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NPI 1225033020 · Miami, FL · General Acute Care Hospital
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Public Health Trust Of Miami Dade County Florida is a general acute care hospital provider located in Miami, Florida. This profile covers 0 Medicare and 641 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 | Public Health Trust Of Miami Dade County Florida |
| Address | 1611 Nw 12th Street |
| City | Miami |
| State | FL |
| ZIP | 33136 |
| Taxonomy | General Acute Care Hospital |
| NPI Enumerated | June 17, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $79M |
| Medicare | $0 |
Payer mix is effectively single‑payer Medicaid: the provider has no Medicare billing on file and reports $79M in lifetime Medicaid revenue, making Medicaid the sole observed public payer exposure in this dataset. This concentration means analyses of utilization and revenue risk should focus on Medicaid program changes rather than Medicare policy shifts.
Medicaid revenue is highly concentrated in evaluation-and-management and ED services: the dataset notes the top three Medicaid codes account for 40.6% of total Medicaid revenue. Those top three codes are 99211 ($8.9M revenue, 17.3% of Medicaid revenue), 99283 ($6.8M, 13.3%), and 99284 ($5.1M, 10.0%), indicating a small set of codes drives a large share of payments.
The code mix points to a hospital operating with very high emergency department and outpatient E/M volume: major contributors include 99283, 99284, 99285 and observation code G0378 (40.6K claims, $2.2M revenue). This pattern aligns with a General Acute Care Hospital that delivers high ED throughput, uses observation status frequently, and bills substantial outpatient clinic visits (G0463: 56.7K claims, $680.3K revenue).
Ancillary and specialty services are meaningful revenue contributors, supporting a broad acute-care service line. High-volume lab panels (80053: 183.2K claims, $4.9M revenue; 80048 and 85025 also large claim counts) indicate an on-site lab processing capability, while imaging and procedural codes (93303/93306 echocardiography, 74177 CT abdomen/pelvis) and oncology-related codes (77386 IMRT, 96413 chemotherapy) signal available diagnostic, cardiac imaging, and cancer treatment capacity.
The provider holds dominant in-state positions for several outpatient E/M codes: 99211 ranks #1 of 591 providers in-state (100th percentile; extreme outlier) and 99212 ranks #2 of 1650 providers (100th percentile; extreme outlier). These rankings indicate the provider is a major statewide outlier for low-acuity established-patient visits billed to Medicaid, suggesting either large-volume clinic operations or substantial ancillary staff–delivered visit activity.
Specific infusion and dehydration treatment services are also outliers in the state dataset, reflecting high acute-care utilization. For example, 96360 (IV hydration 31 minutes–1 hour) reports 11.2K claims, $947.8K revenue and ranks #3 of 199 providers (99th percentile; extreme outlier), while G0378 observation service ranks #6 of 196 (97th percentile; notably above typical state volume).
Operationally, the combination of very high counts of low-acuity outpatient codes (99211, 99212) with substantial volume across the ED acuity spectrum (99282–99285) implies simultaneous pressure on front-line triage, rapid diagnostics, and observation throughput. That mix typically drives demand for lab, imaging, infusion chairs, and short-term observation bed capacity rather than solely inpatient resources.
The provider has long tenure in the NPI registry (enumerated 2005-06-17, ~21 years ago), which together with its high Medicaid volumes and frequent top-state rankings suggests an established regional role in delivering outpatient, emergency, and ancillary services to the Medicaid population. Analysts should treat this entity as an entrenched Medicaid-focused hospital-level provider when modeling competitive dynamics or capacity investments.
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.
641 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 103,560 | $90 | $8.9M |
| 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. | 78,640 | $90 | $6.8M |
| 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. | 64,040 | $80 | $5.1M |
| 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. | 183,150 | $30 | $4.9M |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 39,540 | $80 | $3.3M |
| 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… | 32,850 | $80 | $2.6M |
| 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. | 33,880 | $80 | $2.5M |
| G0378 | Hospital observation service, per hour | 40,600 | $50 | $2.2M |
| 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. | 21,850 | $80 | $1.6M |
| 93303 | The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization… | 3,950 | $330 | $1.3M |
Showing 1–10 of 641
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
641 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 81420 | The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,… | 5 | 10 | 8,980 | $280 | $4.2M |
| 81220 | The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR… | 5 | 20 | 130 | $210 | $1.5M |
| 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. | 31 | 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. | 28 | 740 | 2,180 | $70 | $1.1M |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 10 | 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. | 34 | 660 | 1,900 | $70 | $743.6K |
| 77386 | Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex | 5 | 10 | 1,510 | $190 | $692.6K |
| 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. | 18 | 320 | 1,970 | $90 | $463.1K |
| 83789 | The lab analyst performs the technical lab test to evaluate the specimen for the presence or amount of a nondrug analyte by using mass spectrometry and tandem mass spectrometry. | 6 | 10 | 30 | $1 | $449.4K |
| D2930 | N/A | 71 | 220 | 310 | $150 | $421.5K |
Showing 1–10 of 641
Other providers in the same ZIP code as Public Health Trust Of Miami Dade County Florida, ranked by combined Medicare and Medicaid revenue.
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