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.

Orlando Health, Inc. (NPI 1184709057)

Field	Value
Entity Type	Organization
Organization	Orlando Health, Inc.
Address	1414 Kuhl Ave
City	Orlando
State	FL
ZIP	32806
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 26, 2006

Payer Source	Total Paid
Medicaid	$105.5M
Medicare	$0

Key Findings

ORLANDO HEALTH, INC. shows an almost exclusively Medicaid billing profile: total Medicare revenue is listed as none while total Medicaid revenue is $105.5M, indicating the provider operates, for the available file, as effectively single-payer Medicaid with no Medicare billing on record. This concentration implies payers and network analysts should treat Medicaid payment rules and utilization patterns as the primary drivers of revenue and contractual leverage for this entity.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 55.2% of the provider’s total Medicaid revenue. That degree of concentration means a small set of service lines — led by emergency department E/M levels and a specific audiology code — disproportionately determines fiscal performance and unit-cost sensitivity for the organization.

Emergency department E/M services dominate the Medicaid footprint. Codes 99283 ($21.6M, 27.2%), 99284 ($17.3M, 21.8%), and 99285 ($4.6M, 5.8%) together represent a substantial share of revenue and reflect a high-volume ED operation treating low-, moderate-, and high-acuity presentations. The heavy weighting toward 99283 and 99284 suggests large-scale ED throughput focused on moderate/low complexity visits that drive the majority of Medicaid dollars.

On several high-volume codes ORLANDO HEALTH is a statewide outlier or leader. For example, 99283 ranks #4 of 701 providers in-state at the 100th percentile (extreme outlier), 99284 ranks #9 of 739 providers at the 99th percentile (extreme outlier), and 99282 ranks #4 of 315 providers at the 99th percentile (extreme outlier). Those ranks indicate the provider is a dominant Medicaid ED provider in Florida relative to peers for these E/M levels.

Beyond emergency care, the code mix shows substantial ancillary and inpatient-support services: high volumes of 150+K claims for lab and phlebotomy codes (80053 and 36415) and large counts for infusion/IV hydration codes (96361, 96365, 96360) and imaging (74177, 74176, 70450). This mix is consistent with a full-service general acute care hospital providing high-throughput ED, lab, imaging, infusion, and physical/occupational therapy (97530, 97110) services to Medicaid patients.

Several services are statistical outliers in-state and point to specialized operational capacity: A0434 (Specialty care transport) ranks #1 of 23 providers (100th percentile, extreme outlier), 59025 (fetal heart rate monitoring) ranks #2 of 252 (100th percentile, extreme outlier), and 96361 (IV fluids hourly) ranks #2 of 212 providers (100th percentile, extreme outlier). These standings suggest the hospital operates sizable obstetrics, transport, and high-volume IV/ED therapy programs relative to Florida peers.

The provider also reports high-volume outpatient rehab and audiology activity: 97530 (therapeutic activity) is in the 99th percentile and 92507 (hearing/communication assessment) is in the 97th percentile statewide. These placements imply substantial therapy and communication services embedded in the facility’s care mix and contribute meaningfully to Medicaid revenue.

Tenure is long-standing: the NPI was enumerated on 2006-10-26 (~20 years ago). That longevity, combined with the large Medicaid revenue base and dominant in-state rankings on core ED and ancillary codes, indicates an established acute-care provider with entrenched volume patterns in Florida Medicaid networks.

Medicaid: Complete Services Breakdown

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

658 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.	222,940	$100	$21.6M
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.	180,020	$100	$17.3M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	42,610	$120	$4.9M
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.	48,670	$90	$4.6M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	69,200	$60	$4M
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.	45,090	$90	$3.9M
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.	150,240	$20	$3.3M
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.	35,200	$60	$2.2M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	157,170	$10	$1.7M
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.	11,590	$140	$1.6M

Showing 1–10 of 658

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

Orlando Health, Inc. — 17 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

658 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81479	Use 81479 to report a molecular pathology procedure that does not have a specific code.	13	10	80	$50	$2.4M
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	178	180	15,540	$120	$2.1M
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.	4	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.	9	740	2,180	$70	$1.1M
J9271	Injection, pembrolizumab, 1 mg	7	10	630	$1,300	$977.3K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	6	10	710	$850	$915.3K
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.	20	660	1,900	$70	$743.6K
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	6	10	1,510	$190	$692.6K
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	4	10	500	$950	$650.8K
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.	17	30	310	$720	$616.3K

Showing 1–10 of 658

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orlando Health Medical Group Inc	FL	Internal Medicine Physician	$0	$57.6M
South Lake Hospital, Inc.	FL	General Acute Care Hospital	$0	$16.9M
Orlando Health Central, Inc.	FL	General Acute Care Hospital	$0	$12.5M
Orlando Physicians Network Inc	FL	Internal Medicine Physician	$0	$9.4M
Yuanbin Chen	FL	Medical Oncology Physician	$2.7M	$0
Amarilis Torres	FL	Rheumatology Physician	$1.7M	$0
Ernesto Rodriguez	FL	Rheumatology Physician	$1.6M	$0
David Lew	FL	Cardiovascular Disease Physician	$1.6M	$0
Orlando Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$1.5M	$0
Julio Gonzalez-paoli	FL	Rheumatology Physician	$1.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Of Central Florida LLP	FL	Emergency Medicine Physician	$0	$50M
Nemours Children's Health, Downtown Orlando, Specialty Care	FL	Multi-Specialty Clinic/Center	$0	$44.4M
Dva Renal Healthcare Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14.5M
Elia Mavrofrides	FL	Ophthalmology Physician	$6.2M	$240
Samuel Houston	FL	Ophthalmology Physician	$4.2M	$39.3K
Matthew Cunningham	FL	Ophthalmology Physician	$4M	$1.8K
Eric Feinstein	FL	Ophthalmology Physician	$3.4M	$1.5K
Jaya Kumar	FL	Ophthalmology Physician	$3.4M	$3K
John Randolph	FL	Ophthalmology Physician	$3M	$0
Gokul Kumar	FL	Ophthalmology Physician	$3M	$0

Orlando Health, Inc. — Billing Profile & Reimbursement Data

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Orlando Health, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References