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

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

Washington University (NPI 1871521575)

Field	Value
Entity Type	Organization
Organization	Washington University
Address	4205 Forest Park Ave
City	Saint Louis
State	MO
ZIP	63108
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	June 29, 2006

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	63,480	$60	$4M
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	18,390	$20	$423K
80069	The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.	20	$0	$0
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	5,260	$0	$0
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	460	$0	$0
82310	The lab analyst measures the calcium level, primarily on a serum sample.	5,580	$0	$0
82374	The lab analyst measures the carbon dioxide, primarily in serum. Most of the carbon dioxide in blood exists as bicarbonate with much of the balance as carbonic acid.	5,250	$0	$0
82435	The lab analyst performs the technical lab test to analyze the amount of chloride, sometimes abbreviated Cl, in the blood.	5,260	$0	$0
82565	The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	5,900	$0	$0
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	1,790	$0	$0

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Washington University — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	2	130	8,150	$50	$656.5K
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	1	10	18,390	$20	$426.1K
J3490	Unclassified drugs	4	150	790	$50	$188.9K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	42	110	190	$20	$15.5K
A4657	Syringe, with or without needle, each	7	100	1,740	$1	$8.3K
87340	The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.	5	90	140	$20	$7.8K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	8	150	240	$10	$5.2K
80069	The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.	39	50	110	$20	$4.6K
86706	The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for hepatitis B surface antibody.	2	60	90	$20	$3K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	1	110	300	$1	$1.9K

Showing 1–10 of 33

Related Providers

Other providers that share a Tax Identification Number (TIN) with Washington University, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Washington University	MO	Multi-Specialty Clinic/Center	$0	$22M
Washington University	MO	Multi-Specialty Clinic/Center	$0	$14.8M
Washington University	MO	Multi-Specialty Clinic/Center	$0	$10.4M
Washington University	MO	Emergency Care Clinic/Center	$0	$9.1M
Washington University	MO	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.9M
Washington University	MO	Multi-Specialty Clinic/Center	$0	$4M
John Visconti	IL	Medical Oncology Physician	$2.8M	$149.1K
Peter Oppelt	MO	Medical Oncology Physician	$2.5M	$15.8K
Ronald Dean	MT	Emergency Medicine Physician	$2.3M	$2.3K
Rama Suresh	MO	Medical Oncology Physician	$2.1M	$0

Nearby Providers

Other providers in the same ZIP code as Washington University, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Perfect Hand In Home Health Care And Service Inc.	MO	Home Health Agency	$0	$12.1M
Interfaith Residence	MO	In Home Supportive Care Agency	$0	$11.7M
Superior In Home Services LLC	MO	In Home Supportive Care Agency	$0	$10.5M
A Loving Care,inc	MO	Home Health Agency	$0	$10.4M
Elantis LLC	MO	In Home Supportive Care Agency	$0	$9.4M
Lutheran Geriatric Care, Inc	MO	Adult Day Care Clinic/Center	$0	$8.6M
Soc Health Solutions Cds LLC	MO	In Home Supportive Care Agency	$0	$7.7M
Ace Home Care LLC.	MO	Home Health Agency	$0	$6.5M
Wilma In-home Angels Inc	MO	In Home Supportive Care Agency	$0	$6.4M
Harmony Care LLC	MO	In Home Supportive Care Agency	$0	$6.2M

Washington University — Billing Profile & Reimbursement Data

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Washington University — 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