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

Why is the Medicaid comparison limited to Arkansas 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. Arkansas (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 Anthony's Hospital Association (NPI 1891778049)

Field	Value
Entity Type	Organization
Organization	St Anthony's Hospital Association
Address	4 Hospital Dr
City	Morrilton
State	AR
ZIP	72110
Taxonomy	Critical Access Hospital
NPI Enumerated	November 22, 2005

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

112 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8,140	$40	$293K
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.	1,400	$190	$270.8K
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.	1,870	$130	$249.1K
0241U	N/A	2,450	$100	$239.8K
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.	10,990	$20	$208.8K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	1,040	$140	$147.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	13,080	$10	$104.7K
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…	1,180	$80	$99.3K
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.	2,960	$30	$97.6K
83880	The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…	1,820	$40	$76.4K

Showing 1–10 of 112

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

St Anthony's Hospital Association — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

112 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	303	530	4,960	$70	$2.6M
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…	275	500	3,410	$60	$523.5K
0241U	N/A	16	40	1,640	$120	$370.5K
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.	70	190	1,780	$50	$231.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	41	80	1,090	$70	$210.4K
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.	55	150	1,240	$50	$208.4K
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.	78	190	2,020	$40	$191.2K
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.	51	180	260	$110	$170.5K
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.	63	210	350	$80	$161.1K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	39	60	590	$80	$146.8K

Showing 1–10 of 112

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Anthony's Hospital Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexander Tyler	AR	Family Medicine Physician	$228.9K	$0
Robert Balentine	AR	Family Medicine Physician	$199.5K	$0
Steven Stalker	AR	Certified Registered Nurse Anesthetist	$50.1K	$0
James Hardie	AR	Certified Registered Nurse Anesthetist	$45.2K	$0
Lori Posey	AR	Family Nurse Practitioner	$39.1K	$0
Dionne Wallace	AR	Family Nurse Practitioner	$36.4K	$0
Garry Melton	AR	Certified Registered Nurse Anesthetist	$20.8K	$0
Jack Lyon	AR	Family Medicine Physician	$10.2K	$0
Jeromy Teague	AR	Certified Registered Nurse Anesthetist	$8.8K	$0

Nearby Providers

Other providers in the same ZIP code as St Anthony's Hospital Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Conway County Center For Exceptional Children, Inc.	AR	Developmental Disabilities Clinic/Center	$0	$14.2M
University Of Arkansas For Medical Sciences	AR	Developmental - Behavioral Pediatrics Physician	$0	$7.7M
Morrilton Respiratory Care Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$4.2M
South Conway County School	AR	Local Education Agency (LEA)	$0	$3.3M
Counseling Associates, Inc	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.3M
Conway County Community Service Inc.	AR	Community/Behavioral Health Agency	$0	$1.8M
Med-tech Ems Of Conway Co, Inc.	AR	Land Ambulance	$347K	$1.1M
N'speech, Inc	AR	Speech-Language Pathologist	$0	$1.2M
Marie Charton	AR	Orthopedic Physical Therapist	$118.6K	$0
Georges Nawar	AR	Surgery Physician	$72.3K	$43.4K

St Anthony's Hospital Association — Billing Profile & Reimbursement Data

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St Anthony's Hospital Association — 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