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.

Christian Hospital Northeast- Northwest (NPI 1639186760)

Field	Value
Entity Type	Organization
Organization	Christian Hospital Northeast- Northwest
Address	11133 Dunn Rd
City	Saint Louis
State	MO
ZIP	63136
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 2, 2006

Payer Source	Total Paid
Medicaid	$65.3M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid hospital: there is no Medicare billing on file and the provider reports $65.3M in total Medicaid revenue. The absence of Medicare revenue means Medicaid dominates both clinical activity and financial scale for the facility, rather than a mixed Medicare/Medicaid payer mix.

Revenue is highly concentrated in a small set of codes: the top 3 Medicaid codes account for 58.4% of the provider's total Medicaid revenue, led by X4011 ($14.5M, 23.5%), 99283 ($14.2M, 23.0%), and 99284 ($7.3M, 11.9%). This concentration indicates a small number of high‑volume services drive the majority of the hospital’s Medicaid receipts.

The code mix and volumes point to a high‑throughput emergency department and acute diagnostics operation: 99283 has 83.7K claims ($14.2M), 99284 has 35.6K claims ($7.3M), and 99285 has 22.3K claims ($6.2M), while associated diagnostics—85025 (77K claims, $2.2M), 80053 (71.3K claims, $1.9M), and 93005 (29.7K claims, $1.5M)—also rank highly. Together these E/M and diagnostic codes suggest the facility functions as a busy ED and on‑site lab/imaging center rather than a low‑volume specialty clinic.

Statewide competitive standing for core ED activity is dominant: 99283 ranks #3 of 1263 providers in‑state (100th percentile; extreme outlier), 99284 ranks #9 of 953 (99th percentile; extreme outlier), and 99285 ranks #16 of 596 (97th percentile; extreme outlier). Those percentile and rank positions characterize the hospital as a major state‑level provider for emergency E/M services, well above typical in‑state volume for these codes.

Several laboratory and proprietary test codes are also extreme outliers or top statewide performers, reinforcing in‑house testing capacity: 0241U is #1 of 77 providers (100th percentile) with $1.8M revenue, 84484 is #2 of 103 (99th percentile) with $396.8K, and 96374 ranks #2 of 90 (99th percentile) with $2.2M. The presence of high‑rank PLA and high‑volume lab codes (0202U, 87631, 87651) signals significant revenue from advanced and rapid diagnostics in addition to routine lab work.

One of the largest single revenue drivers is X4011 (34.2K claims, $425 avg paid/claim, $14.5M revenue; #4 of 106, 97th percentile; notably above typical state volume), a high‑paid, high‑volume code with no description provided in the file. Its outsized contribution to Medicaid receipts makes it a critical component of the hospital’s financial profile even though the service descriptor is not detailed here.

The provider shows service breadth beyond emergency care, with substantial billing for imaging, therapeutic services and supportive procedures: chest x‑ray 71045 ($888.2K), CT abdomen/pelvis 74177 ($381.1K), therapeutic exercise 97110 ($354.7K), and oxygen therapy 94640 ($268.5K). These volumes indicate continuous inpatient/outpatient imaging, physical therapy, and respiratory care capacity that complement the ED and lab footprint.

The NPI was enumerated on 2006-08-02 (approximately 20 years ago), indicating long tenure in the market. Combined with the concentrated Medicaid revenue base and extreme state‑level rankings on multiple codes, the hospital appears to be an established, high‑volume Medicaid provider whose financial performance is highly sensitive to changes in Medicaid utilization patterns or reimbursement for a small set of dominant codes.

Medicaid: Complete Services Breakdown

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

138 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
X4011	N/A	34,170	$430	$14.5M
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.	83,670	$170	$14.2M
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.	35,550	$210	$7.3M
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.	22,330	$280	$6.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	17,960	$130	$2.2M
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…	77,020	$30	$2.2M
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.	71,270	$30	$1.9M
0241U	N/A	18,780	$100	$1.8M
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…	29,660	$50	$1.5M
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	31,340	$40	$1.3M

Showing 1–10 of 138

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

Christian Hospital Northeast- Northwest — 20 of 25 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

138 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	4	110	5,700	$340	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	33	100	2,240	$80	$2.2M
Y7506	N/A	45	100	980	$250	$1.6M
X4003	N/A	35	70	1,480	$80	$1.1M
X4006	N/A	21	50	370	$780	$969.5K
Y7507	N/A	3	50	270	$360	$594.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2	90	1,850	$120	$384.1K
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.	16	600	140	$170	$384.1K
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…	3	110	2,100	$70	$364.3K
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.	4	240	1,740	$40	$353.4K

Showing 1–10 of 138

Related Providers

Other providers that share a Tax Identification Number (TIN) with Christian Hospital Northeast- Northwest, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christian Hospital Northeast-northwest	MO	Ambulance	$0	$21.7M
Parimal Patel	MO	Psychiatry Physician	$182.8K	$0

Nearby Providers

Other providers in the same ZIP code as Christian Hospital Northeast- Northwest, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Above & Beyond Health LLC	MO	In Home Supportive Care Agency	$0	$21.9M
Strategic Home Health Care	MO	Home Health Agency	$0	$8M
Alternative Choices Consumer Directed Svc LLC	MO	Home Health Agency	$0	$7M
Majestic Home Health Care, LLC	MO	Home Health Agency	$0	$5.7M
Family Ties Consumer Directed Services LLC	MO	Home Health Agency	$0	$4.4M
Active Angels In Home Health Care LLC	MO	Home Health Agency	$0	$4.3M
Lots Of Love Consumer Directed Services	MO	In Home Supportive Care Agency	$0	$4M
Northern Family Home Health Care LLC	MO	Home Health Agency	$0	$3.8M
Saulius Kalvaitis	MO	Clinical Cardiac Electrophysiology Physician	$321.4K	$150.4K
Inderjit Singh	MO	Nephrology Physician	$355.5K	$63.6K

Christian Hospital Northeast- Northwest — 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