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.

Children's Orthopaedic & Scoliosis Surgery Associates, LLP (NPI 1184609851)

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Children's Orthopaedic & Scoliosis Surgery Associates, LLP
Address	625 6th Ave S Ste 450
City	St Petersburg
State	FL
ZIP	33701
Taxonomy	Pediatric Orthopaedic Surgery Physician
NPI Enumerated	December 14, 2005

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	24,910	$110	$2.8M
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…	14,340	$100	$1.5M
99203	The provider sees a new 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 provider…	5,350	$170	$924.7K
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…	3,620	$220	$798.9K
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…	2,240	$150	$327.3K
73090	In this procedure, the provider takes two X–ray views of a patient’s forearm to check for any fracture, swelling, or reason of pain in the forearm area.	5,280	$30	$179.6K
Q4050	Cast supplies, for unlisted types and materials of casts	6,400	$30	$166.3K
72082	In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the…	2,820	$60	$158K
25600	The provider treats a fracture of the wrist end of the radius, one of the bones in the forearm, in which the fracture fragment displaces upward or downward, in a closed procedure. The growth plate at…	140	$780	$111.2K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	710	$120	$86.4K

Showing 1–10 of 32

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

Children's Orthopaedic & Scoliosis Surgery Associates, LLP — 6 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	358	5,930	460	$40	$169.3K
Q4050	Cast supplies, for unlisted types and materials of casts	1	10	6,400	$30	$165.9K
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…	1,301	6,380	430	$50	$139.3K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	6	10	40	$110	$125.4K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	50	220	150	$160	$117.4K
25600	The provider treats a fracture of the wrist end of the radius, one of the bones in the forearm, in which the fracture fragment displaces upward or downward, in a closed procedure. The growth plate at…	3	10	120	$400	$113.2K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	1	150	150	$110	$107.6K
72082	In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the…	7	40	440	$50	$80.6K
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…	69	1,850	90	$110	$71.5K
99203	The provider sees a new 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 provider…	52	1,670	90	$80	$69.2K

Showing 1–10 of 32

Other providers that share a Tax Identification Number (TIN) with Children's Orthopaedic & Scoliosis Surgery Associates, LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Johns Hopkins All Children's Hospital, Inc	FL	Children's Hospital	$0	$152.9M
Pediatric Physician Services, Inc.	FL	Pediatrics Physician	$0	$43.4M
West Coast Neonatology, Inc.	FL	Neonatal-Perinatal Medicine Physician	$0	$18.8M
Access Home Health Care Inc	FL	Home Health Agency	$0	$15.1M
Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A	FL	Pediatric Gastroenterology Physician	$0	$14.9M
Rai Care Centers Of St. Petersburg, LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.3M
Pediatric Otolaryngology Head And Neck Surgeyr Assoc. PA	FL	Specialist	$0	$11.2M
Ohi West, Inc	FL	Rehabilitation Hospital Unit	$0	$10.3M
St Petersburg Kidney Care LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.9M
Fresenius Kidney Care American Dialysis, LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.5M

Children's Orthopaedic & Scoliosis Surgery Associates, LLP — 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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