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

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

Mercy Health - St Vincent Medical Center LLC (NPI 1467493551)

Field	Value
Entity Type	Organization
Organization	Mercy Health - St Vincent Medical Center LLC
Address	2213 Cherry St
City	Toledo
State	OH
ZIP	43608
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 9, 2006

Payer Source	Total Paid
Medicaid	$132.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports Total Medicaid revenue of $132.8M, making its public claims footprint effectively single-payer (Medicaid) in the available dataset. The absence of Medicare activity should be treated as a defining feature of the payer mix rather than a minor detail when modeling reimbursement or network strategy for this facility.

Revenue is highly concentrated in emergency department evaluation-and-management services: the top three Medicaid codes (99283, 99284, 99285) together account for 44.9% of the provider's total Medicaid revenue. Those individual shares are listed as 16.9% for 99283 ($16.8M), 16.2% for 99284 ($16.2M), and 11.8% for 99285 ($11.8M), indicating the ED is the primary revenue driver on Medicaid.

The code mix points to an operational emphasis on acute and outpatient emergency care plus short-term observation: 9928x series are dominant, G0463 (hospital outpatient clinic visit) contributes $9.2M (9.3%) and G0378 (hospital observation service, per hour) contributes $2.5M (2.5%). Together these codes imply a large emergency department with substantial observation and outpatient clinic throughput rather than a revenue profile dominated by elective inpatient surgery.

The provider also shows a meaningful infusion and oncology footprint on Medicaid, with high-revenue infusion/chemotherapy codes present: 96361 ($5.9M, 5.9%), 96365 ($2.1M, 2.1%), 96366 ($2.0M, 2.0%), 96413 ($1.4M, 1.4%), and J9271 ($5.4M, 5.4%). These line items indicate on-site IV therapy and cancer drug administration capabilities supporting ambulatory infusion services.

Imaging and diagnostic services are a consistent secondary revenue stream: CT head 70450 ($4.5M, 4.5%), CT abdomen/pelvis with contrast 74177 ($3.3M, 3.3%), CT abdomen/pelvis without contrast 74176 ($1.5M, 1.5%), and chest CT 71260 ($1.0M, 1.0%) all appear in the top code list. This pattern supports the view of a full-service emergency and diagnostic hospital with high imaging utilization tied to acute presentations.

Several codes are statistical outliers or notably elevated versus in‑state peers, signaling areas of exceptional volume: 97110 is an extreme outlier (99th percentile) with 55.8K claims generating $4.1M (4.1%), and the three ED E/M codes 99283/99284/99285 each rank in the 97th percentile and are described as notably above typical state volume. Multiple other codes (e.g., 99282, 96365/96366, 96361) are flagged as notably above typical state volume, reinforcing concentrated high throughput in emergency, infusion, and therapy services.

On statewide competitive standing, the provider ranks at or above the 91st–99th percentiles for many high-revenue Medicaid codes and holds top-state ranks for ED volumes (for example, 99283 ranks #17 of 484, 99284 ranks #21 of 655, and 99285 ranks #21 of 581). These rankings characterize the hospital as a major, high-volume Medicaid provider for emergency and related outpatient services within Ohio.

The provider's NPI was enumerated on 2006-06-09 (~20 years ago), indicating long-tenured enrollment and likely established billing relationships in Medicaid. Combined with the concentrated Medicaid revenue profile and no Medicare billing, this tenure suggests a sustained operational focus on Medicaid-covered acute, observation, infusion, imaging, and therapy services rather than mixed Medicare/Medicaid case mix.

Medicaid: Complete Services Breakdown

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

673 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.	131,510	$130	$16.8M
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.	111,470	$150	$16.2M
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.	71,660	$160	$11.8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	101,530	$90	$9.2M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	16,470	$360	$5.9M
J9271	Injection, pembrolizumab, 1 mg	800	$6,810	$5.4M
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.	15,470	$290	$4.5M
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…	55,820	$70	$4.1M
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.	29,980	$110	$3.4M
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.	11,720	$280	$3.3M

Showing 1–10 of 673

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Mercy Health - St Vincent Medical Center LLC — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

673 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	15	150	4,030	$100	$5.9M
J9271	Injection, pembrolizumab, 1 mg	7	20	360	$8,480	$5M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	28	170	4,660	$300	$2.6M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	12	20	530	$2,040	$2.6M
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.	17	480	4,510	$90	$1.8M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	9	20	480	$730	$1.6M
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.	21	660	460	$90	$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.	21	580	510	$100	$1.3M
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…	42	140	1,130	$90	$1.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	19	30	520	$820	$994.5K

Showing 1–10 of 673

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mercy Health - St Vincent Medical Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health Physicians-north LLC	OH	Family Medicine Physician	$0	$42.1M
Mercy Health - St Anne Hospital LLC	OH	General Acute Care Hospital	$0	$10.6M
Mercy Health-st Charles Hospital LLC	OH	General Acute Care Hospital	$0	$9.6M

Nearby Providers

Other providers in the same ZIP code as Mercy Health - St Vincent Medical Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Emergency Care Services, Inc.	OH	Emergency Medicine Physician	$0	$30.6M
Nwo Integrated Laboratories Mercy LLC	OH	Clinical Medical Laboratory	$990.8K	$13.5M
Nationwide Children's Hospital Toledo, LLC	OH	Children's Hospital	$0	$12.5M
Mohammed Alo	OH	Cardiovascular Disease Physician	$256.6K	$27.2K
Sinan Alo	OH	Cardiovascular Disease Physician	$224.1K	$0
Syed Ali	OH	Cardiovascular Disease Physician	$169.5K	$310
Hassana Barazi	OH	Diagnostic Radiology Physician	$167.7K	$0
Joel Kammeyer	OH	Infectious Disease Physician	$156.4K	$2K
Mohammed Taleb	OH	Cardiovascular Disease Physician	$157.5K	$0
Khaled Abuhanttash	OH	Hospitalist Physician	$142.2K	$0

Mercy Health - St Vincent Medical Center LLC — Billing Profile & Reimbursement Data

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Mercy Health - St Vincent Medical Center LLC — 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