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

Why is the Medicaid comparison limited to Florida 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. Florida (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. Joseph's Hospital, Inc. (NPI 1881632818)

Key Findings

Field	Value
Entity Type	Organization
Organization	St. Joseph's Hospital, Inc.
Address	3001 W Dr Mlk Jr Blvd
City	Tampa
State	FL
ZIP	33607
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 3, 2006

Payer Source	Total Paid
Medicaid	$70.7M
Medicare	$0

This provider effectively operates as a Medicaid-focused hospital: there is no Medicare billing on file and total Medicaid revenue reported is $70.7M, so the organization’s observable payer exposure is concentrated in Medicaid rather than a mixed Medicare/Medicaid population. The absence of Medicare claims makes this profile functionally single-payer in the available data, increasing sensitivity to Medicaid policy and payment changes.

Revenue is highly concentrated in emergency department E/M services: the top three Medicaid codes 99283 ($15.5M, 27.3%), 99284 ($10.8M, 18.9%), and 99285 ($3.7M, 6.6%) together account for 52.8% of this provider’s total Medicaid revenue, indicating that ED visits are the primary revenue driver for the facility. Those three codes’ dollar shares show the hospital derives more than half of its Medicaid dollars from varying levels of ED evaluation and management.

Operational footprint appears ED- and hospital-outpatient–centric: very large claim volumes for 99283 (158.4K claims), 99284 (138.2K claims), and 99285 (54.2K claims) combined with 74K claims for observation G0378 ($813.7K) point to high ED throughput and downstream observation use. This code mix suggests the facility’s revenue model depends on emergency and short-stay hospital outpatient workflows rather than inpatient DRG-driven volumes.

The provider shows a strong in-house diagnostics and imaging capability: high-volume lab panels 80053 ($3.1M) and 80048 ($1.6M), COVID testing codes 0202U ($2.8M) and 87635 ($660.8K), plus imaging such as 74177 ($1.9M) and 70450 ($1.8M) indicate integrated laboratory and CT capacity supporting ED and inpatient evaluation. Notably, 0202U ranks #1 of 94 providers in-state (100th percentile; extreme outlier), signaling a unique or large-scale use of that proprietary respiratory panel.

Several codes mark the provider as a statewide outlier or leading volume participant in specific services: 99283 ranks #10 of 701 providers in-state (99th percentile; extreme outlier), 99284 ranks #12 of 739 (99th percentile; extreme outlier), and 99285 ranks #16 of 658 (98th percentile; notably above typical). Additional extreme outlier positions include 36415 (204K claims, $611.9K; rank #7 of 1329, 100th percentile) and 81025 (52.9K claims, $581.8K; rank #3 of 762, 100th percentile), indicating the hospital handles unusually high specimen-collection and point-of-care testing volumes relative to peers.

The provider also reports material outpatient specialty services: G0257 (unscheduled/emergency dialysis) generated $1.7M (3.0%) and ranks #2 of 26 providers in-state (96th percentile), while J1745 (infliximab) produced $917.7K (1.6%) and ranks #2 of 14 (92nd percentile). These code-level patterns suggest the hospital accommodates dialysis and biologic infusion care in its outpatient portfolio, adding diversity beyond ED and diagnostics.

Competitive position in-state is strong for several discrete service lines even if overall Medicaid revenue is modestly sized: the facility posts multiple top-decile and top-percentile ranks (examples include #1 for 0202U, #2 for G0378, and top-10 ranks for high-volume ED codes), which implies it is a major regional provider for ED services, certain lab tests, and outpatient procedures despite operating primarily within Medicaid. This concentration of high ranks across multiple codes indicates specialization and scale on specific care pathways rather than broad, evenly distributed service volumes.

The provider’s tenure is long-established: the NPI was enumerated on 2006-06-03 (~20 years ago), indicating a sustained operating history in the market. Given the long tenure combined with the observed Medicaid concentration and ED-centered revenue mix, payers and analysts should view this hospital as an established, Medicaid-dependent acute care hub with potential sensitivity to changes in Medicaid payment policy or regional ED utilization patterns.

Medicaid: Complete Services Breakdown

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

561 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.	158,450	$100	$15.5M
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.	138,150	$80	$10.8M
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.	54,230	$70	$3.7M
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.	133,770	$20	$3.1M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	39,690	$70	$2.8M
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.	14,920	$130	$1.9M
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.	22,710	$80	$1.8M
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.	24,120	$80	$1.8M
G0257	Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility	7,240	$240	$1.7M
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…	71,730	$20	$1.6M

Showing 1–10 of 561

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

St. Joseph's Hospital, Inc. — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

561 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	139	180	15,540	$120	$2.1M
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.	10	700	2,400	$80	$1.2M
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.	12	740	2,180	$70	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	2	10	710	$850	$915.3K
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.	16	660	1,900	$70	$743.6K
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.	22	30	310	$720	$616.3K
81229	The lab analyst performs the technical lab test using comparative genomic hybridization (CGH) microarray, also referred to as chromosomal microarray (CMA) or molecular karyotype performed by…	4	10	680	$270	$506.2K
59899	Use 59899 to report procedures in maternity care and delivery, other than those that employ laparoscopy, that do not have a specific code.	6	10	3,110	$130	$469.5K
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.	16	320	1,970	$90	$463.1K
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	5	20	620	$30	$423.4K

Showing 1–10 of 561

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	FL	Clinical Medical Laboratory	$47.4M	$171.2M
Maxim Healthcare Services, Inc.	FL	Home Health Agency	$0	$45.3M
Cr & Ra Investments LLC	FL	Home Health Agency	$0	$37.4M
Florida Woman Care, LLC	FL	Obstetrics & Gynecology Physician	$0	$30.9M
Emergency Medical Associates Of Tampa Bay, LLC	FL	Emergency Medicine Physician	$0	$25.1M
Pchp	FL	Case Manager/Care Coordinator	$0	$16.7M
Women's Care Florida LLC	FL	Obstetrics & Gynecology Physician	$0	$14.7M
Care For America Corp	FL	Home Health Agency	$0	$11.3M
Macdonald Traning Center, Inc	FL	Community/Behavioral Health Agency	$0	$10.8M
Abc Home Care Inc	FL	Home Health Agency	$0	$8.3M

St. Joseph's Hospital, Inc. — Billing Profile & Reimbursement Data

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St. Joseph's 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Winter Haven Hospital Inc	FL	General Acute Care Hospital	$0	$26.3M
South Florida Baptist Hospital Inc	FL	General Acute Care Hospital	$0	$12.8M
Trustees Of Mease Hospital Inc	FL	General Acute Care Hospital	$0	$9.2M
Bartow Regional Medical Center, Inc.	FL	General Acute Care Hospital	$0	$9M
Holy Cross Hospital Inc	FL	General Acute Care Hospital	$0	$7.9M
Morton Plant Hospital Association Inc	FL	General Acute Care Hospital	$0	$7.3M
Julio Gonzalez-paoli	FL	Rheumatology Physician	$1.4M	$0
Bardmoor Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$1.1M	$0
James Connors	FL	MOHS-Micrographic Surgery Physician	$735.7K	$0
Aung Tun	FL	Cardiovascular Disease Physician	$663K	$0