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.

Florida Clinical Practice Association Inc (NPI 1063463768)

Key Findings

Field	Value
Entity Type	Organization
Organization	Florida Clinical Practice Association Inc
Address	1600 Sw Archer Rd
City	Gainesville
State	FL
ZIP	32610
Taxonomy	Surgery Physician
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicaid	$79.3M
Medicare	$0

This provider is effectively a Medicaid-focused operation: Medicare billing is absent (no Medicare billing on file), while lifetime Medicaid revenue is $79.3M, indicating the organization’s commercial footprint in federal fee-for-service Medicare cannot be assessed from available data. Analysts should treat payer mix as single‑payer dominated for Medicare/Medicaid comparisons and focus competitive analysis within the Florida Medicaid market.

Revenue concentration is high: the precomputed top three Medicaid codes account for 43.7% of the provider’s total Medicaid revenue. The single largest driver is 99214 ($11.9M, 21.4% of Medicaid revenue; 270K claims, $44 avg paid/claim), followed by 99213 ($6.2M, 11.2%; 194.2K claims, $32 avg paid/claim) and 99284 ($6.1M, 11.1%; 89.1K claims, $69 avg paid/claim), showing dependence on evaluation and management and ED services.

The code mix indicates a multi-site clinical operation combining high-volume outpatient primary/ambulatory care with substantial emergency department and inpatient services. High volumes of 99214 and 99213 point to large established-patient ambulatory panels, while 99284, 99285, and 99291 activity (e.g., 99285 $4.6M, 8.3% of Medicaid revenue) signal meaningful emergency and acute-care throughput.

The provider is a dominant statewide player for several high-volume codes: 99214 ranks #3 of 6379 providers in Florida (100th percentile; extreme outlier, far above typical state volume), 99213 ranks #6 of 5934 (100th percentile; extreme outlier), and 99233 ranks #2 of 1503 (100th percentile; extreme outlier). These rankings indicate market-leading scale in outpatient E/M and subsequent inpatient care relative to in-state peers.

Beyond E/M and ED services, the billing mix shows substantive specialty and procedural services consistent with a hospital-affiliated or multispecialty group that includes maternal–child and critical care offerings. Notable codes include 99472 ($1.7M, 3.1%), 99469 ($1.1M, 2.0%), 99479 ($1M, 1.9%), and 59410 ($810.5K, 1.5%), plus prenatal H1000 ($1.3M, 2.3%), pointing to significant neonatal, obstetric, and perinatal activity.

Diagnostic and ancillary volumes are also elevated: 93306 (echocardiography) generated $1M (1.9% of Medicaid revenue) and ranks #2 of 681 providers in-state (100th percentile; extreme outlier), while lab codes 82805 ($986.5K, 1.8%) and 85025 ($702.8K, 1.3%) appear at very high claim volumes. These patterns suggest integrated imaging and laboratory services supporting high ambulatory and inpatient throughput.

Several high-acuity inpatient and critical-care codes show above-typical state volumes, reinforcing the provider’s role in acute care: 99233 ($3.4M, 6.2%) is an extreme outlier, 99284 ($6.1M, 11.1%) is notably above typical state volume (rank #21 of 739, 97th percentile), and 99291 ($982.3K, 1.8%) ranks #8 of 404 providers (98th percentile; notably above typical). This concentration of higher-intensity codes suggests significant capacity for managing complex, time-consuming encounters.

The provider has long tenure in national registration, with its NPI enumerated on 2006-05-15 (~20 years ago), which supports interpretation of scale and accumulated Medicaid volumes as the result of sustained operations rather than a recent surge. Given the combination of long tenure and multiple 100th‑percentile rankings, the provider is an established, high-volume Medicaid provider across several service lines in Florida.

Medicaid: Complete Services Breakdown

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

586 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	270,010	$40	$11.9M
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…	194,240	$30	$6.2M
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.	89,060	$70	$6.1M
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.	54,440	$90	$4.6M
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…	94,790	$40	$3.4M
99204	The provider sees a new 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 provider…	17,730	$110	$2M
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…	25,790	$70	$1.9M
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.	5,160	$340	$1.7M
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…	21,960	$60	$1.3M
H1000	Prenatal care, at-risk assessment	26,510	$50	$1.3M

Showing 1–10 of 586

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

Florida Clinical Practice Association Inc — 19 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

586 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	14	30	2,120	$320	$2.3M
T1017	Targeted case management, each 15 minutes	159	560	7,680	$50	$1.5M
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.	12	30	2,220	$350	$1.3M
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.	237	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.	21	740	2,180	$70	$1.1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	13	50	570	$100	$1.1M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	10	40	830	$100	$785.9K
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.	15	660	1,900	$70	$743.6K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	3	30	310	$720	$616.3K
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.	39	320	1,970	$90	$463.1K

Showing 1–10 of 586

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centra Medical Group, LLC	VA	Family Medicine Physician	$0	$60.1M
University Of Florida Jacksonville Physicians, Inc.	FL	Internal Medicine Physician	$0	$41.4M
Florida Clinical Practice Association Inc	FL	Clinical Medical Laboratory	$2.7M	$3.1M
Veronica Papavero	FL	Anatomic Pathology Physician	$3.7M	$0
Jacqueline Russo	FL	Anatomic Pathology & Clinical Pathology Physician	$2.7M	$0
Adrian Vazquez	NC	Rheumatology Physician	$1.7M	$0
Raam Sambandam	FL	Clinical Neurophysiology Physician	$1.3M	$0
Siva Iyer	FL	Ophthalmology Physician	$1.3M	$0
Long Dang	FL	Medical Oncology Physician	$1.3M	$0
Larry Wilf	FL	Nuclear Radiology Physician	$1.2M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shands Teaching Hospital And Clinics Inc	FL	General Acute Care Hospital	$0	$92M
William Mendenhall	FL	Radiation Oncology Physician	$731.9K	$0
Matthew Steadmon	FL	Dermatology Physician	$670.4K	$0
Yusuf Aref	FL	Anesthesiology Physician	$619.8K	$0
Ahmaida Zeglam	FL	Ophthalmology Physician	$564.8K	$0
Irene Malaty	FL	Neurology Physician	$526.8K	$0
Sebastian Carrasquillo Montalvo	FL	Cardiovascular Disease Physician	$422.7K	$0
Alfredo Farinas	FL	Internal Medicine Physician	$318K	$0
Christopher West	FL	Urology Physician	$315.5K	$0
Jon Radnothy	FL	Orthopaedic Surgery Physician	$299.6K	$0

Florida Clinical Practice Association Inc — Billing Profile & Reimbursement Data

Sign up for Florida Clinical Practice Association Inc — Billing Profile & Reimbursement Data policy alerts

Florida Clinical Practice Association Inc — Billing Profile & Reimbursement Data

Sign up for Florida Clinical Practice Association Inc — Billing Profile & Reimbursement Data policy alerts

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