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    OpenPayerNPI Medicare & MedicaidFlorida Health Sciences Center Inc
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    Florida Health Sciences Center Inc — Billing Profile & Reimbursement Data

    NPI 1235196510 · Tampa, FL · General Acute Care Hospital

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    Florida Health Sciences Center Inc is a general acute care hospital provider located in Tampa, Florida. This profile covers 0 Medicare and 586 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFlorida Health Sciences Center Inc
    Address1 Tampa General Circle
    CityTampa
    StateFL
    ZIP33606
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedApril 28, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$53.1M
    Medicare$0

    Key Findings

    FLORIDA HEALTH SCIENCES CENTER INC shows a Medicaid-focused revenue profile with $53.1M in reported Medicaid revenue and no Medicare billing on file; operationally this indicates the provider functions essentially as a single-payer (Medicaid) facility in the available dataset rather than a mixed Medicare/Medicaid hospital cohort. The NPI was enumerated on 2006-04-28 (~20 years ago), indicating long-tenured participation in public programs which supports an established delivery footprint in Tampa, FL.

    Revenue concentration in Medicaid is relatively focused: the precomputed top three Medicaid codes by revenue account for 35.7% of total Medicaid revenue, signaling that a minority of services drive a large share of payments. This concentration suggests the provider relies materially on a core set of high-volume or higher-paid clinical services rather than an entirely diffuse outpatient mix.

    The highest single Medicaid revenue code is 99213 (office/outpatient established patient E/M), with $5.7M (16.1% of Medicaid revenue) from 75K claims and a state rank of #36/5934 (99th percentile). This positions the provider as a major in-state volume leader for routine outpatient evaluation and management, indicating a significant ambulatory visit base alongside its hospital services.

    Emergency care and ED-level E/M are prominent business lines: 99283 ($4.2M, 11.8%) and 99285 ($2.7M, 7.8%) together represent substantial Medicaid revenue and appear among the top revenue drivers. Several ED codes (99282–99285) rank in the 89th–94th percentiles in-state, which aligns with a high-volume emergency department operation treating a broad acuity mix from straightforward to high complexity visits.

    Several codes are statistical outliers or notably above typical state volume, highlighting service specialties: A0431 (rotary-wing air ambulance) ranks #1/16 (100th percentile) with $1.4M (4.0%), 99212 ranks #4/1650 (100th percentile) with $2.1M (5.9%), and 96376 ranks #2/172 (99th percentile) with $553.5K (1.6%). These extreme or near-extreme rankings imply the provider is a leading in-state source for specific services such as air transport, low-complexity established patient visits, and certain infusion/medication administration procedures.

    Imaging, labs, and procedural support services make material contributions: 74177 CT abdomen/pelvis with contrast ($1.1M, 3.1%), 80053 comprehensive metabolic panel ($1.3M, 3.7%), Q9967 contrast material ($2M, 5.5%), and U0003 SARS-CoV-2 testing ($669K, 1.9%) are all in the top revenue list and generally rank above typical state volumes. This mix supports an integrated hospital platform with on-site diagnostic, imaging, and laboratory capacity that underpins both ED and ambulatory care throughput.

    Outpatient ancillary and therapy services are notable but more typical in-state: physical and occupational therapy CPTs (97110, 97530) and ultrasound/obstetric codes (76811, 76816, 59025) appear in the top codes and mostly fall in the 87th–96th percentiles. These placements indicate meaningful but not dominant volume in rehabilitative and obstetric imaging services, consistent with a general acute care hospital offering a broad service set.

    Given the absence of Medicare billing, competitive standing should be interpreted strictly within Florida Medicaid: multiple codes sit at very high percentiles (including several 98th–100th percentile placements), which collectively indicate the provider is a major Medicaid participant in Tampa for both routine outpatient E/M and a range of high-volume hospital services. Analysts should treat this entity as a Medicaid-centric hospital with strong in-state market presence for ED, ambulatory E/M, imaging, and selected high-intensity services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    586 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…75,020$80$5.7M
    99283The 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.50,060$80$4.2M
    99285The 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.31,520$90$2.7M
    99284The 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.46,000$50$2.4M
    99214The 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…33,610$70$2.3M
    99212The 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,…28,530$70$2.1M
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml16,010$120$2M
    A0431Ambulance service, conventional air services, transport, one way (rotary wing)2,300$620$1.4M
    80053The 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.117,670$10$1.3M
    74177The 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.8,260$130$1.1M

    Showing 1–10 of 586

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    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

    586 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99283The 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.527002,400$80$1.2M
    99284The 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.507402,180$70$1.1M
    J9271Injection, pembrolizumab, 1 mg1110630$1,300$977.3K
    99285The 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.406601,900$70$743.6K
    77386Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex8101,510$190$692.6K
    A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each2130750$90$563.1K
    H2019Therapeutic behavioral services, per 15 minutes1,7141,8801,010$70$544.5K
    99282The 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.363201,970$90$463.1K
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.940400$460$395.7K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.5360100$710$379K

    Showing 1–10 of 586

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Surgery Center At Tgh Brandon Healthplex LLCFLAmbulatory Surgical Clinic/Center$2M$0
    Edward ScheckowitzFLUrology Physician$522.2K$0
    Emanuel GottengerFLUrology Physician$445.2K$0
    Sean CollinsDCRadiation Oncology Physician$444.1K$0
    Lawrence YoreFLUrology Physician$443.8K$0
    Murray GoldbergFLUrology Physician$421.7K$0
    David MeinbachFLUrology Physician$390.2K$0
    Mohamed KhattabMNRadiation Oncology Physician$358.1K$0
    Aman ShahFLCardiovascular Disease Physician$314.2K$0
    Daniel CarusoFLUrology Physician$301.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coram Healthcare Corporation Of FloridaFLHome Infusion Agency$0$23.8M
    Mori Bean And Brooks IncFLDiagnostic Radiology Physician$0$10.5M
    Nora VeraFLDermatology Physician$849.9K$0
    Advanced Surgery Center Of Tampa, LLCFLAmbulatory Surgical Clinic/Center$647.8K$0
    Raviender BukkapatnamFLUrology Physician$423.7K$0
    Hadi BazziFLDiagnostic Radiology Physician$381.4K$0
    Amy RossFLMOHS-Micrographic Surgery Physician$292.6K$0
    Erfan AlbakriFLNeurology Physician$290.1K$0
    Timothy WeberFLUrology Physician$233.7K$0
    Mohit SirohiFLUrology Physician$232.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Florida Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Florida Health Sciences Center Inc — 16 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida