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.

Florida Ent Associates, Inc. (NPI 1184625733)

Florida Ent Associates, Inc. is a otolaryngology physician provider located in West Miami, Florida. This profile covers 0 Medicare and 36 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	Florida Ent Associates, Inc.
Address	1350 Sw 57th Ave Ste 210
City	West Miami
State	FL
ZIP	33144
Taxonomy	Otolaryngology Physician
NPI Enumerated	August 4, 2005

Payer Source	Total Paid
Medicaid	$10.5M
Medicare	$0

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

36 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…	40,550	$70	$3M
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…	20,820	$130	$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…	31,460	$60	$1.8M
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…	11,380	$100	$1.1M
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	5,450	$180	$1M
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	1,210	$190	$231.1K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	8,080	$20	$137.4K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	13,980	$10	$83.9K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	1,450	$50	$66.9K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	8,080	$10	$64.6K

Showing 1–10 of 36

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

Florida Ent Associates, Inc. — 11 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	55	60	100	$710	$379K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	63	80	230	$400	$331.4K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	26	100	310	$130	$216.9K
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…	148	5,930	460	$40	$169.3K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	1	50	270	$160	$141.9K
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…	51	6,380	430	$50	$139.3K
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…	100	150	150	$110	$107.6K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	75	160	140	$150	$97.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	951	1,500	470	$30	$87.2K
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…	6	1,850	90	$110	$71.5K

Showing 1–10 of 36

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Csi Catalano's Nurses Registry, Inc.	FL	Attendant Care Provider	$0	$26.1M
New Broward Community Center	FL	Case Management Agency	$0	$7.9M
Eccolab Group Co	FL	Clinical Medical Laboratory	$5.3M	$2.4M
Humanity Home Health Care, Inc	FL	Home Health Agency	$0	$7.3M
Annie Casta	FL	Family Medicine Physician	$4.2M	$0
Sandor Romero	FL	Internal Medicine Physician	$962.6K	$0
David Alduncin	FL	Family Nurse Practitioner	$783.7K	$0
Jose Garcia	FL	Internal Medicine Physician	$486.7K	$20.1K
Zurester Fleitas	FL	Family Nurse Practitioner	$364K	$0
Damaris Benitez	FL	Optometrist	$296.6K	$7.1K

Florida Ent Associates, Inc. — Billing Profile & Reimbursement Data

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Florida Ent Associates, 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Greene	FL	Otolaryngology Physician	$374.7K	$918.6K
Arthur Taliaferro	FL	Otolaryngology Physician	$755.7K	$0
Robert Miller	FL	Otology & Neurotology Physician	$599.3K	$0
Todd Kupferman	FL	Otolaryngology Physician	$564.1K	$0
Kathleen Baggett	FL	Otolaryngology Physician	$418.9K	$0
Anthony Tucker	FL	Otolaryngology Physician	$413.4K	$0
Nancy Liu	FL	Otolaryngology Physician	$403K	$0
Michael Bibliowicz	FL	Otolaryngology Physician	$376.5K	$0
Joseph Mirante	FL	Otolaryngology Physician	$367.2K	$0
Alex Yoon	FL	Otolaryngology Physician	$362.7K	$0