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

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

Saint Francis Medical Center (NPI 1982675955)

Field	Value
Entity Type	Organization
Organization	Saint Francis Medical Center
Address	2620 W Faidley Ave
City	Grand Island
State	NE
ZIP	68803
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 30, 2006

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Key Findings

SAINT FRANCIS MEDICAL CENTER shows no Medicare billing on file while reporting $11M in lifetime Medicaid revenue, making this effectively a single-payer (Medicaid-focused) billing profile in the available dataset. The provider’s NPI was enumerated 2006-01-30 (~20 years ago), indicating long-standing enrollment but current activity visible only through Medicaid claims.

Revenue concentration is heavily driven by emergency department E/M codes: the precomputed top 3 Medicaid codes account for 55.1% of the provider’s total Medicaid revenue, reflecting a high dependence on a small set of ED services for more than half of Medicaid receipts. That concentration creates exposure to changes in ED volume or payer reimbursement for those specific codes.

The top Medicaid revenue lines are 99283 ($2.6M, 17K claims; 27.0% of Medicaid revenue), 99284 ($2M, 11.9K claims; 20.8%), and 99285 ($718.4K, 4.4K claims; 7.4%), which collectively indicate the hospital operates a high-volume emergency department managing low- through high-acuity presentations. These E/M volumes, together with sizable observation (G0378) and imaging activity, are consistent with a general acute care hospital that funnels ED patients into short-term observation, diagnostic imaging, and infusion treatments.

Competitive standing for the core ED code 99283 is relatively strong within the state: 99283 ranks #12 of 139 providers in-state (91th percentile) but is annotated in the source as "typical, unremarkable volume for this code," suggesting the provider is above median peers on volume yet remains within the common distribution for hospitals in the state. Similarly, 99284 ranks #21 of 112 (82th percentile; typical, unremarkable volume for this code) and 99285 ranks #14 of 78 (83th percentile; typical, unremarkable volume for this code), which together position the facility as a solid mid-to-upper-tier ED volume performer statewide rather than an outlier leader.

Ancillary and diagnostic services support the acute/ED-focused model: CT abdomen/pelvis with contrast 74177 generated $625.7K (2K claims; 6.4% of Medicaid revenue), CT head 70450 produced $466K (2K claims; 4.8%), and hospital observation G0378 produced $283.7K (1.9K claims; 2.9%). These lines indicate routine use of cross-sectional imaging and observation-level care tied to ED presentations, consistent with an acute care workflow that converts imaging-driven diagnoses into observation or short stays.

Infusion and procedure codes appear across the top Medicaid list, with 96361 ($498.4K; 2.2K claims; 5.1%), 96365 ($335.5K; 2.7K claims; 3.4%), and chemotherapy 96413 ($154.8K; 1.5K claims; 1.6%) present among the top codes. This mix signals a meaningful volume of IV treatment and ambulatory infusion activity on the hospital campus — supporting ED care and some oncology/infusion therapy capacity — even though the source labels for most of these codes are "typical, unremarkable volume for this code."

The provider also reports notable utilization of laboratory and respiratory testing: PLA code 0202U (BioFire RP2.1) contributed $161.7K (608 claims; 1.7%), and COVID PCR U0004 generated $72.5K (942 claims; 0.7%). High-claim, low-unit-pay panels and routine labs appear in the mix as well (e.g., 80053 with 14.3K claims producing $71.6K), consistent with high throughput ED and inpatient evaluation workflows that rely on rapid molecular diagnostics and standard lab panels.

Medicaid: Complete Services Breakdown

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

197 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.	17,050	$150	$2.6M
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.	11,890	$170	$2M
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.	4,350	$170	$718.4K
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.	1,980	$320	$625.7K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	2,190	$230	$498.4K
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.	2,040	$230	$466K
0241U	N/A	3,300	$110	$362.9K
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.	2,710	$120	$335.5K
G0378	Hospital observation service, per hour	1,880	$150	$283.7K
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.	2,860	$90	$268.4K

Showing 1–10 of 197

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Saint Francis Medical Center — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

197 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	21	110	770	$110	$774.3K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	15	40	820	$260	$734.1K
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.	12	140	1,100	$110	$607.4K
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.	14	80	300	$120	$519.5K
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.	15	50	820	$160	$461.3K
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…	9	20	610	$280	$372.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	30	40	350	$170	$366.6K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	17	20	270	$260	$342.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	243	700	660	$70	$305.1K
G0378	Hospital observation service, per hour	10	30	950	$120	$276.4K

Showing 1–10 of 197

Nearby Providers

Other providers in the same ZIP code as Saint Francis Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Go Physical Therapy, LLC	NE	Physical Therapist	$0	$12.4M
Mid-plains Center For Behavioral Healthcare Services, Inc.	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10M
Grand Island Clinic Inc	NE	Family Medicine Physician	$0	$9.2M
Heartland Health Center, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$8.8M
Midwest Emergency Grand Island Inc	NE	Emergency Medicine Physician	$0	$3.8M
Active Family Chiropractic And Acupuncture PC	NE	Chiropractor	$0	$3.8M
Twin Rivers Urgent Care LLC	NE	Family Medicine Physician	$0	$2.9M
Family Practice Of Grand Island P C	NE	Family Medicine Physician	$0	$2.2M
Ryan Ramaekers	NE	Hematology & Oncology Physician	$2.1M	$0
Wholeness Healing Center PC	NE	Mental Health Counselor	$0	$2.1M

Saint Francis Medical Center — 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

Nearby Providers

Frequently Asked Questions

References