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.

Saint Francis Medical Center (NPI 1689096919)

Field	Value
Entity Type	Organization
Organization	Saint Francis Medical Center
Address	225 Physicians Park Ste 400
City	Poplar Bluff
State	MO
ZIP	63901
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	January 6, 2014

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	75,160	$70	$5.6M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	8,170	$40	$310.6K
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…	4,730	$60	$297.9K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	5,890	$30	$153.1K
99335	N/A	2,650	$60	$151.3K
90832	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…	3,590	$40	$150.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2,860	$50	$143.2K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	5,680	$20	$136.2K
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…	2,790	$50	$125.7K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	1,490	$60	$83.2K

Showing 1–10 of 58

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

Saint Francis Medical Center — 3 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

58 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	2	170	2,460	$70	$498.3K
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…	97	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.	90	240	1,740	$40	$353.4K
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…	95	320	980	$40	$352.7K
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…	79	160	720	$60	$218.3K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	40	120	260	$50	$136.3K
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…	205	3,170	230	$70	$128.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	106	590	260	$40	$120.5K
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…	494	4,310	300	$60	$110.8K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	81	120	130	$60	$103K

Showing 1–10 of 58

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Medical Center	MO	General Acute Care Hospital	$0	$56.4M
Christus Trinity Clinic Texas	TX	Family Medicine Physician	$0	$22.2M
Saint Francis Medical Center	MO	Internal Medicine Physician	$0	$11.7M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$8.8M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$4.7M
Charles Moon	MO	Dermatology Physician	$2.7M	$0
Justin Floyd	IL	Medical Oncology Physician	$1.3M	$336.2K
Alex Dwuma	OK	Internal Medicine Physician	$820.6K	$0
Saint Francis Medical Center	MO	Clinical Medical Laboratory	$296.9K	$471K
Saint Francis Medical Center	MO	Radiology Clinic/Center	$162.8K	$580.1K

Nearby Providers

Other providers in the same ZIP code as Saint Francis Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Poplar Bluff Regional Medical Center LLC	MO	General Acute Care Hospital	$0	$71.6M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$37.1M
Independent Living Center Of Southeast Missouri, Inc.	MO	Case Management Agency	$0	$27.3M
State Of Missouri	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.2M
Southern Care And Comfort In Home Agency, LLC	MO	In Home Supportive Care Agency	$0	$15.3M
Ozark Behavioral Health, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.2M
Tri-county Group Xv, Inc.	MO	Home Health Agency	$0	$13.9M
Butler County Ems LLC	MO	Land Ambulance	$1.2M	$8.8M
Poplar Bluff Hma Physician Management, LLC	MO	Family Medicine Physician	$0	$9.9M
State Of Missouri	MO	Case Management Agency	$0	$6.8M

Saint Francis 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

Related Providers

Nearby Providers

Frequently Asked Questions

References