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

Why is the Medicaid comparison limited to Florida 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. Florida (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. Anthonys Hospital, Inc. (NPI 1295106870)

St. Anthonys Hospital, Inc. is a psychiatric hospital unit provider located in Saint Petersburg, Florida. This profile covers 0 Medicare and 247 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	St. Anthonys Hospital, Inc.
Address	1200 7th Ave N
City	Saint Petersburg
State	FL
ZIP	33705
Taxonomy	Psychiatric Hospital Unit
NPI Enumerated	October 8, 2015

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

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

247 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	25,800	$50	$1.2M
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.	22,670	$50	$1.1M
80053	The 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.	44,410	$20	$977.1K
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.	14,940	$50	$762.1K
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.	8,400	$50	$445.2K
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.	4,430	$90	$416.3K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	8,030	$40	$337.3K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	3,510	$70	$235.2K
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…	5,990	$40	$227.6K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,030	$80	$170.8K

Showing 1–10 of 247

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

St. Anthonys Hospital, Inc. — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

247 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	186	700	2,400	$80	$1.2M
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.	106	740	2,180	$70	$1.1M
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.	69	660	1,900	$70	$743.6K
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.	152	320	1,970	$90	$463.1K
G0257	Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility	10	30	500	$250	$377.6K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	166	210	2,890	$70	$321.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	2,005	2,310	1,910	$40	$315.4K
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.	73	350	1,160	$80	$308.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	35	130	1,860	$30	$301.8K
J1756	Injection, iron sucrose, 1 mg	284	390	1,800	$100	$279.4K

Showing 1–10 of 247

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dva Renal Healthcare Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$10M
Michael Newan	FL	Pulmonary Disease Physician	$1.4M	$0
James Connors	FL	MOHS-Micrographic Surgery Physician	$735.7K	$0
Adam Splaver	FL	Cardiovascular Disease Physician	$586.6K	$19.1K
Ashleigh Anderlik	FL	Nurse Practitioner	$344.7K	$0
Juan Casadevalls	FL	Internal Medicine Physician	$343.1K	$0
Edward Fabelo	FL	Nephrology Physician	$326.7K	$0
Ignacio Sotolongo	FL	Nephrology Physician	$296.9K	$0
Nehal Dassani	FL	Nephrology Physician	$268.3K	$0
Kevin Marcum	FL	Diagnostic Radiology Physician	$243.6K	$0

St. Anthonys Hospital, Inc. — Billing Profile & Reimbursement Data

Sign up for St. Anthonys Hospital, Inc. — Billing Profile & Reimbursement Data policy alerts

St. Anthonys Hospital, Inc. — Billing Profile & Reimbursement Data

Sign up for St. Anthonys Hospital, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References