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

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Christus Santa Rosa Health Care Corporation (NPI 1821004151)

Field	Value
Entity Type	Organization
Organization	Christus Santa Rosa Health Care Corporation
Address	333 N Santa Rosa St
City	San Antonio
State	TX
ZIP	78207
Taxonomy	Children's Hospital
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicaid	$69.1M
Medicare	$0

Key Findings

This entity is effectively single-payer in scale for federal programs: there is no Medicare billing on file while Medicaid revenue totals $69.1M, so Medicaid entirely dominates the public-payer footprint reported here. Analysts should treat this profile as a Medicaid-centered operating picture rather than a mixed Medicare/Medicaid hospital profile.

Revenue concentration is high and focused: the precomputed top 3 Medicaid codes (99284, 99283, G0378) account for 60.6% of this provider's total Medicaid revenue, indicating a small number of service lines drive the majority of Medicaid dollars. Those three codes individually generate $21.6M (99284), $8.6M (99283), and $8.1M (G0378) in Medicaid revenue, respectively.

The code mix and dollar concentrations point to an emergency/observation-forward operation within a pediatric specialty context: 99284 and 99283 (ED E/M visits) together account for $30.2M of Medicaid revenue and large claim volumes (30.4K and 165.3K claims). The large number of lower-acuity ED claims (99283) and the significant observation-hour billing (G0378) suggest high ED throughput with frequent use of observation status rather than inpatient conversion.

Competitive standing across the state is mixed by code: for low-level ED care 99283 the provider ranks #3 of 732 providers in-state (100th percentile, labeled an "extreme outlier, far above typical state volume"), signaling a dominant role in delivering high-volume, lower-complexity ED visits. By contrast 99284 ranks #58 of 714 (92th percentile, characterized as "typical, unremarkable volume") and G0378 ranks #9 of 73 (89th percentile), so while the facility is a standout for one ED code it is a strong but not uniformly dominant competitor across all ED/observation codes.

Several high-volume outpatient and pediatric specialty services appear alongside ED throughput: prenatal/fetal ultrasound codes (76816, 76819, 76811) together contribute multi-million-dollar Medicaid revenue ($2.5M, $1.7M, $1.1M respectively) and 93303 (pediatric transthoracic echocardiography) adds $2.0M, indicating substantial perinatal and congenital-heart diagnostic activity consistent with a children's hospital taxonomy. This mix supports an operational footprint that includes obstetrics/perinatal imaging and pediatric cardiac imaging in addition to emergency care.

Surgical and procedural pediatric services are material revenue contributors: tonsil/adenoid procedures (42820) generate $2.2M and tympanostomy with tube insertion (69436) generates $375.4K, while newborn and pediatric hearing evaluations (92587, 92579, 92567) collectively add meaningful revenue, pointing to active pediatric ENT and newborn screening programs. These procedural revenues reinforce the classification as a children’s hospital offering both ambulatory procedures and minor surgeries.

Testing and outpatient specimen collection volumes are notably large in several categories: multiplex respiratory viral testing (87633) produced $3.2M, and COVID-related specimen collection C9803 shows 33.1K claims and $892.7K revenue with a rank of #4 of 142 in-state (characterized as an "extreme outlier, far above typical state volume"). This indicates high laboratory throughput and a sizable outpatient testing operation supporting the ED and ambulatory clinics.

Tenure and registry consistency are long-standing: the provider’s NPI was enumerated on 2006-07-31 (~20 years ago), so the billing patterns observed reflect an organization with multi-year presence in the Texas Medicaid market rather than a recent entrant. That longevity, combined with extreme outlier status on several codes (99283, 99211, 99212, 99282, C9803), suggests entrenched volume patterns for ED, basic outpatient, and specimen-collection services within the state market.

Medicaid: Complete Services Breakdown

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

218 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.	30,450	$710	$21.6M
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.	165,320	$50	$8.6M
G0378	Hospital observation service, per hour	2,600	$3,130	$8.1M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	4,380	$740	$3.2M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	102,960	$30	$2.7M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	12,550	$200	$2.5M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	660	$3,270	$2.2M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	5,310	$370	$2M
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	11,900	$150	$1.7M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	31,060	$40	$1.4M

Showing 1–10 of 218

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Christus Santa Rosa Health Care Corporation — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

218 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.	58	710	1,790	$200	$2.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	67	70	370	$760	$1M
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.	3	730	1,960	$100	$1M
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.	374	590	740	$170	$969.2K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	26	30	330	$1,020	$750.2K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	16	70	850	$180	$621.2K
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…	44	340	400	$50	$553.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	41	60	340	$590	$491.5K
G0378	Hospital observation service, per hour	9	70	300	$500	$465K
J0585	Injection, onabotulinumtoxina, 1 unit	12	20	200	$1,140	$437.7K

Showing 1–10 of 218

Nearby Providers

Other providers in the same ZIP code as Christus Santa Rosa Health Care Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Barrio Comprehensive Family Health Care Center, Inc.	TX	Federally Qualified Health Center (FQHC)	$0	$147.8M
Charles S. Ramon, LLC.	TX	Home Health Agency	$0	$70.6M
Community Medicine Associates	TX	Family Medicine Physician	$0	$37.4M
Baylor College Of Medicine	TX	Pediatrics Physician	$0	$26.1M
City Of San Antonio Texas	TX	Land Ambulance	$4.4M	$12.7M
Davila Pharmacy, Inc.	TX	Pharmacy	$0	$13.4M
Renal Associates, P.A.	TX	Ambulatory Surgical Clinic/Center	$2.8M	$280.7K
Darrell Baskin	TX	Ophthalmology Physician	$2.2M	$0
Mark Collazo	TX	Family Nurse Practitioner	$742.5K	$0
Erika Gonzalez	TX	Allergy & Immunology Physician	$467.9K	$5.3K

Christus Santa Rosa Health Care Corporation — 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

Nearby Providers

Frequently Asked Questions

References