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.

Chi St Vincent Hospital Hot Springs (NPI 1689628232)

Key Findings

Field	Value
Entity Type	Organization
Organization	Chi St Vincent Hospital Hot Springs
Address	300 Werner St
City	Hot Springs
State	AR
ZIP	71913
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$16.4M
Medicare	$0

This provider is effectively single-payer in the available data: there is no Medicare billing on file while total Medicaid revenue is reported as $16.4M. The absence of Medicare activity means the facility’s financial performance in our dataset depends entirely on Medicaid flows and state policy changes.

Revenue is moderately concentrated within a handful of procedures: the precomputed top three Medicaid codes (80307, 74177, 59025) account for 26.3% of the provider’s total Medicaid revenue. Those three codes individually represent $1.1M (80307, 10.1%), $895.7K (74177, 8.4%), and $827.1K (59025, 7.8%) of Medicaid revenue, indicating meaningful dependence on lab toxicology, CT abdomen/pelvis with contrast, and fetal monitoring services.

The code mix indicates a full-service acute-care operation with strong imaging, maternity/obstetrics, and diagnostic-laboratory capabilities. High-revenue imaging codes include 74177 (CT abdomen/pelvis with contrast), 70450 (CT head, $714.2K), 70553 (MRI brain with and without contrast, $447.3K) and 72148 (MRI lumbar, $392K), while maternity and obstetric monitoring is signaled by 59025 ($827.1K). Concurrently, procedural and infusion activity appears in 96365 ($627.1K), supporting both inpatient and outpatient therapeutic services.

The provider is a prominent in-state laboratory resource: 80048 (basic metabolic panel) ranks #2 of 126 providers in the state at the 99th percentile and generated $496.6K, while 85025 (CBC) is an extreme outlier at the 97th percentile with $446.7K in revenue. Blood collection 36415 is also an extreme outlier (98th percentile) with $252.5K, reinforcing that high-volume phlebotomy and routine lab testing are a core revenue stream.

For advanced imaging and specialized diagnostics the hospital shows above-typical statewide positioning: 74177 ranks #12 of 183 (94th percentile, notably above typical), 59025 ranks #3 of 54 (96th percentile, notably above typical), and 78452 (cardiac SPECT) ranks #4 of 47 (93rd percentile, notably above typical). These rankings indicate the hospital is a go-to in-state site for CT, obstetric monitoring, and some cardiac imaging services rather than a marginal provider.

Operational throughput appears high across ambulatory and emergency settings: T1015 clinic visits total 38.5K claims ($308.2K), and emergency visit codes 99284 and 99283 together account for substantial claim volume (8.3K and 5.8K claims, respectively). This pattern aligns with a busy community hospital that handles large outpatient clinic volumes alongside emergency care.

The provider has an established tenure in national enrollment data: its NPI was enumerated on 2006-05-19 (~20 years ago), which supports interpretation that current service-line footprints and high-volume lab/imaging positions have developed over a prolonged operating history.

Because a relatively small set of codes produces a large share of Medicaid revenue, the hospital’s Medicaid-only exposure creates concentrated operational and reimbursement risk. Key revenue drivers such as 80307 (10.1% of Medicaid revenue, $1.1M) and the other top-two codes together forming 26.3% of Medicaid revenue mean shifts in Medicaid coverage or unit pricing for those services could have outsized effects on the provider’s reported revenue base.

Medicaid: Complete Services Breakdown

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

359 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	15,140	$70	$1.1M
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.	6,680	$130	$895.7K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	6,950	$120	$827K
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.	7,440	$100	$714.2K
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.	5,860	$110	$627.1K
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…	35,470	$10	$496.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	4,480	$100	$447.5K
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…	1,430	$310	$447.3K
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…	55,840	$10	$446.7K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	4,120	$110	$441.2K

Showing 1–10 of 359

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

Chi St Vincent Hospital Hot Springs — 5 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

359 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	103	530	4,960	$70	$2.6M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	336	580	3,620	$60	$712.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	88	500	3,410	$60	$523.5K
0241U	N/A	17	40	1,640	$120	$370.5K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	11	30	80	$600	$290.7K
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.	8	40	160	$280	$278.1K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	27	30	160	$70	$259.6K
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…	9	40	360	$300	$254.1K
80047	The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…	5	10	1,710	$30	$233K
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.	24	190	1,780	$50	$231.9K

Showing 1–10 of 359

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital Rogers	AR	Home Health Agency	$0	$1.8M
Vlatka Agnetta	TN	MOHS-Micrographic Surgery Physician	$382.1K	$0
Robert Balentine	AR	Family Medicine Physician	$199.5K	$0
James Arnold	AR	Emergency Medicine Physician	$171.3K	$0
Chris Wall	AR	Emergency Medicine Physician	$102.1K	$0
Andrew Bryan	AR	Emergency Medicine Physician	$94.9K	$0
Richard Nelson	AR	Emergency Medicine Physician	$57.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rock Dental Arkansas PLLC	AR	Dentist	$0	$128.8M
Superior Senior Care	AR	In Home Supportive Care Agency	$0	$22.5M
Ouachita Regional Counseling & Mental Health Center, Inc.	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$22.4M
Chi St. Vincent Medical Group Hot Springs	AR	Specialist	$0	$13.8M
Tlc Home Care Of Arkansas	AR	In Home Supportive Care Agency	$0	$7M
Little Bitty City Therapeutic Services LLC	AR	Developmental Disabilities Clinic/Center	$0	$6.9M
Healthy Connections Incorporated	AR	Federally Qualified Health Center (FQHC)	$0	$5.5M
Abilities Unlimited Of Hot Springs Ar Inc	AR	Developmentally Disabled Services Day Training Agency	$0	$4.9M
A-o-m-s, PLLC	AR	Oral and Maxillofacial Surgery (Dentist)	$0	$4.2M
Stephen Divers	AR	Hematology & Oncology Physician	$3.9M	$1.5K

Chi St Vincent Hospital Hot Springs — 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