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

Why is the Medicaid comparison limited to Missouri 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. Missouri (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. Lukes Episcopal-presbyterian Hospital (NPI 1346251543)

Field	Value
Entity Type	Organization
Organization	St. Lukes Episcopal-presbyterian Hospital
Address	232 S Woods Mill Rd
City	Chesterfield
State	MO
ZIP	63017
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 11, 2006

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 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.	25,410	$130	$3.3M
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	2,080	$30	$52.1K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,940	$20	$42.7K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	630	$60	$37.7K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	2,480	$10	$27.3K
X4003	N/A	380	$60	$21K
Y7506	N/A	470	$40	$20.4K
0241U	N/A	210	$70	$15.2K
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.	140	$90	$12K
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.	30	$200	$5.5K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

St. Lukes Episcopal-presbyterian Hospital — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Y7506	N/A	67	100	980	$250	$1.6M
X4003	N/A	57	70	1,480	$80	$1.1M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	11	10	960	$60	$584.3K
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.	219	240	1,740	$40	$353.4K
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…	245	320	980	$40	$352.7K
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.	747	950	120	$150	$288.2K
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.	21	1,260	220	$120	$242.4K
0241U	N/A	50	80	330	$110	$192.3K
J3490	Unclassified drugs	104	150	790	$50	$188.9K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	19	210	60	$80	$44.9K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Lukes Episcopal-presbyterian Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maged Haikal	MO	Cardiovascular Disease Physician	$273.7K	$0
James Ellison	MO	Cardiovascular Disease Physician	$152.3K	$0
Choudary Tarigopula	MO	Cardiovascular Disease Physician	$51.2K	$0

Nearby Providers

Other providers in the same ZIP code as St. Lukes Episcopal-presbyterian Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy East Ambulatory Services LLC	MO	Urgent Care Clinic/Center	$0	$8.2M
Pathways Community Hospice, LLC	MO	Community Based Hospice Care Agency	$0	$4.9M
Mercy Healthcare, Inc.	MO	Home Health Agency	$0	$4.8M
Precision Labs LLC	MO	Clinical Medical Laboratory	$1.1M	$9.6K
Katharine Mikulec	MO	Endocrinology, Diabetes & Metabolism Physician	$968K	$0
Monarch Fire Protection District	MO	Land Ambulance	$621.4K	$321.5K
Midamerica Surgery Center	MO	Ambulatory Surgical Clinic/Center	$910.6K	$0
George Hruza	MO	MOHS-Micrographic Surgery Physician	$713.1K	$0
Lawrence Samuels	MO	Dermatology Physician	$699.5K	$0
St. Luke's Surgery Center Of Chesterfield, LLC	MO	Ambulatory Surgical Clinic/Center	$666.6K	$0

St. Lukes Episcopal-presbyterian Hospital — Billing Profile & Reimbursement Data

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St. Lukes Episcopal-presbyterian Hospital — 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