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. Vincent Anderson Regional Hospital, Inc. (NPI 1679578850)

St. Vincent Anderson Regional Hospital, Inc. is a general acute care hospital provider located in Anderson, Indiana. This profile covers 0 Medicare and 135 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 Anderson Regional Hospital, Inc.
Address	2015 Jackson St
City	Anderson
State	IN
ZIP	46016
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 15, 2005

Payer Source	Total Paid
Medicaid	$23.7M
Medicare	$0

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

135 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.	29,600	$130	$3.9M
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.	27,230	$100	$2.8M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,370	$1,570	$2.2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	18,430	$90	$1.7M
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.	17,760	$90	$1.7M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	20,140	$70	$1.3M
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…	11,780	$110	$1.3M
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…	17,440	$60	$1M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	1,770	$390	$688.1K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14,410	$50	$677.3K

Showing 1–10 of 135

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. Vincent Anderson Regional Hospital, Inc. — 0 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

135 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.	61	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.	48	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.	49	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	15	100	2,210	$70	$926K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	5	30	450	$1,270	$886.9K
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…	26	130	3,770	$60	$617.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	53	580	710	$60	$582.9K
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.	46	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…	361	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…	530	2,120	870	$60	$450.6K

Showing 1–10 of 135

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Vincent Anderson Regional Hospital, Inc.	IN	Psychiatry Physician	$0	$3.5M
Marwan Mustaklem	IN	Internal Medicine Physician	$480.3K	$0
Mark Lawlor	IN	Family Medicine Physician	$179.3K	$0
Ahmad Saltagi	IN	Pulmonary Disease Physician	$156.9K	$0
Steven Hill	IN	Internal Medicine Physician	$117.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cj's Homecare Inc.	IN	Home Health Agency	$0	$11.6M
Phoenix Community Services	IN	Developmentally Disabled Services Day Training Agency	$0	$9.1M
City Of Anderson	IN	Land Ambulance	$608.6K	$5.2M
Meridian Health Services Corp	IN	Federally Qualified Health Center (FQHC)	$0	$5.8M
Aspire Indiana Health Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$4.9M
At Home Senior Care Services, L.L.C.	IN	Home Health Agency	$0	$2.5M
Minati Swofford	IN	Dermatology Physician	$248.4K	$0
Henry Jones	IN	Diagnostic Radiology Physician	$209.9K	$290
David Mares	IN	Pulmonary Disease Physician	$155.8K	$0
Ching Li	IN	Specialist	$143.6K	$0

St. Vincent Anderson Regional Hospital, Inc. — Billing Profile & Reimbursement Data

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St. Vincent Anderson Regional 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

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