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.

Emergency Physicians Inc (NPI 1285686675)

Emergency Physicians Inc is a emergency medicine physician provider located in Jacksonville, Florida. This profile covers 0 Medicare and 13 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	Emergency Physicians Inc
Address	800 Prudential Dr
City	Jacksonville
State	FL
ZIP	32207
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$34.2M
Medicare	$0

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	251,990	$60	$13.9M
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.	171,380	$70	$12.3M
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.	155,840	$50	$7.5M
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…	3,770	$110	$418.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	38,930	$1	$77.9K
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.	940	$40	$32.8K
99292	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…	160	$40	$6.6K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	680	$10	$6.1K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	730	$10	$5.8K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	10	$140	$1.8K

Showing 1–10 of 13

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

Emergency Physicians Inc — 4 of 11 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

13 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.	11	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.	6	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.	5	660	1,900	$70	$743.6K
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.	195	320	1,970	$90	$463.1K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	35	40	370	$150	$122.5K
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…	33	400	190	$80	$118.2K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	53	100	120	$90	$100.8K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	92	200	540	$20	$66.2K
99292	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…	10	30	80	$40	$32.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	26	640	640	$1	$22.5K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Inc	GA	Emergency Medicine Physician	$0	$7.6M
Harpreet Singh	FL	Family Medicine Physician	$670.8K	$0
John Irwin	GA	Emergency Medicine Physician	$16.8K	$227.5K
NPI 1225109911	—	—	$107.2K	$0
Christopher Bishop	OH	Emergency Medicine Physician	$95.4K	$0
Adam Lewis	GA	Emergency Medicine Physician	$90K	$0
Michael Pinell	GA	Emergency Medicine Physician	$85.8K	$0
Donald Covington	FL	Surgery Physician	$84.4K	$0
William Long	SC	Emergency Medicine Physician	$82K	$0
Jason Landry	SC	Emergency Medicine Physician	$75.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Baptist Hospital Of Florida Inc	FL	General Acute Care Hospital	$0	$88M
One Call Government Solutions, LLC	FL	Transportation Broker	$0	$48.5M
The Nemours Foundation	FL	Multi-Specialty Clinic/Center	$0	$46.2M
Southern Baptist Hospital Of Florida, Inc	FL	Children's Hospital	$0	$29.1M
Nemours Children's Health, Jacksonville, Specialty Care	FL	Multi-Specialty Clinic/Center	$0	$23.6M
Child Guidance Center, Inc.	FL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8M
Metro Treatment Of Florida, LP	FL	Methadone Clinic	$168.7K	$4.4M
Swl Services LLC	FL	Clinical Medical Laboratory	$4.1M	$2.5K
Gary Gabor	FL	Rheumatology Physician	$2.7M	$0
Bernhardt Laboratories Inc	FL	Clinical Medical Laboratory	$1.8M	$620.2K

Emergency Physicians Inc — Billing Profile & Reimbursement Data

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Emergency Physicians 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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