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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSt Elizabeth Medical Center, Inc
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    St Elizabeth Medical Center, Inc — Billing Profile & Reimbursement Data

    NPI 1689695322 · Edgewood, KY · Community Based Hospice Care Agency

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    St Elizabeth Medical Center, Inc is a community based hospice care agency provider located in Edgewood, Kentucky. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSt Elizabeth Medical Center, Inc
    Address483 South Loop Rd
    CityEdgewood
    StateKY
    ZIP41017
    TaxonomyCommunity Based Hospice Care Agency
    NPI EnumeratedJuly 21, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q5001Hospice or home health care provided in patient's home/residence12,060$180$2.1M
    Q5006Hospice care provided in inpatient hospice facility1,250$510$631K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes14,670$10$102.7K
    Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)2,600$20$54.7K
    G0155Services of clinical social worker in home health or hospice settings, each 15 minutes3,920$10$23.5K
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes8,860$1$8.9K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q5001Hospice or home health care provided in patient's home/residence570310$180$542K
    Q5006Hospice care provided in inpatient hospice facility410200$630$456.7K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes121003,770$40$302.1K
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes10303,210$1$55.6K
    Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)5101,880$10$17.4K
    G0155Services of clinical social worker in home health or hospice settings, each 15 minutes9202,450$1$6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Elizabeth Medical Center, IncKYGeneral Acute Care Hospital$41.7K$188.3M
    St Elizabeth Medical Center, IncKYGeneral Acute Care Hospital$0$65.5M
    St Elizabeth Medical Center, IncKYGeneral Acute Care Hospital$0$46M
    St Elizabeth Medical Center, IncKYCritical Access Hospital$0$35.4M
    St Elizabeth Medical Center, IncINGeneral Acute Care Hospital$0$4.6M
    St Elizabeth Medical Center, IncKYPhysician Assistant$0$3.8M
    Peter FriedOHRadiation Oncology Physician$904.7K$0
    Shoaib AhmadOKPulmonary Disease Physician$276.1K$0
    William WillmottKYSleep Medicine (Internal Medicine) Physician$264.9K$0
    Mohamad SinnoKYClinical Cardiac Electrophysiology Physician$246.6K$0

    Nearby Providers

    Other providers in the same ZIP code as St Elizabeth Medical Center, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Transitions, Inc.KYSubstance Abuse Rehabilitation Facility$0$31.3M
    Compass Emergency Physicians PscKYEmergency Medicine Physician$0$28.8M
    Bluegrass Behavioral Health Group, LLCKYBehavior Analyst$0$23.7M
    Redwood School And Rehabilitation CenterKYChild Intellectual and/or Developmental Disabilities Respite Care$0$12M
    Radiology Associates Of Northern Kentucky, PLLCKYDiagnostic Radiology Physician$0$9.4M
    Orthocincy Orthopaedics & Sports Medicine PscKYOrthopaedic Surgery Physician$0$9.4M
    Redwood School And Rehabilitation CenterKYCommunity Health Clinic/Center$0$9.2M
    Interim Healthcare Of Cincinnati, IncKYHome Health Agency$0$7.9M
    New Perceptions IncKYDevelopmentally Disabled Services Day Training Agency$0$6.5M
    Tri-state Gastroenterology Associates, PscKYAmbulatory Surgical Clinic/Center$940.1K$1.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    St Elizabeth Medical Center, Inc — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky