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NPI 1144276452 · Jacksonville, FL · Internal Medicine Physician
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University Of Florida Jacksonville Physicians, Inc. is a internal medicine physician provider located in Jacksonville, Florida. This profile covers 0 Medicare and 430 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | University Of Florida Jacksonville Physicians, Inc. |
| Address | 653 W 8th St |
| City | Jacksonville |
| State | FL |
| ZIP | 32209 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | May 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $41.4M |
| Medicare | $0 |
This provider has no Medicare billing on file (Total Medicare revenue: none) and reports $41.4M in lifetime Medicaid revenue, making its visible billing footprint effectively single‑payer and heavily Medicaid‑centric. The absence of Medicare claims alongside sizable Medicaid receipts suggests the organization’s financial exposure and payer negotiation activity will be driven almost entirely by Medicaid rates and policies.
Revenue is highly concentrated in a small set of outpatient E/M codes: the precomputed top three Medicaid codes by revenue account for 43.4% of the provider's total Medicaid revenue, with 99214 contributing $8.4M (24.5%), 99213 contributing $3.5M (10.1%), and 99284 contributing $3M (8.8%). This concentration indicates that a few high-volume visit types drive a large share of Medicaid income and are strategic levers for revenue management.
The mix of top codes points to an integrated clinical operation that spans ambulatory primary care, emergency care, obstetrics, neonatal critical care, and diagnostic imaging. High volumes of 99214/99213/99215 and preventive codes (99391/99392/99393) indicate a large outpatient and primary care workload, while 99284/99283/99285 reflect substantial ED activity; significant H1000, 59410, and fetal ultrasound codes (76816/76818) and neonatal codes (99479/99480/99472/99469) show a major maternity and NICU service line. This combination is consistent with a hospital‑based or academic clinical enterprise providing both community outpatient visits and complex perinatal/inpatient care.
The provider is a dominant statewide player for core outpatient E/M volumes: 99214 ranks #5 of 6379 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), 99213 ranks #14 of 5934 (100th percentile; extreme outlier), and 99215 ranks #15 of 979 (99th percentile; extreme outlier). Those rankings indicate the organization is an outlier in Florida for established‑patient office visit volume and likely captures a disproportionate share of Medicaid ambulatory visits in its market.
Obstetrics and prenatal services are also a major competitive strength: 59410 (delivery) ranks #4 of 122 in-state (98th percentile; extreme outlier) and H1000 (prenatal care) ranks #9 of 612 (99th percentile; notably above typical state volume), while fetal biophysical profile 76818 ranks #3 of 103 (98th percentile; extreme outlier). These placements show the provider is among the top in-state performers for maternity services billed to Medicaid and likely operates a high-volume labor/delivery and prenatal program.
Emergency department volumes are substantial but more typical relative to statewide peers: 99284 ranks #66 of 739 (91th percentile; typical, unremarkable), 99283 ranks #60 of 701 (92th percentile; typical, unremarkable), and 99285 ranks #141 of 658 (79th percentile; typical, unremarkable). In contrast, neonatal critical care codes show presence but not dominance—99479 and 99480 sit in the mid-to-upper percentiles (75th and 73th respectively) and other NICU codes range lower—indicating meaningful NICU activity without overwhelming statewide market share.
High procedural throughput supports clinical volume: 93010 (ECG) shows 68K claims generating $407.9K (rank #9 of 636; 99th percentile; extreme outlier, far above typical state volume for this code) and 93306 (echo) generates $368.3K (rank #31 of 681; 96th percentile; notably above typical). These diagnostic code outlier rankings reinforce that the provider processes large numbers of routine cardiac and imaging studies across outpatient, ED, and inpatient settings, contributing materially to Medicaid revenue beyond E/M visits.
The provider’s NPI was enumerated on 2006-05-26 (~20 years ago), indicating long tenure in the market; combined with $41.4M in Medicaid revenue and multiple extreme outlier rankings across outpatient E/M, obstetrics, and diagnostic imaging, the profile is consistent with a large, established clinical enterprise that is highly concentrated on Medicaid populations and commands outsized share for several high‑volume services.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
430 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… | 187,480 | $50 | $8.4M |
| 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… | 112,570 | $30 | $3.5M |
| 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. | 39,330 | $80 | $3M |
| H1000 | Prenatal care, at-risk assessment | 47,720 | $60 | $2.7M |
| 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. | 47,190 | $50 | $2.4M |
| 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… | 2,060 | $1,110 | $2.3M |
| 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… | 16,480 | $90 | $1.5M |
| 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. | 11,700 | $110 | $1.3M |
| 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… | 12,740 | $90 | $1.2M |
| 99479 | The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams. | 10,230 | $100 | $1.1M |
Showing 1–10 of 430
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
430 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. | 21 | 30 | 2,120 | $320 | $2.3M |
| T1017 | Targeted case management, each 15 minutes | 237 | 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. | 16 | 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. | 60 | 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. | 66 | 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. | 12 | 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. | 12 | 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. | 141 | 660 | 1,900 | $70 | $743.6K |
| H2019 | Therapeutic behavioral services, per 15 minutes | 1,062 | 1,880 | 1,010 | $70 | $544.5K |
| 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. | 78 | 320 | 1,970 | $90 | $463.1K |
Showing 1–10 of 430
Other providers in the same ZIP code as University Of Florida Jacksonville Physicians, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Shands Jacksonville Medical Center Inc | FL | General Acute Care Hospital | $0 | $75.1M |
| Carlene Gentles | FL | Diagnostic Radiology Physician | $1.3M | $0 |
| Lindsay Chandler | FL | Foot & Ankle Surgery Podiatrist | $344.4K | $0 |
| Aditya Saini | FL | Clinical Cardiac Electrophysiology Physician | $332.5K | $0 |
| Amanda Kent | FL | Diagnostic Radiology Physician | $203K | $0 |
| Ambar Patel | FL | Cardiovascular Disease Physician | $174.8K | $0 |
| Dalys Haymes | FL | Diagnostic Radiology Physician | $166.1K | $0 |
| Martin Zenni | FL | Interventional Cardiology Physician | $117.2K | $0 |
| Robert Kim | FL | Clinical Cardiac Electrophysiology Physician | $114.1K | $0 |
| Ira Harmon | FL | Specialist | $98.8K | $0 |
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