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

Why is the Medicaid comparison limited to Delaware 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. Delaware (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. Francis Hospital Inc. (NPI 1659687127)

Field	Value
Entity Type	Organization
Organization	St. Francis Hospital Inc.
Address	2002 Foulk Rd
City	Wilmington
State	DE
ZIP	19810
Taxonomy	Family Medicine Physician
NPI Enumerated	August 23, 2010

Payer Source	Total Paid
Medicaid	$199.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,550	$40	$145.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,810	$30	$47.1K
99204	The provider sees a new 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 provider…	70	$60	$4.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	110	$10	$740
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	50	$10	$560
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	240	$1	$480
90656	This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage.	10	$10	$170
3008F	No Summary found for this code	70	$0	$0
3074F	No Summary found for this code	580	$0	$0
3075F	No Summary found for this code	20	$0	$0

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

St. Francis Hospital Inc. — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	144	500	1,130	$50	$235.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	212	540	1,100	$40	$185.3K
99204	The provider sees a new 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 provider…	120	180	220	$90	$101.5K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	77	110	340	$10	$20.4K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	57	110	270	$1	$11.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	62	100	230	$1	$6.7K
90656	This code represents a preservative–free trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.5 mL dosage.	33	30	100	$10	$3.6K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	47	50	40	$1	$560
3074F	No Summary found for this code	46	90	690	$1	$100
3079F	No Summary found for this code	44	70	340	$1	$40

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Francis Hospital Inc.	DE	General Acute Care Hospital	$0	$43.2M
St Francis Hospital Inc	DE	Ambulance	$0	$3.8M
St. Francis Hospital Inc.	DE	Family Medicine Physician	$0	$1.9M
St Francis Hospital Inc	DE	Obstetrics & Gynecology Physician	$0	$711.4K
St. Francis Hospital Inc.	DE	Obstetrics & Gynecology Physician	$0	$488.7K
David Krasner	DE	Family Medicine Physician	$467.5K	$0
St. Francis Hospital Inc.	DE	Cardiovascular Disease Physician	$0	$463.8K
St Francis Hospital Inc.	DE	Family Medicine Physician	$0	$347.2K
Anthony Vasile	DE	Sleep Medicine (Internal Medicine) Physician	$163.4K	$68.2K
Joseph Pennington	DE	Clinical Cardiac Electrophysiology Physician	$145.7K	$0

Nearby Providers

Other providers in the same ZIP code as St. Francis Hospital Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rachel A Maher,dmd, PA	DE	Dentist	$0	$4.5M
Brandywine Pediatric Dentistry, P.A.	DE	Pediatric Dentistry	$0	$4M
Jason Kaplan	DE	Ophthalmology Physician	$2.7M	$0
Brandywine Pediatrics, P.A.	DE	Pediatrics Physician	$0	$1.6M
Harry Lebowitz	DE	Ophthalmology Physician	$1.1M	$0
Rehabilitation Associates, P.A.	DE	Physical Medicine & Rehabilitation Physician	$0	$852.8K
David Cozzolino	DE	Urology Physician	$786.9K	$0
Andrew Barrett	DE	Ophthalmology Physician	$671.1K	$0
Chloe Payne	DE	Dermatology Physician	$541.5K	$11.7K
James Fierro	DE	Family Medicine Physician	$530.7K	$0

St. Francis Hospital Inc. — Billing Profile & Reimbursement Data

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St. Francis Hospital 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