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 Marys Hospital Sisters Of The Third Order Of St Francis (NPI 1285126631)

Field	Value
Entity Type	Organization
Organization	St Marys Hospital Sisters Of The Third Order Of St Francis
Address	1800 E Lake Shore Dr
City	Decatur
State	IL
ZIP	62521
Taxonomy	Ambulance
NPI Enumerated	June 1, 2018

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	14,120	$230	$3.2M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	13,290	$200	$2.6M
A0425	Ground mileage, per statute mile	29,180	$30	$992.2K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	690	$200	$138.3K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	1,580	$80	$122K
A0422	Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation	1,830	$10	$20.1K
A0433	Advanced life support, level 2 (als 2)	10	$160	$2K

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 Marys Hospital Sisters Of The Third Order Of St Francis — 3 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	14	360	1,340	$910	$4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	14	340	1,050	$770	$2.8M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	41	80	1,580	$140	$1.8M
A0425	Ground mileage, per statute mile	21	450	2,450	$40	$602.5K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	23	60	350	$200	$269.4K
A0433	Advanced life support, level 2 (als 2)	10	10	70	$190	$117.5K
A0422	Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation	16	70	800	$10	$56.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Marys Hospital Sisters Of The Third Order Of St Francis, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shady Henien	IL	Interventional Cardiology Physician	$698.4K	$0
Ziad Issa	IL	Clinical Cardiac Electrophysiology Physician	$622.3K	$19.9K
Manohar Kola	IL	Cardiovascular Disease Physician	$401.1K	$135.5K
Luis Caceres	IL	Cardiovascular Disease Physician	$326.5K	$93.7K
Amit Dande	IL	Interventional Cardiology Physician	$235.5K	$106.2K
Jeffrey Goldstein	IL	Interventional Cardiology Physician	$277.9K	$57.4K
Jacob Sams	IL	Orthopaedic Surgery Physician	$279.1K	$2.9K
Patrick Murphy	IL	Interventional Cardiology Physician	$201.3K	$69.1K
Theodore Addai	IL	Cardiovascular Disease Physician	$195.8K	$67.9K
Gabor Matos	IL	Interventional Cardiology Physician	$177.4K	$36.5K

Nearby Providers

Other providers in the same ZIP code as St Marys Hospital Sisters Of The Third Order Of St Francis, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Improvement Center	IL	Federally Qualified Health Center (FQHC)	$0	$34M
James Bock	IL	Family Medicine Physician	$674.4K	$770K
Danxuan Long	IL	Pulmonary Disease Physician	$314.5K	$114.9K
Manjeshwar Prabhu	IL	Pulmonary Disease Physician	$207.4K	$151.7K
Rana Mahmood	IL	Neurology Physician	$160.8K	$184.5K
Lynae Pierson	IL	Podiatrist	$146K	$0
Leslie Anewenah	IL	Surgery Physician	$129.6K	$15.4K
Christopher Gram	IL	Vascular Surgery Physician	$82.9K	$3.8K
Jeffrey Trachtenberg	IL	Vascular Surgery Physician	$70.4K	$200
Komal Kaul	IL	Internal Medicine Physician	$36.4K	$32.9K

St Marys Hospital Sisters Of The Third Order Of St Francis — Billing Profile & Reimbursement Data

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St Marys Hospital Sisters Of The Third Order Of St Francis — 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