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 Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio 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. Ohio (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 Charity Medical Center (NPI 1710951801)

Field	Value
Entity Type	Organization
Organization	St Vincent Charity Medical Center
Address	2351 E 22nd St
City	Cleveland
State	OH
ZIP	44115
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 15, 2006

Payer Source	Total Paid
Medicaid	$22.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

165 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.	50,900	$160	$8.2M
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.	21,910	$170	$3.8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	22,660	$100	$2.2M
H0012	Behavioral health day treatment, per hour	3,240	$390	$1.3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	9,930	$130	$1.3M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	6,360	$80	$534K
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.	20,970	$20	$440.4K
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.	29,720	$10	$416K
H0005	Alcohol and/or drug services; group counseling by a clinician	6,090	$60	$353.2K
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.	1,840	$180	$337.1K

Showing 1–10 of 165

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

St Vincent Charity Medical Center — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

165 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	36	150	4,030	$100	$5.9M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	152	610	1,350	$150	$1.9M
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.	53	480	4,510	$90	$1.8M
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.	128	660	460	$90	$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.	245	580	510	$100	$1.3M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	57	140	1,130	$90	$1.1M
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.	207	290	1,380	$90	$635.2K
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.	272	280	1,110	$110	$605.7K
G0378	Hospital observation service, per hour	107	160	2,840	$80	$529.2K
H0012	Behavioral health day treatment, per hour	3	30	650	$340	$476.3K

Showing 1–10 of 165

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gary Sivak	OH	Pain Medicine (Anesthesiology) Physician	$69.9K	$0
Daniel Shats	OH	Gastroenterology Physician	$37.5K	$0
Steven Ditto	OH	Anesthesiology Physician	$33.5K	$0
John Fitzgerald	OH	Anesthesiology Physician	$30.4K	$0
Kevin Busdiecker	OH	Anesthesiologist Assistant	$17.1K	$0
Chandra Wozniak	OH	Anesthesiologist Assistant	$16K	$0
Michael Kovach	OH	Anesthesiologist Assistant	$15.1K	$0
Sandra Gembus	OH	Certified Registered Nurse Anesthetist	$14.1K	$0
Jaime Cook	OH	Anesthesiologist Assistant	$6.7K	$0
Lincoln Gisel	OH	Certified Registered Nurse Anesthetist	$6.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Life Solutions South	OH	Community/Behavioral Health Agency	$0	$18M
Bureau Of Drug Abuse,cleveland Treatment Center,inc.	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.5M
Positive Education Program	OH	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$12.8M
Spectrum Home Health Care, LLC	OH	Home Health Agency	$0	$9.1M
William Wiley	OH	Ophthalmology Physician	$489.5K	$0
Pushkar Kanade	OH	Internal Medicine Physician	$392.4K	$0
Houssam Mhanna	OH	Internal Medicine Physician	$311.8K	$0
Muhammed Zahra	OH	Cardiovascular Disease Physician	$215.5K	$0
Imraan Haniff	OH	Emergency Medicine Physician	$201.9K	$0
Thomas Chester	OH	Optometrist	$104.2K	$73.7K

St Vincent Charity Medical Center — Billing Profile & Reimbursement Data

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St Vincent Charity 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