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

Why is the Medicaid comparison limited to Delaware 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. Delaware (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 Hospital Inc. (NPI 1295738896)

Field	Value
Entity Type	Organization
Organization	St. Francis Hospital Inc.
Address	701 N Clayton St
City	Wilmington
State	DE
ZIP	19805
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 27, 2005

Payer Source	Total Paid
Medicaid	$43.2M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-centered facility: there is no Medicare billing on file and lifetime Medicaid revenue is $43.2M, indicating the hospital’s publicly reported activity in this dataset is concentrated in Medicaid rather than Medicare. The absence of Medicare claims makes the provider functionally single-payer (Medicaid) for the available data.

Revenue is highly concentrated in emergency department evaluation-and-management services: the precomputed top-three Medicaid codes account for 50.6% of the provider’s Medicaid revenue, led by 99284 ($8M, 22.7%), 99283 ($7.1M, 20.1%), and 99285 ($2.8M, 7.8%). That concentration signals that a majority of the hospital’s Medicaid dollars are driven by ED visits rather than elective inpatient or specialty procedures.

The code mix and ancillary procedures support an ED-centric operating profile: high-revenue ED codes (99284/99283/99285) sit alongside sizable imaging and lab lines such as 74177 ($1.4M), 70450 ($447.2K), 85025 ($982.6K), and 80048 ($813.8K), suggesting the hospital provides on-site diagnostic imaging and lab services that typically accompany high-volume emergency care. These downstream services are consistent with a general acute care hospital that funnels diagnostic throughput from its ED.

Ambulance transports are an outlier for this provider: A0429 shows 87.2K claims for $2.4M in revenue (6.7% of Medicaid revenue) and ranks #1 of 61 providers in-state (100th percentile; labeled an "extreme outlier, far above typical state volume"). This pattern is consistent with the hospital being a major receiving center for emergency medical services and a focal point for EMS-arrived Medicaid patients in the state.

Competitive standing on core ED codes is strong but not dominant statewide: 99284 ranks #6 of 35 providers (85th percentile), 99283 ranks #6 of 26 (80th percentile), and 99285 ranks #12 of 31 (63rd percentile). Those percentiles indicate above-average ED volume relative to in-state peers, positioning the facility as a meaningful regional ED player without being the single dominant ED provider across all measured codes.

Laboratory testing shows specific areas of statewide leadership: 84703 (hCG testing) and 87636 (multiplex SARS–CoV–2/flu testing) each rank #1 in the state (100th percentile; "notably above typical state volume") with $867.5K and $865.2K in Medicaid revenue respectively, indicating high testing throughput for both pregnancy and respiratory pathogen diagnostics. High specimen-collection and lab claim counts (for example 36415 with 39.7K claims and 85025 with 35.1K claims) further corroborate substantial laboratory volume supporting the ED and outpatient activity.

Certain inpatient/observation services appear modest compared with ED and EMS activity: hospital observation G0378 generated $437K (1.2% of Medicaid revenue) and ranks #6 of 7 providers in-state (17th percentile), suggesting relatively low utilization of billed observation hours versus peers. The contrast between dominant EMS/ED-related codes and lower observation ranks may reflect heavier emergency throughput with less downstream observation-census capture in Medicaid billing.

The provider is an established, long-tenured facility: the NPI was enumerated on 2005-05-27 (~21 years ago), which supports interpreting the patterns above as the behavior of a stable hospital with an extended presence in the state rather than a recent entrant.

Medicaid: Complete Services Breakdown

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

266 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.	31,850	$250	$8M
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.	39,260	$180	$7.1M
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.	11,000	$250	$2.8M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	87,200	$30	$2.4M
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.	12,370	$140	$1.7M
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.	3,110	$460	$1.4M
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.	19,870	$70	$1.4M
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	35,090	$30	$982.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	18,480	$50	$923.8K
84703	The lab analyst performs a test to detect the presence of human chorionic gonadotropin, or hCG, hormone, typically in patient blood.	17,700	$50	$867.5K

Showing 1–10 of 266

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

St. Francis Hospital Inc. — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

266 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.	6	30	11,180	$110	$3.4M
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.	6	40	770	$110	$1.9M
G0378	Hospital observation service, per hour	6	10	6,600	$190	$1.5M
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.	12	30	1,350	$110	$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.	6	20	4,570	$120	$1.4M
99281	The provider sees a patient for the lowest level emergency department visit.	5	10	110	$130	$1M
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.	10	10	4,520	$120	$820.3K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	6	10	19,210	$30	$794.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	17	20	2,440	$190	$591.1K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	3	10	15,650	$40	$528.3K

Showing 1–10 of 266

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Francis Hospital Inc	DE	Ambulance	$0	$3.8M
St. Francis Hospital Inc.	DE	Family Medicine Physician	$0	$1.9M
St Francis Hospital Inc	DE	Obstetrics & Gynecology Physician	$0	$711.4K
St. Francis Hospital Inc.	DE	Obstetrics & Gynecology Physician	$0	$488.7K
David Krasner	DE	Family Medicine Physician	$467.5K	$0
St. Francis Hospital Inc.	DE	Cardiovascular Disease Physician	$0	$463.8K
St Francis Hospital Inc.	DE	Family Medicine Physician	$0	$347.2K
Anthony Vasile	DE	Sleep Medicine (Internal Medicine) Physician	$163.4K	$68.2K
St. Francis Hospital Inc.	DE	Family Medicine Physician	$0	$199.2K
Joseph Pennington	DE	Clinical Cardiac Electrophysiology Physician	$145.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$56.8M
Always Best Care Of Delaware	DE	Home Health Agency	$0	$38.1M
State Of Delaware Dscyf	DE	Adolescent and Children Mental Health Clinic/Center	$0	$36.5M
Westside Family Healthcare, Inc.	DE	Federally Qualified Health Center (FQHC)	$0	$34.3M
Brandywine Counseling & Community Services, Inc.	DE	Adult Mental Health Clinic/Center	$170.8K	$23.9M
Connections Community Support Programs, Inc.	DE	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.4M
St Anthony's Community Center Inc	DE	Meals Provider	$0	$4.6M
Emergency Physician Associates Of Delaware PC	DE	Emergency Medicine Physician	$0	$4.2M
Horizon House Delaware Inc	DE	Case Management Agency	$0	$3.8M
Children's Dental Health Of Delaware, LLC	DE	Pediatric Dentistry	$0	$3.8M

St. Francis Hospital 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