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

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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.

Saint Francis Emergency Medical Group, Inc. (NPI 1356634737)

Field	Value
Entity Type	Organization
Organization	Saint Francis Emergency Medical Group, Inc.
Address	114 Woodland St
City	Hartford
State	CT
ZIP	06105
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 18, 2011

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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.	77,900	$50	$4.2M
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.	42,650	$70	$3M
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.	35,560	$30	$1.1M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	5,680	$80	$460.4K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	10,580	$1	$31.7K
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.	410	$20	$8.3K
99053	The provider renders overnight services at a 24 hour facility.	260	$10	$1.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Saint Francis Emergency Medical Group, Inc. — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	23	130	520	$330	$5.9M
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.	14	130	690	$180	$4.7M
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.	32	110	1,520	$140	$3.4M
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.	39	60	3,070	$100	$907.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	12	80	790	$240	$650K
99053	The provider renders overnight services at a 24 hour facility.	5	10	260	$10	$55.9K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	1	10	150	$1	$5.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Hospital And Medical Center	CT	General Acute Care Hospital	$0	$266.5M
Trinity Health Of New England Provider Network Organization Inc	CT	Internal Medicine Physician	$0	$42M
The Village For Families & Children, Inc.	CT	Adolescent and Children Mental Health Clinic/Center	$0	$39.5M
The Village For Families & Children, Inc.	CT	Psychiatric Residential Treatment Facility	$0	$28.4M
Collins Medical Associates 2 PC	CT	Internal Medicine Physician	$0	$9M
Radiology Associates Of Hartford PLLC	CT	Diagnostic Radiology Physician	$0	$4.8M
Asylum Hill Family Medicine Center Inc	CT	Family Medicine Physician	$0	$4.2M
Pediatric Health Associates PC.	CT	Pediatrics Physician	$0	$2.9M
Lisa Azinheira	CT	Optician	$0	$2.6M
The Latin Enrichment Organization LLC	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.6M

Saint Francis Emergency Medical Group, Inc. — Billing Profile & Reimbursement Data

Sign up for Saint Francis Emergency Medical Group, Inc. — Billing Profile & Reimbursement Data policy alerts

Saint Francis Emergency Medical Group, Inc. — Billing Profile & Reimbursement Data

Sign up for Saint Francis Emergency Medical Group, 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