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.

Salem Township Hospital (NPI 1265467195)

Field	Value
Entity Type	Organization
Organization	Salem Township Hospital
Address	1201 Ricker Drive
City	Salem
State	IL
ZIP	62881
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	50,860	$80	$3.9M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	33,390	$1	$33.4K
0012A	N/A	20	$30	$790
0011A	N/A	20	$30	$670
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	30	$0	$0
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	20	$0	$0
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	510	$0	$0
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	610	$0	$0
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,000	$0	$0
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	2,120	$0	$0

Showing 1–10 of 19

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

Salem Township Hospital — 1 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	134	850	7,490	$120	$3.9M
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…	217	14,680	300	$50	$48.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	87	14,190	280	$20	$38.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,503	1,590	110	$40	$21.4K
99204	The provider sees a new 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 provider…	98	2,800	60	$80	$17.7K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	54	930	60	$40	$12.2K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	66	3,270	80	$40	$11.1K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	472	1,410	210	$10	$9.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	1,030	1,290	110	$10	$8.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	222	3,330	90	$10	$7.4K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Illinois Healthcare Foundation, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$9.8M
Gibran Mahmud	IL	Hematology & Oncology Physician	$2.2M	$477.7K
Travis Whitehead	GA	Emergency Medicine Physician	$70.8K	$702.1K
Kathrine Whitehead	GA	Emergency Medicine Physician	$59.8K	$626.1K
Sajjan Nemani	IL	Neurology Physician	$237.8K	$265K
Jeffrey Mcintosh	KS	Orthopaedic Surgery Physician	$146.1K	$84.2K
Masoor Kamalesh	IL	Cardiovascular Disease Physician	$165.4K	$22.6K
Blake Little	OK	Critical Care Medicine (Internal Medicine) Physician	$114.6K	$0
Douglas Mcdonald	IN	Certified Registered Nurse Anesthetist	$42.7K	$42.2K
Paula Rubison	MO	Certified Registered Nurse Anesthetist	$41.8K	$0

Nearby Providers

Other providers in the same ZIP code as Salem Township Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Medical Response LLC	IL	Land Ambulance	$2.8M	$10M
Southern Illinois Healthcare Foundation, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$7.9M
Thomas Nolen	IL	Foot & Ankle Surgery Podiatrist	$188.2K	$0
Alan Montgomery	IL	Optometrist	$82.9K	$0
Mlm Pharmacy, Inc.	IL	Community/Retail Pharmacy	$49.6K	$0
Elizabeth Wolff	IL	Optometrist	$30.4K	$0
Elissa Harvey	IL	Optometrist	$27.8K	$0

Salem Township Hospital — Billing Profile & Reimbursement Data

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Salem Township Hospital — 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