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 Mary Medical Center Inc (NPI 1558463745)

Field	Value
Entity Type	Organization
Organization	St Mary Medical Center Inc
Address	1500 S Lake Park Ave
City	Hobart
State	IN
ZIP	46342
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 1, 2006

Payer Source	Total Paid
Medicaid	$23.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

151 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.	33,770	$150	$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.	23,480	$150	$3.4M
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.	14,880	$150	$2.2M
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	14,810	$140	$2M
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…	20,940	$60	$1.3M
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	6,100	$210	$1.3M
0241U	N/A	9,570	$100	$976.3K
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…	7,640	$120	$901.2K
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.	1,810	$410	$747K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	11,090	$60	$676.4K

Showing 1–10 of 151

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 Mary Medical Center Inc — 4 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

151 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.	49	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.	98	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.	40	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	65	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…	22	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.	50	150	440	$100	$545.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	355	390	3,600	$50	$511.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,047	2,120	870	$60	$450.6K
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…	59	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.	69	140	430	$220	$413.2K

Showing 1–10 of 151

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Devine	IN	Internal Medicine Physician	$244.9K	$0
Robert Chen	IN	Internal Medicine Physician	$208.4K	$0
Snezana Zubic	IN	Internal Medicine Physician	$99K	$0
Karin Patterson	IN	Family Medicine Physician	$59.4K	$0
Kelly Oney	IN	Nurse Practitioner	$24.9K	$29.2K
Paul Stanish	IN	Surgery Physician	$52.4K	$0
Corinne Djuric	IN	Family Nurse Practitioner	$49.7K	$0
Richard Browne	IN	Surgery Physician	$48.7K	$0
Hung Dang	IN	Surgery Physician	$19.9K	$0
Connie Ramirez	IN	Family Nurse Practitioner	$2.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epmg Of Indiana, PC	IN	Emergency Medical Services (Emergency Medicine) Physician	$0	$3.1M
Raja Devanathan	IN	Pulmonary Disease Physician	$3M	$0
Cep America LLC	IN	Emergency Medicine Physician	$0	$2.8M
City Of Hobart	IN	Ambulance	$266.5K	$1.2M
Guneesh Saluja	IN	Emergency Medicine Physician	$119K	$494.6K
Zlatan Stepanovic	IN	Cardiovascular Disease Physician	$365.3K	$0
William Frey	IN	Optometrist	$13.3K	$330.3K
Anne Meier	IN	Hematology & Oncology Physician	$326.1K	$0
Amer Sidani	IN	Hematology & Oncology Physician	$318.2K	$0
Eduardo Fletes	IN	Internal Medicine Physician	$315.1K	$0

St Mary Medical Center Inc — Billing Profile & Reimbursement Data

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St Mary Medical Center Inc — 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