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.

St Mary Medical Center (NPI 1225072176)

Field	Value
Entity Type	Organization
Organization	St Mary Medical Center
Address	3405 N Seminary St
City	Galesburg
State	IL
ZIP	61401
Taxonomy	Home Health Agency
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicaid	$5.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	21,320	$160	$3.4M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	6,550	$190	$1.2M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	3,070	$150	$444.6K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	60	$260	$15K

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

St Mary Medical Center — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	8	110	3,040	$160	$1M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	20	80	2,730	$180	$868.1K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	12	50	860	$170	$362.1K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	3	10	110	$100	$10.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Osf Healthcare System	IL	Rural Health Clinic/Center	$0	$4.9M
Osf Healthcare System	IL	Rural Health Clinic/Center	$0	$4.7M
Luke Xie	IL	Family Medicine Physician	$41.9K	$2.9M
Vladimir Strunin	IL	Obstetrics & Gynecology Physician	$46K	$559.3K
Usman Cheema	IL	Pulmonary Disease Physician	$222K	$132.4K
Mark Bernardi	NV	Emergency Medicine Physician	$294.3K	$23.6K
Linda Auer	IL	Ophthalmology Physician	$223.7K	$56.8K
Jeffrey Hershkowitz	IL	Internal Medicine Physician	$19.4K	$223.6K
Kishorbhai Patel	IL	Critical Care Medicine (Internal Medicine) Physician	$124.8K	$48.2K
Steven Schell	IL	Anesthesiology Physician	$34.4K	$1.5K

Nearby Providers

Other providers in the same ZIP code as St Mary Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Galesburg Hospitals' Ambulance Service	IL	Ambulance	$1.3M	$7.2M
Bridgeway Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6M
Knox Community Health Center Nfp	IL	Federally Qualified Health Center (FQHC)	$0	$4.3M
Nestor Pamatmat	IL	Anatomic Pathology & Clinical Pathology Physician	$33.9K	$1.3M
Julio Santiago	IL	Family Medicine Physician	$136.9K	$392.2K
Sam Fayman	IL	Dermatology Physician	$247.9K	$0
Brian Plattner	IL	Optometrist	$148.4K	$70.5K
Marc Katchen	IL	Neurology Physician	$107.5K	$109.9K
Bassam Al-joundi	IL	Cardiovascular Disease Physician	$185.6K	$8K
Youssef Abdulnabi	IL	Interventional Cardiology Physician	$168K	$14.7K

St Mary Medical Center — Billing Profile & Reimbursement Data

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St Mary Medical Center — 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