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.

Holmes Regional Medical Center, Inc. (NPI 1295702728)

Holmes Regional Medical Center, Inc. is a general acute care hospital provider located in Melbourne, Florida. This profile covers 0 Medicare and 206 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	Holmes Regional Medical Center, Inc.
Address	1350 Hickory St
City	Melbourne
State	FL
ZIP	32901
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 3, 2006

Payer Source	Total Paid
Medicaid	$12.3M
Medicare	$0

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

206 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.	34,410	$100	$3.3M
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.	30,110	$100	$2.9M
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.	17,080	$100	$1.6M
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.	5,180	$90	$456.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	29,480	$10	$412.7K
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.	36,490	$10	$291.9K
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.	3,400	$60	$214K
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.	5,830	$30	$192.2K
87400	The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.	4,220	$40	$164.7K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,070	$70	$151.2K

Showing 1–10 of 206

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

Holmes Regional Medical Center, 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

206 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.	106	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.	77	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.	97	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.	89	320	1,970	$90	$463.1K
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.	84	210	2,890	$70	$321.6K
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.	91	350	1,160	$80	$308.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	74	130	1,860	$30	$301.8K
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…	178	320	750	$40	$232.7K
G0378	Hospital observation service, per hour	157	200	4,230	$30	$225.4K
J1644	Injection, heparin sodium, per 1000 units	60	180	890	$70	$221.4K

Showing 1–10 of 206

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brevard Physician Associates, PLLC	FL	Anesthesiology Physician	$0	$12.7M
Circles Of Care, Inc.	FL	Psychiatric Hospital	$0	$11.8M
Central Florida Kidney Centers Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$10.5M
Health First Medical Group, LLC	FL	General Practice Physician	$0	$7.7M
Florida Clinical Laboratory, Inc	FL	Clinical Medical Laboratory	$4.7M	$549K
Sumeet Thareja	FL	Specialist	$4M	$0
Hetal Vaishnav	FL	Ophthalmology Physician	$2M	$0
Melbourne Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$935.1K	$1.1M
Vrinda Hershberger	FL	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Gary Ganiban	FL	Ophthalmology Physician	$1.7M	$0

Holmes Regional Medical Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Holmes Regional Medical Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Holmes Regional Medical Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Holmes Regional Medical Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References