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.

Emergency Medicine Services Of Fl, LLC (NPI 1043917180)

Field	Value
Entity Type	Organization
Organization	Emergency Medicine Services Of Fl, LLC
Address	20900 Biscayne Blvd
City	Aventura
State	FL
ZIP	33180
Taxonomy	Emergency Medicine Physician
NPI Enumerated	February 9, 2023

Payer Source	Total Paid
Medicaid	$37.5M
Medicare	$0

Key Findings

Payer mix is effectively single‑payer Medicaid: there is no Medicare billing on file and total Medicaid revenue is $37.5M, so all reported federal program revenue for this NPI is coming through Medicaid rather than Medicare. This concentration implies the provider’s reimbursement exposure and network relationships are primarily tied to state Medicaid contracts and fee schedules.

Revenue is highly concentrated in three emergency department E/M codes: 99284 accounts for $21.7M (57.9% of Medicaid revenue), 99285 accounts for $8.2M (21.9%), and 99283 accounts for $7.3M (19.4%); the precomputed top‑3 share is 99.2% of this provider’s Medicaid revenue. This level of concentration indicates the business is overwhelmingly driven by ED evaluation-and-management encounters rather than a diversified set of procedures or ancillary services.

The code mix and volumes identify the operation as a high-throughput emergency medicine practice: 99284 shows 516.9K claims, 99285 shows 146.3K claims, and 99283 shows 208.1K claims. These counts, combined with the E/M descriptions for moderate to high medical decision making, point to an emergency department workflow focused on large patient throughput and management of moderate-to-severe presentations.

Competitive standing in-state is dominant for core ED codes: 99284 ranks #1 of 739 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), while 99285 ranks #7 of 658 (99th percentile; extreme outlier) and 99283 ranks #5 of 701 (99th percentile; extreme outlier). Those rankings position the provider as a major statewide player for Medicaid ED visits, with volumes far exceeding typical peers for these codes.

The provider bills for some critical care and facility coverage services but these are a small share of revenue: 99291 shows 4.8K claims and $202.9K revenue (0.5% of Medicaid revenue) with a rank of #29 of 404 (93th percentile; typical, unremarkable volume), and 99053 shows 26.2K claims and $52.3K revenue (0.1%) with a rank of #3 of 35 (94th percentile; typical, unremarkable volume). These patterns suggest the entity provides continuous/overnight ED coverage and occasional critical care interventions, but critical care billing is not a primary revenue driver.

Average paid per claim on the three dominant codes is modest: 99284 $42 avg paid/claim, 99285 $56 avg paid/claim, and 99283 $35 avg paid/claim. Combined with extremely high claim counts, this suggests a throughput-driven revenue model in which volume of ED encounters, rather than high per-encounter reimbursement, generates the majority of Medicaid revenue.

Despite a recent NPI enumeration date of 2023-02-09 (~3 years ago), the provider has achieved large Medicaid scale ($37.5M lifetime Medicaid revenue) and very high claim volumes on core ED codes. Rapid accrual of volume within a short tenure may reflect aggressive contracting with Medicaid managed care plans or operation of high-volume ED sites.

Lower-revenue ancillary and procedure codes are present at expected levels for an ED operator: for example, 93042 (1.2K claims, $3 avg paid/claim, $3.5K revenue) ranks #3 of 27 (92th percentile; typical) and basic wound repair codes and EKG interpretation codes appear at small volumes and low revenue. These ancillary patterns reinforce that the provider’s business is centered on ED evaluation-and-management visits rather than higher-revenue procedural lines.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	516,860	$40	$21.7M
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.	146,350	$60	$8.2M
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.	208,120	$40	$7.3M
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…	4,830	$40	$202.9K
99053	The provider renders overnight services at a 24 hour facility.	26,160	$1	$52.3K
99292	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…	360	$50	$17.6K
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.	800	$10	$6.4K
G8711	Prescribed antibiotic on or within 3 days after the episode date	1,950	$1	$5.9K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	1,160	$1	$3.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	740	$1	$2.2K

Showing 1–10 of 16

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

Emergency Medicine Services Of Fl, LLC — 4 of 14 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	5	700	2,400	$80	$1.2M
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.	1	740	2,180	$70	$1.1M
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.	7	660	1,900	$70	$743.6K
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.	200	320	1,970	$90	$463.1K
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…	29	400	190	$80	$118.2K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	156	220	60	$100	$71.6K
99292	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	30	80	$40	$32.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	305	640	640	$1	$22.5K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	53	90	170	$60	$21.6K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	48	90	170	$50	$19.2K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Medicine Services Of Fl, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Edward Lucas	FL	Emergency Medicine Physician	$165K	$257.3K
Franz Plum	FL	Family Medicine Physician	$397.4K	$0
Jason Grabert	NV	Emergency Medicine Physician	$124.8K	$177.1K
Ruslan Ivanov	FL	Emergency Medicine Physician	$267.9K	$0
Deepak Reddy	MI	Emergency Medicine Physician	$75.8K	$169.6K
Allen Nau	NJ	Emergency Medicine Physician	$214.1K	$0
Brett Lorenzetti	SC	Emergency Medicine Physician	$209.1K	$0
Adam Corman	GA	Emergency Medicine Physician	$39.9K	$161.9K
Paresh Savani	FL	Internal Medicine Physician	$189K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Medicine Services Of Fl, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alliance Health Care Of Miami Beach, LLC.	FL	Home Health Agency	$0	$13.1M
Norman Gaylis	FL	Rheumatology Physician	$2.7M	$0
Christian Gonzalez	FL	Pain Medicine (Anesthesiology) Physician	$792.8K	$1.7M
Robb Wilentz	FL	Dermatopathology (Pathology) Physician	$2.1M	$0
Adiel Smith	FL	Retina Specialist (Ophthalmology) Physician	$2M	$0
Francessca Brettschneider	FL	Dermatopathology (Pathology) Physician	$1.6M	$0
George Munoz	FL	Rheumatology Physician	$756.8K	$0
Ranley Desir	FL	Specialist	$738.2K	$0
Stuart Bernstein	FL	Specialist	$712.3K	$0
Mark Nestor	FL	Dermatology Physician	$573.6K	$0

Emergency Medicine Services Of Fl, LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References