. That single-code concentration of high unit price suggests the hospital is a local source for this specific medication or registry-based therapy within the Medicaid population.

Beyond ED and infusion activity, the hospital performs a broad set of acute procedures and diagnostic services consistent with a full-service general acute care hospital: examples include 43239 endoscopic biopsy (1.2K claims, $567.6K, 1.4% rank #5 of 72), 69436 tympanostomy with tube (882 claims, $634.2K, 1.5% rank #19 of 69), 42820 tonsil/adenoid removal (99 claims, $347.8K, 0.8% rank #26 of 53), and 95810 polysomnography (627 claims, $222.6K, 0.5% rank #5 of 24). These procedure-level revenues and ranks indicate the hospital provides OR, endoscopy, and sleep-lab services in addition to its dominant ED and infusion activity.

Medicaid: Complete Services Breakdown

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

147 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	48,390	$250	$12.2M
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.	66,610	$180	$11.7M
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.	11,340	$360	$4.1M
J0791	Injection, crizanlizumab-tmca, 5 mg	770	$3,230	$2.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13,280	$100	$1.4M
D9999	N/A	1,370	$860	$1.2M
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	8,930	$120	$1.1M
99281	The provider sees a patient for the lowest level emergency department visit.	15,320	$60	$919.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	880	$720	$634.2K
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.	50,000	$10	$600K

Showing 1–10 of 147

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Saint Francis Hospital, Inc. — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

147 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0791	Injection, crizanlizumab-tmca, 5 mg	1	10	770	$3,230	$2.5M
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.	8	230	1,440	$170	$1.2M
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.	6	250	1,820	$130	$1.1M
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.	22	180	1,030	$200	$1M
D9999	N/A	8	40	310	$690	$591.7K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	26	50	70	$1,800	$496.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6	100	990	$130	$405.9K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	11	10	510	$370	$362.5K
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…	560	1,680	820	$90	$307K
82657	The lab analyst measures the enzyme activity found from within the cells, which can be from a variety of locations including tissue. He uses a nonradioactive substrate for the test. Use this code…	3	10	270	$20	$296.2K

Showing 1–10 of 147

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Outreach Services LLC	OK	Clinical Medical Laboratory	$5.4M	$15.7M
Van Woo	OK	Radiation Oncology Physician	$630.4K	$0
Sanjeev Trehan	UT	Interventional Cardiology Physician	$456.5K	$0
Christopher Higgins	OK	Cardiovascular Disease Physician	$406.7K	$0
Mohamad Mahayni	OK	Cardiovascular Disease Physician	$384.9K	$0
Harsh Patel	FL	Interventional Cardiology Physician	$252.4K	$0
Stephen Sack	OK	Radiation Oncology Physician	$247.6K	$0
Charles Stewart	ME	Radiation Oncology Physician	$242.7K	$0
James Higgins	OK	Interventional Cardiology Physician	$237.2K	$0
James Coman	OK	Clinical Cardiac Electrophysiology Physician	$235.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Warren Clinic Inc	OK	General Practice Physician	$0	$40.2M
Specialized Home Nursing, Inc.	OK	Home Health Agency	$0	$21.5M
Improving Lives Counseling Services, Inc.	OK	Community/Behavioral Health Agency	$0	$21.1M
Preferred Family Health Care, Inc.	OK	Community/Behavioral Health Agency	$0	$19.4M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$18.9M
Emergency Medicine Physicians Of Tulsa County, LLC	OK	Emergency Medicine Physician	$0	$18M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$14.1M
Home Therapy Resources, Inc.	OK	Pediatric Physical Therapist	$0	$9.4M
Counseling & Recovery Services Of Oklahoma, Inc.	OK	Community/Behavioral Health Agency	$0	$8.7M
Dr. Robert J. Herman	OK	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.2M

Saint Francis Hospital, Inc. — Billing Profile & Reimbursement Data

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Saint Francis Hospital, Inc. — 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