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.

Suncoast Community Health Centers Inc (NPI 1285644799)

Field	Value
Entity Type	Organization
Organization	Suncoast Community Health Centers Inc
Address	820 15th St Se
City	Ruskin
State	FL
ZIP	33570
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

133 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	93,140	$30	$2.7M
H1000	Prenatal care, at-risk assessment	21,410	$70	$1.4M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	7,400	$70	$510.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,060	$80	$466.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,450	$60	$338K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,710	$60	$211.5K
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…	3,730	$40	$164.1K
D1120	Prophylaxis–child	4,950	$30	$163.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,090	$40	$159.6K
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,…	5,620	$20	$129.3K

Showing 1–10 of 133

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

Suncoast Community Health Centers Inc — 5 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

133 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	164	220	310	$150	$421.5K
H1000	Prenatal care, at-risk assessment	35	610	1,580	$60	$329.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	67	1,130	780	$90	$210.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	72	1,050	640	$80	$183.6K
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…	23	5,930	460	$40	$169.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	60	1,120	520	$80	$141.7K
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…	872	6,380	430	$50	$139.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	18	90	240	$70	$125.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	55	980	360	$80	$97.2K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	292	980	270	$60	$85.1K

Showing 1–10 of 133

Related Providers

Other providers that share a Tax Identification Number (TIN) with Suncoast Community Health Centers Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harrison Black	KS	Pediatric Dentistry	$0	$1.4M
Vinoth Muthalagappan	FL	Podiatrist	$87.8K	$0

Nearby Providers

Other providers in the same ZIP code as Suncoast Community Health Centers Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alan Maramara	FL	Optometrist	$303.2K	$212.7K
Lucie Ngar	FL	Optometrist	$131.9K	$144.3K
Amorcita Dougherty	FL	Adult Health Nurse Practitioner	$268.2K	$0

Suncoast Community Health Centers Inc — Billing Profile & Reimbursement Data

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Suncoast Community Health Centers 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

Related Providers

Nearby Providers

Frequently Asked Questions

References