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 Hospital Medical Group Inc (NPI 1225034234)

Key Findings

Field	Value
Entity Type	Organization
Organization	Florida Hospital Medical Group Inc
Address	1115 E Ridgewood St
City	Orlando
State	FL
ZIP	32803
Taxonomy	Family Medicine Physician
NPI Enumerated	June 23, 2005

Payer Source	Total Paid
Medicaid	$71.2M
Medicare	$0

FLORIDA HOSPITAL MEDICAL GROUP INC is effectively a single-payer Medicaid-focused operation in the available data: there is no Medicare billing on file while total Medicaid revenue is $71.2M, indicating Medicaid accounts for the entirety of reported lifetime public-payor revenue. Analysts should treat this profile as Medicaid-dominant when modeling payer mix or contracting leverage.

Revenue concentration is high: the top 3 Medicaid codes by revenue account for 35.8% of the provider's total Medicaid revenue. This suggests a few service lines (notably high-volume E/M codes and newborn/infant critical care) drive a large share of receipts and should be the focus of utilization and value analyses.

The provider’s code mix shows heavy emphasis on ambulatory E/M and neonatal/infant care. High-revenue codes include 99214 ($11M, 17.7% of Medicaid revenue), 99469 ($6.9M, 11.1%), and 99213 ($4.3M, 7.0%), which together reflect a blend of high-volume established patient visits and substantial newborn/critical neonatal follow-up services, indicating operations spanning outpatient family medicine and perinatal/newborn inpatient care.

Several individual Medicaid codes place this provider as a statewide volume leader: 99214 ranks #6 of 6379 providers in FL (100th percentile, labeled an extreme outlier), 99213 ranks #21 of 5934 (100th percentile, extreme outlier), and 99238 ranks #1 of 496 (100th percentile, extreme outlier). These rankings characterize the group as a dominant, high-volume outpatient and hospital-discharge manager in Florida for multiple E/M services.

The provider also reports exceptional statewide volumes in neonatal and pediatric critical-care follow-up codes: 99469 (21K claims, $6.9M revenue) ranks #5 of 33 (88th percentile, typical), while 99472 (9.9K claims, $4M revenue) ranks #3 of 33 (94th percentile). Additionally, 99460 and 99479 are high-volume (98th and 89th percentiles respectively), so the clinical footprint includes substantial newborn initial and ongoing inpatient follow-up care.

Procedural services and imaging are material components of Medicaid revenue beyond E/M: 93306 (echocardiography) generated $3M (4.8% of Medicaid revenue) and ranks #4 of 681 providers (100th percentile, extreme outlier), and 93303 and 76811/76816 (specialized echo and fetal ultrasound codes) also appear on the top-25 list. This mix indicates integrated diagnostic imaging capacity alongside primary care and neonatal services.

Several top codes are labeled as extreme outliers in-state, including 99214, 99213, 93306, 99238, 99204, 99215, and 99222; these labels signal statistically exceptional volume relative to peers rather than clinical judgment. For payers and auditors this pattern suggests concentrated utilization that merits focused benchmarking and cost-per-episode review for the listed services.

The provider has long tenure in the NPI registry, enumerated approximately 2005-06-23 (~21 years ago). This longevity, together with repeated high statewide rankings across diverse codes, supports the conclusion that the organization is an established, high-capacity regional provider of outpatient E/M, neonatal, and diagnostic imaging services in Florida.

Medicaid: Complete Services Breakdown

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

264 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…	171,760	$60	$11M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	21,020	$330	$6.9M
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…	96,240	$50	$4.3M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	9,910	$410	$4M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	22,560	$130	$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…	18,820	$150	$2.9M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	25,790	$110	$2.8M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20,960	$120	$2.5M
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	47,500	$50	$2.4M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	23,000	$100	$2.4M

Showing 1–10 of 264

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 Hospital Medical Group Inc — 19 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

264 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	5	30	2,120	$320	$2.3M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	3	30	2,220	$350	$1.3M
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.	527	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.	588	740	2,180	$70	$1.1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	6	50	570	$100	$1.1M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	8	40	830	$100	$785.9K
17106	Cutaneous vascular destruction is generally performed with a laser (e.g. Argon, pulsed dye, and YAG). This is a bloodless surgery due to the fact that there is no incision made in the skin. This code…	1	10	270	$440	$697.8K
17107	Cutaneous vascular destruction is generally performed with a laser (e.g. Argon, pulsed dye, and YAG). This is a bloodless surgery due to the fact that there is no incision made in the skin. This…	1	10	1,150	$510	$585.4K
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.	213	320	1,970	$90	$463.1K
17108	Cutaneous vascular destruction is generally performed with a laser (e.g. Argon, pulsed dye, and YAG). This is a bloodless surgery due to the fact that there is no incision made in the skin. This…	1	10	450	$780	$350.2K

Showing 1–10 of 264

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adventist Health System-sunbelt, Inc	FL	General Acute Care Hospital	$0	$173.7M
Adventist Health System Sunbelt, Inc.	FL	Urgent Care Clinic/Center	$0	$67.5M
Florida Woman Care, LLC	FL	Obstetrics & Gynecology Physician	$0	$30.9M
Adventist Health System-sunbelt, Inc	FL	Clinical Medical Laboratory	$0	$28.2M
Madison Haywood County Developmental Services, Inc	TN	Developmentally Disabled Services Day Training Agency	$0	$23M
Florida Hospital Physician Group Inc	FL	Family Medicine Physician	$0	$21.4M
Memorial Health Systems Inc	FL	Rehabilitation Hospital Unit	$0	$17.6M
Memorial Hospital Flagler Inc	FL	General Acute Care Hospital	$0	$13.9M
Florida Hospital Medical Group Inc	FL	Diagnostic Radiology Physician	$0	$13.1M
Sedigheh Ebadi	FL	Pediatrics Physician	$0	$10.1M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florida Emergency Physicians Kang And Associates Md LLC	FL	Emergency Medical Services (Emergency Medicine) Physician	$0	$58.5M
Vaxcare LLC	FL	Family Medicine Physician	$45.5M	$780
Florida Dental Team, LLC	FL	Pediatric Dentistry	$0	$28.1M
Orlando Childrens Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$0	$21.7M
Central Florida Pathology Associates PA	FL	Anatomic Pathology & Clinical Pathology Physician	$0	$11.1M
Life Concepts Inc	FL	Developmentally Disabled Services Day Training Agency	$0	$9.2M
Pradip Jamnadas	FL	Interventional Cardiology Physician	$1.8M	$610
Matthew Biagioli	FL	Radiation Oncology Physician	$1.2M	$0
Orlando Mills Fl Endoscopy Asc LLC	FL	Ambulatory Surgical Clinic/Center	$1.1M	$0
Bruce Stein	FL	Interventional Cardiology Physician	$1M	$0

Florida Hospital Medical Group 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