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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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. Francis Medical Center (NPI 1255419651)

Field	Value
Entity Type	Organization
Organization	St. Francis Medical Center
Address	601 Hamilton Ave
City	Trenton
State	NJ
ZIP	08629
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$30.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

220 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.	22,840	$250	$5.7M
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.	16,690	$290	$4.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	16,220	$290	$4.7M
G0378	Hospital observation service, per hour	4,930	$800	$3.9M
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.	9,950	$330	$3.3M
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.	4,640	$130	$598.2K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	4,180	$120	$518.4K
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.	2,010	$170	$335.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	12,720	$30	$317.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,290	$100	$312.9K

Showing 1–10 of 220

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

St. Francis Medical Center — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

220 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	46	80	6,290	$690	$6.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	94	170	21,080	$100	$4.2M
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.	67	260	4,240	$220	$4.1M
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.	93	320	580	$230	$4M
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.	89	280	920	$200	$2.6M
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	37	40	590	$20	$1.9M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	60	150	3,680	$30	$1.5M
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.	53	140	1,410	$180	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	38	120	900	$20	$971.9K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	36	120	940	$20	$957.4K

Showing 1–10 of 220

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capital Health System, Inc.	NJ	General Acute Care Hospital	$0	$132.1M
Capital Health System Inc	NJ	General Acute Care Hospital	$0	$114.5M
Carol Kornmehl	NJ	Radiation Oncology Physician	$1.4M	$0
Agha Razvi	NJ	Otolaryngology Physician	$54.9K	$580.7K
David Bresch	NJ	Psychiatry Physician	$81K	$422.7K
Hitesh Patel	NJ	Ophthalmology Physician	$447K	$0
Joseph Lattanzi	NJ	Radiation Oncology Physician	$342.2K	$0
Rajesh Iyer	NJ	Radiation Oncology Physician	$261.9K	$0
David D'ambrosio	NJ	Radiation Oncology Physician	$249.7K	$0
John Watson	NJ	Urology Physician	$239.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sheema Jalil	NJ	Internal Medicine Physician	$408K	$0
Don Wijaya	NJ	Psychiatry Physician	$91.6K	$225.9K
Lisa Cortese	NJ	Anesthesiology Physician	$55.4K	$0

St. Francis Medical Center — Billing Profile & Reimbursement Data

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St. Francis 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