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.

Martin Memorial Medical Center Inc (NPI 1194790055)

Martin Memorial Medical Center Inc is a general acute care hospital provider located in Stuart, Florida. This profile covers 0 Medicare and 319 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	Martin Memorial Medical Center Inc
Address	200 Se Hospital Ave
City	Stuart
State	FL
ZIP	34994
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 22, 2006

Payer Source	Total Paid
Medicaid	$26M
Medicare	$0

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

319 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	48,750	$90	$4.5M
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.	36,180	$70	$2.5M
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.	26,410	$90	$2.3M
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…	26,710	$80	$2.1M
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.	30,420	$70	$2.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	25,380	$70	$1.9M
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.	6,300	$140	$856.9K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	7,610	$110	$798.7K
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.	15,420	$50	$724.7K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,790	$140	$381.5K

Showing 1–10 of 319

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

Martin Memorial Medical Center Inc — 4 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

319 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	85	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.	45	740	2,180	$70	$1.1M
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.	43	660	1,900	$70	$743.6K
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.	101	320	1,970	$90	$463.1K
A6258	Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	2	10	110	$140	$452.4K
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…	116	2,250	1,250	$50	$324.4K
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.	13	210	2,890	$70	$321.6K
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.	154	2,310	1,910	$40	$315.4K
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.	41	350	1,160	$80	$308.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	54	130	1,860	$30	$301.8K

Showing 1–10 of 319

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indian River Memorial Hospital Inc	FL	General Acute Care Hospital	$0	$9.3M
Southwestern Vermont Medical Center Inc.	VT	Internal Medicine Physician	$0	$2.9M
Coastal Care Corporation	FL	Radiology Clinic/Center	$2.7M	$800
Refat Baridi	IL	Hematology & Oncology Physician	$1.7M	$27.6K
Caroline Kedem	FL	Diagnostic Radiology Physician	$1.4M	$0
Prasad Chalasani	FL	Cardiovascular Disease Physician	$1.4M	$0
Felipe Martinez	AZ	Nuclear Medicine Physician	$1.3M	$0
Amy Eversole	FL	Cardiovascular Disease Physician	$1.3M	$0
Joseph Mcclure	FL	Medical Oncology Physician	$1.2M	$0
Roberto Pancorbo	FL	Rheumatology Physician	$1.1M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Superior Care Home Health Agency LLC	FL	Home Health Agency	$0	$35.5M
Martin County Florida Board Of Commissioners	FL	Ambulance	$2.6M	$1.6M
Alpana Desai	FL	Medical Oncology Physician	$3.6M	$0
Walid Mangal	FL	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Treasure Coast Asc, LLC	FL	Ambulatory Surgical Clinic/Center	$1.9M	$0
Ravi Patel	FL	Hematology & Oncology Physician	$1.6M	$0
Prashant Patel	FL	Hematology & Oncology Physician	$1.6M	$0
Elke Friedman	FL	Medical Oncology Physician	$1.3M	$0
Thomas Suits	FL	Specialist	$1.3M	$0
Christine Simone	FL	Hematology & Oncology Physician	$1.2M	$0

Martin Memorial Medical Center 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

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