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

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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, Inc (NPI 1295723229)

Field	Value
Entity Type	Organization
Organization	St Francis Medical Center, Inc
Address	309 Jackson St
City	Monroe
State	LA
ZIP	71201
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 13, 2005

Payer Source	Total Paid
Medicaid	$27.2M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and total reported Medicaid revenue is $27.2M, so Medicaid represents the entire documented federal payer activity for this entity. Analysts should treat comparisons and market position using Medicaid-only activity unless new Medicare records appear.

Revenue is highly concentrated in a small number of Medicaid codes: the precomputed top three Medicaid codes (99283, 99284, 41899) account for 44.9% of total Medicaid revenue. Those three codes individually contribute $5.5M (22.5%) for 99283, $3.6M (14.6%) for 99284, and $1.9M (7.8%) for 41899, indicating a reliance on a limited set of services for nearly half of Medicaid receipts.

The code mix points to a high-volume emergency department and acute diagnostic throughput. Large claim counts for ED E/M codes — 99283 at 63.8K claims, 99284 at 33.2K claims, 99282 at 22.8K claims and 99285 at 13.9K claims — coupled with sizable CT (70450: 8.2K claims, $998K) and chest x‑ray (71045: 34.4K claims, $894.5K) revenue suggest the hospital operates a high-throughput ED that drives ancillary imaging and lab utilization.

Competitive standing within Louisiana is mixed by service line: for some ED codes the provider sits at high percentiles but is described as unremarkable in volume (99283 ranks #14 of 266, 95th percentile; 99284 ranks #71 of 266, 74th percentile), while other ED and infusion codes are notable outliers (99282 ranks #4 of 169, 98th percentile; M0243 ranks #1 of 46, 100th percentile). This pattern indicates the hospital is a leading local source for certain high-frequency ED and infusion services, even if some commonly billed ED levels remain within typical statewide ranges.

There are extreme and notable outliers in specific ancillary tests and therapeutics that merit attention: M0243 (casirivimab/imdevimab infusion) is an "extreme outlier" at rank #1 of 46 (100th percentile), and 83880 (natriuretic peptide measurement) is also an "extreme outlier" at rank #2 of 104 (99th percentile). These two codes are far above typical state volume and represent concentrated revenue or clinical focus areas beyond routine ED visits.

Routine laboratory and basic procedural volumes are very large, supporting a high-throughput facility model: 80053 CMP shows 86.6K claims for $605.9K, 85025 CBC shows 77.8K claims for $388.9K, and 36415 blood collection shows 91.9K claims for $183.9K. Such high claim counts for low‑unit‑price lab work indicate steady outpatient/ED patient flow that sustains steady ancillary revenue streams.

Critical care and higher-acuity services are present but represent a smaller share of Medicaid revenue: 99291 critical care appears with 876 claims and $446.8K (1.8% of Medicaid revenue), and 99285 high‑acuity ED visits account for $1.8M (7.3%). The presence of 99291 and 99285 shows capability for serious emergencies and critical care interventions, but these services do not dominate the payer mix the way lower-to-moderate acuity ED visits do.

The provider has established tenure in the national enrollment system, with an NPI enumeration date of 2005-10-13 (~21 years ago), which supports interpreting activity as coming from a long-standing acute care hospital rather than a recently opened facility; historical relationships and service patterns are likely stable rather than transient.

Medicaid: Complete Services Breakdown

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

184 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.	63,800	$90	$5.5M
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.	33,200	$110	$3.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3,350	$570	$1.9M
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.	13,940	$130	$1.8M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	3,820	$390	$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.	22,840	$60	$1.4M
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.	8,250	$120	$998K
0241U	N/A	10,170	$90	$914.9K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	34,410	$30	$894.5K
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.	86,560	$10	$605.9K

Showing 1–10 of 184

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

St Francis Medical Center, Inc — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

184 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	71	270	9,980	$110	$2.6M
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.	83	240	4,030	$130	$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.	14	270	11,250	$90	$1.8M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	11	70	620	$230	$913.4K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	29	60	1,160	$280	$690.6K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	37	100	620	$40	$560K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	26	30	2,260	$110	$460.1K
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.	30	100	760	$100	$441.2K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3	30	160	$520	$413.4K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	18	90	650	$40	$404.2K

Showing 1–10 of 184

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gregory Sampognaro	LA	Interventional Cardiology Physician	$799.6K	$0
Mark Napoli	LA	Interventional Cardiology Physician	$788.2K	$310
Marc Saad	LA	Clinical Cardiac Electrophysiology Physician	$724.1K	$0
Assad Mouhaffel	LA	Cardiovascular Disease Physician	$479.8K	$0
Thomas Smith	LA	Interventional Cardiology Physician	$409K	$0
Amin Elmalah	LA	Internal Medicine Physician	$351.7K	$0
Mahmoud Sheikh-khalil	LA	Cardiovascular Disease Physician	$303.2K	$0
Jeffrey Hilbun	LA	Interventional Cardiology Physician	$273.3K	$0
Virginia Gonzalez	LA	Cardiovascular Disease Physician	$222.3K	$0
Michael Sampognaro	LA	Internal Medicine Physician	$203.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Solutions, Inc.	LA	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$49.8M
Affinity Health Group, LLC	LA	Family Medicine Physician	$0	$34.6M
Ascent Health, Inc	LA	Community/Behavioral Health Agency	$0	$31.4M
Cognitive Development Center Personal Care Services	LA	Nursing Care Agency	$0	$27.8M
Enrich Personal Care Services, LLC.	LA	Preferred Provider Organization	$0	$26.7M
Southern Center For Children And Families, Inc.	LA	Community/Behavioral Health Agency	$0	$24.5M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$19.3M
D & D Community Connections	LA	Preferred Provider Organization	$0	$19.2M
Hearts Desire LLC	LA	In Home Supportive Care Agency	$0	$17.3M
Building Futures	LA	Speech-Language Pathologist	$0	$17M

St Francis Medical Center, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References