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 Catherine Hospital Inc (NPI 1689776882)

Key Findings

Field	Value
Entity Type	Organization
Organization	St Catherine Hospital Inc
Address	4321 Fir St
City	East Chicago
State	IN
ZIP	46312
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 1, 2006

Payer Source	Total Paid
Medicaid	$32.3M
Medicare	$0

This provider is effectively single‑payer in the Medicare/Medicaid mix: there is no Medicare billing on file and the provider reports $32.3M in lifetime Medicaid revenue, which indicates the hospital’s publicly reported activity is concentrated in Medicaid rather than Medicare. The NPI was enumerated 2006-09-01 (~20 years ago), indicating a long-tenured, established facility in the market.

Revenue is highly concentrated in emergency department evaluation & management codes: the top three Medicaid codes 99284 ($5.8M, 20.4%), 99283 ($5.8M, 20.2%), and 99285 ($2.7M, 9.5%) together account for 50.2% of this provider’s total Medicaid revenue. This concentration signals that ED services are the primary revenue driver for the hospital under Medicaid.

The code mix supports an acute care, ED-centric operating model: high-revenue ED codes (99284/99283/99285) are complemented by substantial imaging and diagnostic volumes such as 71045 ($2M), 93005 ($1.4M), and 71046 ($787.4K), which is consistent with a facility that manages large numbers of unscheduled emergency presentations and needs on-site imaging and ECG capacity. Procedural and specialty services are also present — e.g., 45380 ($1.1M) and 43239 ($682K) — indicating the hospital performs endoscopy/biopsy procedures in its outpatient or ED-linked settings.

Competitive standing for core ED activity is solid but not monopolistic: 99284 ranks #46 of 382 in-state and is described as 88th percentile (typical, unremarkable volume), 99283 ranks #43 of 364 (88th percentile; typical, unremarkable volume), and 99285 ranks #48 of 325 (85th percentile; typical, unremarkable volume). Those positions put the hospital in the upper tier of state peers for ED volume, but the descriptive labels suggest volumes are within the expected operating range for similar hospitals rather than extreme dominance.

There are several specific codes where this provider is an above‑typical or outlier performer: 0241U ranks #2 of 20 (95th percentile; notably above typical state volume), 96372 ranks #10 of 494 (98th percentile; extreme outlier, far above typical state volume), and C9803 ranks #5 of 75 (95th percentile; typical, unremarkable volume). These flags point to unusually high activity for certain outpatient specimen/infusion/injection and COVID specimen collection services relative to state peers, and they merit attention when profiling service lines and resource allocation.

Operational throughput is evidenced by very large claim counts for low unit‑payment lab and basic services: 80053 shows 41.3K claims for $247.6K revenue and 85025 shows 58.4K claims for $233.8K revenue (both noted as high-percentile volumes), indicating high-volume, low-reimbursement diagnostic throughput that supports ED and inpatient care rather than high-margin ambulatory procedures. The presence of many small‑payment, high‑count lab and injection codes is consistent with a high-throughput safety‑net style hospital.

The provider delivers a broad mix of diagnostic and therapeutic services beyond the ED: notable Medicaid revenues include chemotherapy 96413 ($349.2K), CT head 70450 ($385K), CT abdomen/pelvis 74177 ($268.5K), and obstetric follow-up ultrasound 76816 ($312K). These items, in combination with endoscopy/colon biopsy codes and physical therapy 97110 ($1.1M), suggest capacity across inpatient, outpatient procedure, imaging, oncology infusion, and rehabilitation streams rather than a narrowly focused clinic.

Several codes combine above‑average state rank with descriptive labels that indicate stronger-than-typical specialty activity: 99211 ranks #10 of 293 (97th percentile; typical, unremarkable volume) and 96372 is an extreme outlier (98th percentile), which together suggest unusually high outpatient visit throughput and frequent therapeutic injections/infusions. For payers and network planners, these patterns point to areas (outpatient clinic visits, injections/infusions, and certain molecular/respiratory tests) where contract terms, capacity, and utilization management may deserve targeted review.

Medicaid: Complete Services Breakdown

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

186 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	36,050	$160	$5.8M
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.	32,320	$180	$5.8M
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.	18,350	$150	$2.7M
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…	15,350	$130	$2M
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…	21,930	$70	$1.4M
0241U	N/A	9,400	$120	$1.1M
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…	14,870	$70	$1.1M
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	510	$2,090	$1.1M
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	11,800	$70	$814.3K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	5,880	$130	$787.4K

Showing 1–10 of 186

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 Catherine Hospital Inc — 3 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

186 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.	46	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.	43	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.	48	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	48	100	2,210	$70	$926K
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…	20	130	3,770	$60	$617.7K
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.	68	150	440	$100	$545.6K
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…	31	220	1,850	$30	$449.4K
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.	116	140	430	$220	$413.2K
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.	166	400	1,100	$40	$382.2K
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…	1,493	2,380	920	$50	$376.8K

Showing 1–10 of 186

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohamad Kassar	IN	Hematology & Oncology Physician	$4.7M	$0
Neel Shah	IN	Hematology & Oncology Physician	$3.2M	$0
Michael Tallarico	IN	Medical Oncology Physician	$2.7M	$0
Shruti Singh	IN	Hematology & Oncology Physician	$1.1M	$0
Anne Meier	IN	Hematology & Oncology Physician	$326.1K	$0
Amer Sidani	IN	Hematology & Oncology Physician	$318.2K	$0
Mario Robbins	IN	Psychiatry Physician	$297.4K	$0
Pastor Llobet	IN	Cardiovascular Disease Physician	$288.8K	$0
Shariq Ibrahim	IN	Interventional Pain Medicine Physician	$239.2K	$0
Samer Abbas	IN	Interventional Cardiology Physician	$222.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physician Associates Of Indiana PC	IN	Emergency Medicine Physician	$0	$4.7M
Amit Saparia Dds Inc.	IN	General Practice Dentistry	$0	$3.9M
Cep America LLC	IN	Emergency Medicine Physician	$0	$3.7M
Southlake Community Mental Health Center Inc.	IN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.2M
219 Health Network Inc	IN	Federally Qualified Health Center (FQHC)	$0	$2.7M
219 Health Network Inc	IN	Family Medicine Physician	$0	$2.6M
Ralph Richter	IN	Orthopaedic Surgery Physician	$36.8K	$296.9K
Kevin Parikh	IN	Urology Physician	$222.4K	$0
Dean Ferrera	IN	Interventional Cardiology Physician	$184.3K	$21.2K
Edward Capoccia	IN	Urology Physician	$190.6K	$0

St Catherine Hospital Inc — 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