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.

Sacred Heart Health System, Inc. (NPI 1144271586)

Field	Value
Entity Type	Organization
Organization	Sacred Heart Health System, Inc.
Address	5225 Carmel Heights Dr
City	Pensacola
State	FL
ZIP	32504
Taxonomy	Family Medicine Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$12.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

177 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	71,910	$30	$2M
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…	52,320	$40	$1.8M
H1000	Prenatal care, at-risk assessment	37,940	$40	$1.4M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	11,390	$60	$706.1K
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…	9,340	$70	$663.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	12,780	$40	$549.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,050	$60	$483K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	6,100	$70	$432.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	9,350	$40	$411.4K
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…	4,560	$90	$405.7K

Showing 1–10 of 177

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

Sacred Heart Health System, Inc. — 13 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

177 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	10	30	310	$720	$616.3K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	47	60	100	$710	$379K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	12	40	120	$610	$357.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	26	80	230	$400	$331.4K
H1000	Prenatal care, at-risk assessment	12	610	1,580	$60	$329.2K
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	22	40	260	$580	$315.8K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	16	90	320	$180	$307.9K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	107	120	80	$890	$277.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	13	80	150	$440	$271.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	57	1,130	780	$90	$210.4K

Showing 1–10 of 177

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sacred Heart Health System, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Sacred Heart Health System, Inc.	FL	General Acute Care Hospital	$0	$38.5M
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Aspirus Stevens Point Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$15.6M
Aspirus Riverview Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.9M
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.2M
Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis	WI	General Acute Care Hospital	$0	$5.7M
Aspirus Stanley Hospital & Clinics, Inc.	WI	Critical Access Hospital	$0	$4.8M
Andrew Weber	FL	Hematology (Internal Medicine) Physician	$4.5M	$0
Deepak Sambhara	WI	Ophthalmology Physician	$4.3M	$0

Nearby Providers

Other providers in the same ZIP code as Sacred Heart Health System, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pensacola Pediatrics PA	FL	Pediatrics Physician	$0	$20.4M
Pediatric Services Of America, LLC	FL	Nursing Care Agency	$0	$14.8M
Renal Care Group Of The Southeast, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14.1M
Augustine Emergency Physicians LLC	FL	Emergency Medicine Physician	$0	$9.6M
Pet LLC	FL	Nuclear Radiology Physician	$2.4M	$118.6K
Christopher Lecroy	FL	Vascular Surgery Physician	$1.1M	$0
Clark Pollitt	FL	Diagnostic Radiology Physician	$1.1M	$0
Aref Rifai	FL	Retina Specialist (Ophthalmology) Physician	$1M	$0
Robert Nusbaum	FL	Diagnostic Radiology Physician	$946.9K	$0
Fresenius Vascular Care Of Pensacola Asc LLC	FL	Ambulatory Surgical Clinic/Center	$793.4K	$141K

Sacred Heart Health System, Inc. — Billing Profile & Reimbursement Data

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Sacred Heart Health System, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References