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.

Sa Hospital Acquisition Group (NPI 1912109919)

Field	Value
Entity Type	Organization
Organization	Sa Hospital Acquisition Group
Address	3933 South Broadway
City	St. Louis
State	MO
ZIP	63118
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 1, 2007

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
X4003	N/A	6,860	$420	$2.9M
X4011	N/A	7,290	$200	$1.4M
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.	3,220	$310	$988.5K
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.	2,100	$210	$444.6K
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.	2,980	$150	$444.5K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	3,500	$120	$420.2K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	9,670	$30	$328.7K
Y7506	N/A	7,790	$40	$303.7K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	6,370	$50	$292.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	2,650	$80	$206.6K

Showing 1–10 of 59

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

Sa Hospital Acquisition Group — 0 of 25 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

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	47	110	5,700	$340	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	28	100	2,240	$80	$2.2M
Y7506	N/A	23	100	980	$250	$1.6M
X4003	N/A	18	70	1,480	$80	$1.1M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	3	10	960	$60	$584.3K
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.	90	600	140	$170	$384.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	90	110	2,100	$70	$364.3K
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.	93	240	1,740	$40	$353.4K
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…	94	320	980	$40	$352.7K
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.	143	950	120	$150	$288.2K

Showing 1–10 of 59

Nearby Providers

Other providers in the same ZIP code as Sa Hospital Acquisition Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Places For People, Inc	MO	Community/Behavioral Health Agency	$0	$123.7M
Premium In-home Care LLC	MO	Home Health Agency	$0	$26.9M
Advanced Comfort Health Solutions LLC	MO	In Home Supportive Care Agency	$0	$12.1M
Agape Community Healthcare, P.C.	MO	In Home Supportive Care Agency	$0	$6.4M
Arena Manor, Inc.	MO	Assisted Living Facility	$0	$5.2M
Cherokee Residential Care Acquisition, LLC	MO	Assisted Living Facility	$0	$4.3M
Raymond Brickhouse	MO	Foot & Ankle Surgery Podiatrist	$1.3M	$197.7K
Valinda Allen	MO	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$111.8K	$48.9K
Shawn Gao	MO	Internal Medicine Physician	$141.3K	$0
Sanjeev Kamat	MO	Psychiatry Physician	$114.7K	$0

Sa Hospital Acquisition Group — Billing Profile & Reimbursement Data

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Sa Hospital Acquisition Group — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References