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

Why is the Medicaid comparison limited to Indiana 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. Indiana (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 Elizabeth Medical Center, Inc (NPI 1326142498)

Field	Value
Entity Type	Organization
Organization	St Elizabeth Medical Center, Inc
Address	600 Wilson Creek Rd
City	Lawrenceburg
State	IN
ZIP	47025
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 11, 2006

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

97 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.	13,220	$130	$1.7M
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.	6,690	$90	$628.4K
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.	4,490	$120	$543.4K
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…	6,590	$80	$514.3K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	590	$400	$232.8K
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.	1,610	$90	$143.3K
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…	1,620	$80	$127.9K
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…	2,490	$40	$99.6K
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.	120	$530	$63.1K
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.	12,690	$1	$50.8K

Showing 1–10 of 97

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

St Elizabeth Medical Center, Inc — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

97 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.	165	380	2,470	$100	$1.5M
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.	111	360	3,490	$110	$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.	162	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	80	100	2,210	$70	$926K
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…	73	130	3,770	$60	$617.7K
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.	141	150	440	$100	$545.6K
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…	117	220	1,850	$30	$449.4K
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.	103	140	430	$220	$413.2K
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…	1,990	2,380	920	$50	$376.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	112	190	800	$40	$344.7K

Showing 1–10 of 97

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Elizabeth Medical Center, Inc	KY	General Acute Care Hospital	$41.7K	$188.3M
St Elizabeth Medical Center, Inc	KY	General Acute Care Hospital	$0	$65.5M
St Elizabeth Medical Center, Inc	KY	General Acute Care Hospital	$0	$46M
St Elizabeth Medical Center, Inc	KY	Critical Access Hospital	$0	$35.4M
St Elizabeth Medical Center, Inc	KY	Physician Assistant	$0	$3.8M
St Elizabeth Medical Center, Inc	KY	Community Based Hospice Care Agency	$0	$3M
Peter Fried	OH	Radiation Oncology Physician	$904.7K	$0
Shoaib Ahmad	OK	Pulmonary Disease Physician	$276.1K	$0
William Willmott	KY	Sleep Medicine (Internal Medicine) Physician	$264.9K	$0
Mohamad Sinno	KY	Clinical Cardiac Electrophysiology Physician	$246.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recover Together, LLC	IN	Adult Mental Health Clinic/Center	$0	$122.3M
Community Mental Health Center Inc	IN	Psychiatric Hospital	$0	$77.7M
East Indiana Treatment Center, LLC	IN	Methadone Clinic	$275K	$6.2M
Health Services Corporation Of Southeastern Indiana	IN	Family Medicine Physician	$0	$4.2M
Hospital Medicine Services Of Tennessee PC	IN	Hospitalist Physician	$0	$3.7M
Indiana Emergency Professionals PC	IN	Emergency Medicine Physician	$0	$2.8M
Stephen Eliason	IN	Anatomic Pathology & Clinical Pathology Physician	$272.1K	$0
Ronald Auer	IN	Orthopaedic Surgery Physician	$207.9K	$0
Elisha Clouse	IN	Family Nurse Practitioner	$203.6K	$0
Ashok Penmetsa	IN	Cardiovascular Disease Physician	$170.8K	$0

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

Sign up for St Elizabeth Medical Center, Inc — Billing Profile & Reimbursement Data policy alerts

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

Sign up for St Elizabeth Medical Center, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References