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 Hospital Medical Group Inc (NPI 1073785044)

Florida Hospital Medical Group Inc is a diagnostic radiology physician provider located in Orlando, Florida. This profile covers 0 Medicare and 116 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	Florida Hospital Medical Group Inc
Address	601 E Rollins Street
City	Orlando
State	FL
ZIP	32803
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	March 30, 2008

Payer Source	Total Paid
Medicaid	$13.1M
Medicare	$0

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

116 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	97,540	$30	$3.3M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	614,860	$1	$1.8M
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.	137,180	$10	$1.6M
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.	36,950	$30	$960.7K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	21,990	$20	$483.7K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	39,770	$10	$437.5K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	23,080	$20	$415.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	60,880	$10	$365.3K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	22,760	$20	$364.1K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	9,590	$30	$287.6K

Showing 1–10 of 116

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 Hospital Medical Group Inc — 21 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

116 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	350	1,160	$80	$308.7K
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	410	1,640	$40	$220.5K
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.	2	310	1,120	$80	$185.5K
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…	4,541	5,930	460	$40	$169.3K
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…	6	100	300	$110	$144.1K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	4	50	230	$150	$137.8K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	12	220	530	$90	$98.2K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	2	150	140	$90	$96.5K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	9	230	430	$40	$85.4K
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	9	30	140	$160	$58.2K

Showing 1–10 of 116

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adventist Health System-sunbelt, Inc	FL	General Acute Care Hospital	$0	$173.7M
Florida Hospital Medical Group Inc	FL	Family Medicine Physician	$0	$71.2M
Adventist Health System Sunbelt, Inc.	FL	Urgent Care Clinic/Center	$0	$67.5M
Adventist Health System-sunbelt, Inc	FL	Clinical Medical Laboratory	$0	$28.2M
Florida Hospital Physician Group Inc	FL	Family Medicine Physician	$0	$21.4M
Memorial Health Systems Inc	FL	Rehabilitation Hospital Unit	$0	$17.6M
Memorial Hospital Flagler Inc	FL	General Acute Care Hospital	$0	$13.9M
Sedigheh Ebadi	FL	Pediatrics Physician	$0	$10.1M
Florida Hospital Zephyrhills Inc	FL	General Acute Care Hospital	$0	$9.9M
Memorial Health Systems Inc	FL	Surgery Physician	$0	$7.4M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florida Emergency Physicians Kang And Associates Md LLC	FL	Emergency Medical Services (Emergency Medicine) Physician	$0	$58.5M
Vaxcare LLC	FL	Family Medicine Physician	$45.5M	$780
Florida Dental Team, LLC	FL	Pediatric Dentistry	$0	$28.1M
Orlando Childrens Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$0	$21.7M
Central Florida Pathology Associates PA	FL	Anatomic Pathology & Clinical Pathology Physician	$0	$11.1M
Life Concepts Inc	FL	Developmentally Disabled Services Day Training Agency	$0	$9.2M
Pradip Jamnadas	FL	Interventional Cardiology Physician	$1.8M	$610
Matthew Biagioli	FL	Radiation Oncology Physician	$1.2M	$0
Orlando Mills Fl Endoscopy Asc LLC	FL	Ambulatory Surgical Clinic/Center	$1.1M	$0
Bruce Stein	FL	Interventional Cardiology Physician	$1M	$0

Florida Hospital Medical Group Inc — Billing Profile & Reimbursement Data

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Florida Hospital 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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