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

Why is the Medicaid comparison limited to Arkansas 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. Arkansas (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. Vincent Infirmary Medical Center (NPI 1629011002)

St. Vincent Infirmary Medical Center is a general acute care hospital provider located in Sherwood, Arkansas. This profile covers 0 Medicare and 124 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	St. Vincent Infirmary Medical Center
Address	2215 Wildwood Ave
City	Sherwood
State	AR
ZIP	72120
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

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

124 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	2,820	$120	$341.2K
0241U	N/A	3,660	$90	$340.5K
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.	4,140	$70	$298.3K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	620	$230	$143.5K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	2,620	$50	$133.6K
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…	18,970	$10	$132.8K
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.	12,740	$10	$101.9K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	970	$100	$100K
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…	10,120	$10	$80.9K
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.	2,860	$20	$65.7K

Showing 1–10 of 124

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

St. Vincent Infirmary Medical Center — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

124 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0241U	N/A	11	40	1,640	$120	$370.5K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	34	40	160	$280	$278.1K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	13	40	360	$300	$254.1K
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.	59	190	1,780	$50	$231.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	23	80	1,090	$70	$210.4K
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.	44	150	1,240	$50	$208.4K
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.	81	190	2,020	$40	$191.2K
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.	36	180	260	$110	$170.5K
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.	32	210	350	$80	$161.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	35	70	830	$40	$146.4K

Showing 1–10 of 124

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Vincent Infirmary Medical Center	AR	General Acute Care Hospital	$0	$8.3M
Abdul Ezeldin	FL	Interventional Cardiology Physician	$568.7K	$51.3K
Thomas Wallace	AR	Clinical Cardiac Electrophysiology Physician	$450.8K	$0
Sadeem Mahmood	AR	Cardiovascular Disease Physician	$384.2K	$840
Juan Roman	AR	Anesthesiology Physician	$255.3K	$22.8K
Mangaraju Chakka	AR	Clinical Cardiac Electrophysiology Physician	$272.5K	$0
D Henry	AR	Cardiovascular Disease Physician	$264.7K	$0
Gary Frankowski	AR	Interventional Pain Medicine Physician	$262K	$1.7K
Brent Walker	AR	Interventional Pain Medicine Physician	$240.4K	$3.9K
Alexander Tyler	AR	Family Medicine Physician	$228.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Pediatric Clinic Of Nlr, P.A.	AR	Medical Specialty Clinic/Center	$0	$4.9M
Shiloh Emergency Group PLLC	AR	Emergency Medicine Physician	$0	$4.4M
Jana Barfield Dmd PLLC	AR	Dental Clinic/Center	$0	$3.6M
Asm, LLC	AR	Customized Equipment (DME)	$0	$2M
Exacta Laboratory Systems, LLC	AR	Clinical Medical Laboratory	$1.2M	$546K
Armo Diagnostics LLC	AR	Clinical Medical Laboratory	$210.6K	$1.5M
Arkansas Health Group	AR	Family Medicine Physician	$0	$1.3M
Susan Delap	AR	Specialist	$380.2K	$578.4K
North River Surgery Center, LLC	AR	Ambulatory Surgical Clinic/Center	$820.4K	$11.3K
Kathryn Chenault	AR	Neurology Physician	$766.9K	$6.1K

St. Vincent Infirmary Medical Center — Billing Profile & Reimbursement Data

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St. Vincent Infirmary Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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