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.

North Brevard County Hospital District (NPI 1053424648)

North Brevard County Hospital District is a general acute care hospital provider located in Titusville, Florida. This profile covers 0 Medicare and 204 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	North Brevard County Hospital District
Address	951 N Washington Ave
City	Titusville
State	FL
ZIP	32796
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 16, 2006

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

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

204 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.	21,930	$80	$1.7M
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.	7,570	$110	$817.3K
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.	12,040	$50	$650K
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.	8,130	$60	$495.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	38,590	$10	$347.3K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,480	$100	$344.9K
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.	1,830	$160	$300.4K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,900	$140	$258.8K
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…	3,730	$70	$242.3K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	1,820	$130	$238.6K

Showing 1–10 of 204

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

North Brevard County Hospital District — 1 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

204 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.	138	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.	198	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.	184	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.	121	320	1,970	$90	$463.1K
80055	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen, a rubella antibody, a qualitative non…	11	10	170	$40	$366K
H1000	Prenatal care, at-risk assessment	398	610	1,580	$60	$329.2K
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.	39	210	2,890	$70	$321.6K
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.	147	350	1,160	$80	$308.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	76	130	1,860	$30	$301.8K
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…	92	320	750	$40	$232.7K

Showing 1–10 of 204

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Ajay Pancholy	CA	Diagnostic Radiology Physician	$608.8K	$0
Yanchun Zhang	NJ	Neurology Physician	$517.1K	$0
Scott Marlowe	PA	Diagnostic Ultrasound Physician	$468.7K	$60
Hadi Bazzi	FL	Diagnostic Radiology Physician	$381.4K	$0
Mark Swierzewski	FL	Urology Physician	$326.7K	$0
Jim Gray	MS	Diagnostic Radiology Physician	$283.4K	$1.9K
Steven Zheng	TX	Diagnostic Radiology Physician	$264.3K	$0
Joshua Blackmon	GA	Diagnostic Radiology Physician	$235.5K	$0
Barbara Newman	FL	Diagnostic Radiology Physician	$223.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Pefkaros	FL	Ophthalmology Physician	$903.1K	$0
Biju Mathews	FL	Interventional Cardiology Physician	$495.7K	$0
Nabil Itani	FL	Internal Medicine Physician	$273.1K	$0
Imran Rashid	FL	Nephrology Physician	$180.1K	$0
Robert Rosen	FL	Podiatrist	$160.4K	$0
Susan Love	FL	Podiatrist	$124.6K	$0
Christine Buono	FL	Ophthalmology Physician	$115K	$0
Michael Sorbello	FL	Diagnostic Radiology Physician	$66.1K	$0

North Brevard County Hospital District — 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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