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

Why is the Medicaid comparison limited to Illinois 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. Illinois (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 Anthonys Memorial Hospital Of The Hospital Sisters Of The Third (NPI 1891758678)

Field	Value
Entity Type	Organization
Organization	St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third
Address	503 N Maple
City	Effingham
State	IL
ZIP	62401
Taxonomy	Home Health Agency
NPI Enumerated	April 11, 2006

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	37,470	$180	$6.8M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	7,550	$240	$1.8M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	2,030	$220	$435.8K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	2,050	$150	$305.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	4	110	3,040	$160	$1M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	18	80	2,730	$180	$868.1K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	15	50	860	$170	$362.1K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	6	30	540	$140	$157.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Philip Dy	IL	Medical Oncology Physician	$4.4M	$549.3K
Hanna Saba	IL	Hematology & Oncology Physician	$2.2M	$334K
Casey Duncan	IL	Radiation Oncology Physician	$1.2M	$4.2K
Mustafa Hindi	IL	Emergency Medicine Physician	$107.8K	$744.8K
Ziad Issa	IL	Clinical Cardiac Electrophysiology Physician	$622.3K	$19.9K
Brian Miller	IL	Clinical Cardiac Electrophysiology Physician	$430.6K	$129.9K
Manohar Kola	IL	Cardiovascular Disease Physician	$401.1K	$135.5K
Mark Shen	IL	Clinical Cardiac Electrophysiology Physician	$437.5K	$41.5K
Paban Saha	MO	Clinical Cardiac Electrophysiology Physician	$368.4K	$56.5K
Shailesh Nandish	IL	Interventional Cardiology Physician	$401.3K	$5.4K

Nearby Providers

Other providers in the same ZIP code as St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Care Associates Of Effingham, S.c.	IL	Rural Health Clinic/Center	$0	$7.8M
Heartland Human Services	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
Lincare Inc.	IL	Durable Medical Equipment & Medical Supplies	$0	$5.3M
Southern Illinois Healthcare Foundation Inc	IL	Federally Qualified Health Center (FQHC)	$0	$4.3M
Effingham Obstetrics And Gynecology Associates PLLC	IL	Obstetrics & Gynecology Physician	$0	$3.8M
Fatima Ahmad	IL	Ophthalmology Physician	$1.9M	$1.5M
Community Support Systems Cfc 20	IL	Early Intervention Provider Agency	$0	$3.1M
County Of Effingham	IL	Health Service Clinic/Center	$149.5K	$369.5K
Christina Baker	IL	Physical Therapist	$398.4K	$0
Joseph Spraul	IL	Ophthalmology Physician	$370.6K	$60

St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third — Billing Profile & Reimbursement Data

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St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third — 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