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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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 Francis Hospital Inc (NPI 1730123175)

Field	Value
Entity Type	Organization
Organization	St Francis Hospital Inc
Address	1 Saint Francis Dr
City	Greenville
State	SC
ZIP	29601
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 16, 2006

Payer Source	Total Paid
Medicaid	$17.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

270 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	41,810	$70	$2.9M
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.	35,230	$50	$1.9M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14,680	$90	$1.3M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	6,510	$120	$768.2K
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…	12,240	$60	$722.2K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	3,320	$210	$696.1K
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	16,850	$40	$657.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	16,290	$30	$553.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	8,910	$50	$463.1K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	7,960	$50	$366.2K

Showing 1–10 of 270

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

St Francis Hospital Inc — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

270 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	13	210	1,470	$60	$615K
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.	150	350	2,590	$70	$550.2K
A9575	Injection, gadoterate meglumine, 0.1 ml	4	10	300	$440	$498K
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.	29	340	110	$40	$450.5K
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.	27	350	100	$50	$446.9K
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.	24	200	1,680	$50	$443.2K
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…	18	60	170	$430	$434.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	31	140	2,520	$90	$415.3K
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…	61	290	2,600	$60	$414.4K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	12	110	1,880	$100	$414K

Showing 1–10 of 270

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Francis Hospital, Inc.	SC	General Acute Care Hospital	$0	$13M
St. Francis Hospital Inc	SC	General Acute Care Hospital	$0	$9M
A. Thomas Siachos	SC	Cardiovascular Disease Physician	$429.2K	$0
Craig Mccotter	NC	Clinical Cardiac Electrophysiology Physician	$428.2K	$0
Edward Stewart	SC	Cardiovascular Disease Physician	$420.4K	$0
Matthew Sellers	SC	Clinical Cardiac Electrophysiology Physician	$417K	$0
Jon Bittrick	SC	Cardiovascular Disease Physician	$340.4K	$0
James Merriam	SC	Cardiovascular Disease Physician	$332.5K	$0
Matthew Nessmith	SC	Cardiovascular Disease Physician	$296.9K	$0
Jeffrey Senfield	SC	Clinical Cardiac Electrophysiology Physician	$288.1K	$0

Nearby Providers

Other providers in the same ZIP code as St Francis Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$61.9M
Prisma Health-upstate	SC	Developmental Disabilities Clinic/Center	$0	$19.7M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.8M
County Of Greenville	SC	Land Ambulance	$4.2M	$9.2M
Greenville Proaxis Therapy, LLC	SC	Physical Therapist	$0	$7.9M
Carolina Family Services, Inc.	SC	Community/Behavioral Health Agency	$0	$5.5M
Ahead Start LLC	SC	Early Intervention Provider Agency	$0	$4.5M
Greenville Health System	SC	Medically Fragile Infants and Children Day Care	$0	$4.2M
Vituity-south Carolina LLC	SC	Emergency Medicine Physician	$0	$4.1M
Corporate Care, LLC	SC	Home Health Agency	$0	$4.1M

St Francis Hospital Inc — Billing Profile & Reimbursement Data

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St Francis Hospital Inc — 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