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.

Gaviota Dialysis, LLC (NPI 1104217918)

Field	Value
Entity Type	Organization
Organization	Gaviota Dialysis, LLC
Address	1200 Deltona Blvd
City	Deltona
State	FL
ZIP	32725
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	February 16, 2015

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	32,860	$150	$5.1M
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	24,370	$120	$3M
J1270	Injection, doxercalciferol, 1 mcg	10,660	$110	$1.2M
A4657	Syringe, with or without needle, each	2,680	$220	$600.5K
J1756	Injection, iron sucrose, 1 mg	3,980	$110	$453.3K
85041	The lab analyst analyzes a sample of the patient’s blood on a slide and uses an automated system to determine the number of red blood cells present.	1,620	$150	$237.7K
85048	The lab analyst evaluates a sample of the patient’s blood on a slide and uses an automated system to determine the number of white blood cells present.	1,570	$150	$229.4K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	1,180	$170	$202.1K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	1,150	$150	$172.3K
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	1,120	$150	$162.8K

Showing 1–10 of 19

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

Gaviota Dialysis, LLC — 0 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	62	180	15,540	$120	$2.1M
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	41	460	12,420	$140	$2M
J1270	Injection, doxercalciferol, 1 mcg	79	200	7,800	$120	$1.1M
A4657	Syringe, with or without needle, each	197	400	2,640	$160	$771K
J2501	Injection, paricalcitol, 1 mcg	46	50	2,750	$120	$728.5K
J1756	Injection, iron sucrose, 1 mg	110	390	1,800	$100	$279.4K
85041	The lab analyst analyzes a sample of the patient’s blood on a slide and uses an automated system to determine the number of red blood cells present.	39	180	860	$90	$116.6K
85048	The lab analyst evaluates a sample of the patient’s blood on a slide and uses an automated system to determine the number of white blood cells present.	43	180	880	$100	$113.6K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	119	460	510	$50	$110.2K
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	230	620	690	$30	$82.3K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Gaviota Dialysis, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Volusia Asc Bz, LLC	FL	Ambulatory Surgical Clinic/Center	$1.2M	$0
Amanda Juliano	FL	Occupational Therapist	$24.9K	$0

Gaviota Dialysis, LLC — Billing Profile & Reimbursement Data

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Gaviota Dialysis, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References