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    OpenPayerNPI Medicare & MedicaidSaint Francis Medical Center
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    Saint Francis Medical Center — Billing Profile & Reimbursement Data

    NPI 1235916990 · Dexter, MO · Clinical Medical Laboratory

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    Saint Francis Medical Center is a clinical medical laboratory provider located in Dexter, Missouri. This profile covers 18 Medicare and 16 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSaint Francis Medical Center
    Address1212 Saint Francis Dr Ste 101
    CityDexter
    StateMO
    ZIP63841
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedSeptember 14, 2023

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$49K
    Medicare$19.4K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The 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.370$10$3.7K
    85025A 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…430$10$3.4K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…170$20$2.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.210$10$1.6K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…150$10$1.4K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.70$20$1.1K
    80069The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.120$10$1.1K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.60$10$780
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…230$1$700
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.120$10$690

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8005376570100$10$3.9K
    8006129950080$10$3K
    8502581570100$10$2.9K
    8444310442080$20$2.9K
    87651546020$30$2.6K
    800691440100$10$2.1K
    364154801,570110$10$1.9K
    800488731040$10$1.4K
    8303614694050$10$1.2K
    837355116040$10$1K

    Showing 1–10 of 18

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.480$30$16.1K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.350$30$11.1K
    80053The 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.620$10$5K
    85025A 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…800$10$4.8K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…280$10$3.9K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.260$10$2.6K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.110$20$1.6K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…540$1$1.6K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…140$10$980
    87807The lab analyst performs the technical lab test to analyze for the presence of respiratory syncytial virus (RSV) in a specimen by immunoassay using direct optical, meaning visual, observation.30$10$430

    Showing 1–10 of 16

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    16 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The 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.1552401,740$40$353.4K
    85025A 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…169320980$40$352.7K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…88160720$60$218.3K
    85027The 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…98120130$60$103K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…85150450$20$40.7K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.44180110$30$27.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.83150310$20$26K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.137160290$20$25.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.193350240$10$23.2K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.12183060$60$22.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Francis Medical CenterMOGeneral Acute Care Hospital$0$56.4M
    Saint Francis Medical CenterMOInternal Medicine Physician$0$11.7M
    Saint Francis Medical CenterMORural Health Clinic/Center$0$8.8M
    Saint Francis Medical CenterMORural Health Clinic/Center$0$7.5M
    Saint Francis Medical CenterMORural Health Clinic/Center$0$4.7M
    Charles MoonMODermatology Physician$2.7M$0
    Justin FloydILMedical Oncology Physician$1.3M$336.2K
    Alex DwumaOKInternal Medicine Physician$820.6K$0
    Saint Francis Medical CenterMOClinical Medical Laboratory$296.9K$471K
    Saint Francis Medical CenterMORadiology Clinic/Center$162.8K$580.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Specialty Products & Services, Inc.MODevelopmentally Disabled Services Day Training Agency$0$46.5M
    Southeast Health Center Of Stoddard County, LLCMOGeneral Acute Care Hospital$0$8.4M
    Stoddard Co ArcMORespite Care$0$7M
    Stoddard County Ambulance DistrictMOLand Ambulance$929.9K$4.7M
    Caring Hearts Homecare Of Southeast Missouri LLCMOIn Home Supportive Care Agency$0$4.5M
    Brooke WilliamsMOOptometrist$76.6K$947.5K
    Rubina MirzaMOInterventional Cardiology Physician$115.2K$0
    Donald ZollMOPhysical Therapist$76.3K$0
    Robert RiddleMOOptometrist$65.5K$1.3K
    Reza JalalMOInternal Medicine Physician$53.5K$570

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Saint Francis Medical Center — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Saint Francis Medical Center — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri