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.

Flagler Hospital Inc (NPI 1144211020)

Flagler Hospital Inc is a general acute care hospital provider located in St Augustine, Florida. This profile covers 0 Medicare and 195 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	Flagler Hospital Inc
Address	400 Health Park Blvd
City	St Augustine
State	FL
ZIP	32086
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 31, 2005

Payer Source	Total Paid
Medicaid	$13.4M
Medicare	$0

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

195 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.	16,270	$140	$2.2M
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.	17,540	$90	$1.6M
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.	5,180	$260	$1.3M
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.	8,080	$110	$904.4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	19,840	$30	$634.8K
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.	2,390	$250	$592.7K
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.	1,730	$250	$439.9K
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.	3,120	$140	$430.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	2,770	$150	$412.3K
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.	1,890	$210	$397.7K

Showing 1–10 of 195

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

Flagler Hospital Inc — 0 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

195 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.	175	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.	151	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.	281	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.	63	320	1,970	$90	$463.1K
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.	56	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.	142	350	1,160	$80	$308.7K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	34	90	550	$110	$284.8K
G0378	Hospital observation service, per hour	125	200	4,230	$30	$225.4K
J1644	Injection, heparin sodium, per 1000 units	46	180	890	$70	$221.4K
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.	155	410	1,640	$40	$220.5K

Showing 1–10 of 195

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Cassidy	FL	Radiation Oncology Physician	$813.6K	$0
Waseet Vance	FL	Radiation Oncology Physician	$688.3K	$0
Claudia Scott	MI	Psychiatric/Mental Health Nurse Practitioner	$2.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metro Treatment Of Florida, LP	FL	Methadone Clinic	$274.2K	$2.1M
Old Moultrie Surgical Center Inc	FL	Ambulatory Surgical Clinic/Center	$1.9M	$0
St Augustine Endoscopy Center LLC	FL	Ambulatory Surgical Clinic/Center	$1.7M	$82.5K
Marc Warmuth	FL	Hematology & Oncology Physician	$1.6M	$0
Gaurav Trikha	FL	Hematology & Oncology Physician	$1.1M	$0
Joseph Cartwright	FL	Interventional Pain Medicine Physician	$1.1M	$0
Bashar Saikaly	FL	Cardiovascular Disease Physician	$1M	$0
James Freidenstein	FL	Pain Medicine (Anesthesiology) Physician	$765.5K	$0
Arthur Taliaferro	FL	Otolaryngology Physician	$755.7K	$0
Thomas Lebeau	FL	Foot & Ankle Surgery Podiatrist	$509.5K	$169.4K

Flagler Hospital Inc — Billing Profile & Reimbursement Data

Sign up for Flagler Hospital Inc — Billing Profile & Reimbursement Data policy alerts

Flagler Hospital Inc — Billing Profile & Reimbursement Data

Sign up for Flagler Hospital Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References