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.

Baycare Medical Group, Inc. (NPI 1043269871)

Baycare Medical Group, Inc. is a general practice physician provider located in Clearwater, Florida. This profile covers 0 Medicare and 143 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Baycare Medical Group, Inc.
Address	2995 Drew St Fl 2
City	Clearwater
State	FL
ZIP	33759
Taxonomy	General Practice Physician
NPI Enumerated	May 9, 2006

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

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

143 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	86,430	$50	$4M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	62,480	$40	$2.2M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	45,270	$30	$1.4M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	21,840	$60	$1.3M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	53,390	$20	$961K
H1000	Prenatal care, at-risk assessment	13,370	$50	$615.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	11,290	$50	$575.5K
99203	The provider sees a new 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 provider…	7,480	$60	$463.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,310	$80	$408.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	6,100	$70	$402.3K

Showing 1–10 of 143

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

Baycare Medical Group, Inc. — 13 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

143 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	30	30	2,220	$350	$1.3M
H1000	Prenatal care, at-risk assessment	64	610	1,580	$60	$329.2K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	55	120	80	$890	$277.5K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	44	80	250	$290	$222.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	106	1,130	780	$90	$210.4K
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.	377	640	4,400	$10	$193.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	241	1,050	640	$80	$183.6K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	41	110	250	$80	$176.4K
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…	24	5,930	460	$40	$169.3K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	18	70	640	$80	$159K

Showing 1–10 of 143

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ali Saberi	FL	Internal Medicine Physician	$5.7M	$0
Jaffar Hilli	MO	Hematology & Oncology Physician	$1.6M	$0
Julio Gonzalez-paoli	FL	Rheumatology Physician	$1.4M	$0
Marcos Valerio	FL	Interventional Cardiology Physician	$1M	$0
Georgia Shapiro	FL	Medical Oncology Physician	$980.2K	$0
Nora Vera	FL	Dermatology Physician	$849.9K	$0
James Connors	FL	MOHS-Micrographic Surgery Physician	$735.7K	$0
Vikas Desai	NY	Internal Medicine Physician	$608.7K	$106.2K
Muhammad Mustafa	FL	Cardiovascular Disease Physician	$629.4K	$0
Jennifer Frangos	CA	Family Medicine Physician	$570.6K	$30

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicolas Zouain	FL	Radiation Oncology Physician	$2.4M	$0
Thurston Mcmillen	FL	Physical Medicine & Rehabilitation Physician	$1.1M	$0
Joseph Haas	FL	Specialist	$129.7K	$0
Matthew Karlen	FL	Diagnostic Radiology Physician	$97.7K	$0
Nicholas Lancia	FL	Anatomic Pathology & Clinical Pathology Physician	$41.1K	$0

Baycare Medical Group, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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