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.

Morton Plant Hospital Association, Inc. (NPI 1235371378)

Morton Plant Hospital Association, Inc. is a psychiatric hospital unit provider located in Clearwater, Florida. This profile covers 0 Medicare and 309 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	Morton Plant Hospital Association, Inc.
Address	300 Pinellas St
City	Clearwater
State	FL
ZIP	33756
Taxonomy	Psychiatric Hospital Unit
NPI Enumerated	April 6, 2009

Payer Source	Total Paid
Medicaid	$15.8M
Medicare	$0

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

309 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.	33,380	$80	$2.7M
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.	39,220	$60	$2.3M
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.	50,980	$20	$866.6K
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.	18,630	$50	$857.2K
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.	10,180	$60	$621.2K
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.	5,210	$110	$589K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	80,720	$10	$484.3K
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.	5,360	$80	$418.3K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	11,010	$40	$396.3K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	8,740	$40	$375.8K

Showing 1–10 of 309

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

Morton Plant Hospital Association, Inc. — 2 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

309 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.	93	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.	67	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.	87	660	1,900	$70	$743.6K
59899	Use 59899 to report procedures in maternity care and delivery, other than those that employ laparoscopy, that do not have a specific code.	5	10	3,110	$130	$469.5K
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.	87	320	1,970	$90	$463.1K
G0257	Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility	22	30	500	$250	$377.6K
80055	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen, a rubella antibody, a qualitative non…	7	10	170	$40	$366K
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…	630	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.	151	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.	1,282	2,310	1,910	$40	$315.4K

Showing 1–10 of 309

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rai Care Centers Of Florida I, LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$16.1M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.5M
Steven Cohen	FL	Ophthalmology Physician	$4.4M	$0
Eugenia Rullan Bidot	FL	Rheumatology Physician	$3.7M	$0
Adam Rosen	FL	Rheumatology Physician	$3.4M	$0
Cardiovascular Asc LLC	FL	Ambulatory Surgical Clinic/Center	$3.1M	$0
Nuruddin Jooma	FL	Medical Oncology Physician	$2.2M	$0
John Miliziano	FL	Nuclear Radiology Physician	$1.9M	$0
Vanessa Lucarella	FL	Cardiovascular Disease Physician	$1.1M	$0
Kyle Linsey	FL	Ophthalmology Physician	$1M	$0

Morton Plant Hospital Association, Inc. — Billing Profile & Reimbursement Data

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Morton Plant Hospital Association, 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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