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.

Adventist Health System-sunbelt, Inc (NPI 1306938071)

Field	Value
Entity Type	Organization
Organization	Adventist Health System-sunbelt, Inc
Address	601 E Rollins St
City	Orlando
State	FL
ZIP	32803
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 29, 2006

Payer Source	Total Paid
Medicaid	$173.7M
Medicare	$0

Key Findings

ADVENTIST HEALTH SYSTEM-SUNBELT, INC reports no Medicare billing on file and $173.7M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer (Medicaid) based on available claims data. The absence of Medicare activity means analyses of its hospital operations should focus on Medicaid volume and service mix rather than Medicare-reimbursed case mix or DRG trends.

Revenue concentration is high: the precomputed top three Medicaid codes by revenue account for 40.4% of this provider's total Medicaid revenue, with the three ED E/M codes 99283 ($20.9M, 18.7%), 99284 ($15.7M, 14.0%), and 99285 ($8.6M, 7.7%) driving the largest shares. This concentration indicates that emergency department encounters are the single largest revenue driver in the Medicaid population for this facility.

The code mix points to a high-volume acute care and emergency-centric operation: 99283/99284/99285 dominate revenue, supported by substantial observation G0378 (118.4K claims, $2.8M) and ED-associated infusion and procedure codes (96367, 96365, 96361, 96375, 96374). High utilizations of CT imaging (74177 $5M; 70450 $2.1M), comprehensive labs (80053 $4.4M; 84703 $2.9M), and therapeutic services (97110 $5M; 97530 $2.6M) further reflect a broad in-hospital diagnostic and treatment footprint concentrated on acute presentations.

Competitive standing in-state is dominant for many key Medicaid codes: 99283 ranks #1 of 701 providers in Florida at the 100th percentile and is labeled an extreme outlier, while 99284 and 99285 are in the 99th percentile (#5 of 739 and #9 of 658 respectively). Other high-ranking items include dialysis 90935 ($4.8M) at #1 of 70 (100th percentile, extreme outlier), multiple infusion/IV administration codes at #1 statewide, and contrast agent Q9967 at #1 of 246 (100th percentile), signaling that this provider is a major Medicaid hub for ED, dialysis, infusion, and imaging services.

Several service lines show extreme outlier status versus in-state peers, which underscores market concentration rather than isolated high unit prices: codes flagged as "extreme outlier" and at the 100th percentile include 99283, 90935, 96367, 96365, 96361, 96375, 96374, and Q9967. Where labels indicate "notably above typical state volume" (for example 80053 and 70450), volumes are still well above peers but less extreme, suggesting very large but somewhat more distributed roles for lab and imaging compared with the ED and infusion services.

Operational implications include a very high ED throughput with a range of acuities (straightforward to high decision-making levels represented by 99282–99285) and integrated downstream services: observation care (G0378), imaging (74177, 70450), lab panels (80053), dialysis (90935), and frequent IV/infusion administration (963xx series). This pattern is consistent with a full-service acute-care hospital that processes large Medicaid ED volumes and supports same-day treatments and diagnostics.

The provider’s role in specialty/high-cost outpatient care is visible but more concentrated: specialty drug administration such as J9271 (pembrolizumab, $1.8M, ranks #2 of 12) and complex radiation delivery 77386 ($1.3M) appear but represent much smaller shares of total Medicaid revenue compared with ED and infusion volumes. These lines may indicate oncology and advanced therapy capacity, but they are not the primary revenue drivers in the Medicaid mix.

Tenure is long enough to establish entrenched Medicaid workflows: the NPI was enumerated on 2006-09-29 (~20 years ago), which aligns with the facility’s high statewide ranks and suggests sustained operational scale rather than a recent surge in billing. Given the data, payers and provider analysts should treat ADVENTIST HEALTH SYSTEM-SUNBELT, INC as a major Medicaid-focused acute-care hub in Florida with disproportionate statewide market share for ED visits, dialysis, and infusion services.

Medicaid: Complete Services Breakdown

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

831 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.	321,050	$70	$20.9M
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.	257,030	$60	$15.7M
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.	133,720	$60	$8.6M
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…	69,140	$120	$8.3M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	97,980	$50	$5M
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.	39,950	$130	$5M
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	27,380	$180	$4.8M
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.	293,890	$20	$4.4M
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	13,270	$290	$3.8M
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.	59,410	$60	$3.5M

Showing 1–10 of 831

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

Adventist Health System-sunbelt, Inc — 23 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

831 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	129	180	15,540	$120	$2.1M
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	346	460	12,420	$140	$2M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	80	160	4,450	$110	$1.5M
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.	1	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.	5	740	2,180	$70	$1.1M
J9271	Injection, pembrolizumab, 1 mg	2	10	630	$1,300	$977.3K
83498	The lab analyst measures the 17 hydroxyprogesterone in a sample such as blood, serum, urine, or even amniotic fluid. This hormone is a building block for the adrenal cortex hormone cortisol.	6	10	7,990	$10	$932.8K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	7	10	710	$850	$915.3K
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.	9	660	1,900	$70	$743.6K
J2501	Injection, paricalcitol, 1 mcg	9	50	2,750	$120	$728.5K

Showing 1–10 of 831

Related Providers

Other providers that share a Tax Identification Number (TIN) with Adventist Health System-sunbelt, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florida Hospital Medical Group Inc	FL	Family Medicine Physician	$0	$71.2M
Adventist Health System Sunbelt, Inc.	FL	Urgent Care Clinic/Center	$0	$67.5M
Adventist Health System-sunbelt, Inc	FL	Clinical Medical Laboratory	$0	$28.2M
Florida Hospital Physician Group Inc	FL	Family Medicine Physician	$0	$21.4M
Memorial Health Systems Inc	FL	Rehabilitation Hospital Unit	$0	$17.6M
Memorial Hospital Flagler Inc	FL	General Acute Care Hospital	$0	$13.9M
Florida Hospital Medical Group Inc	FL	Diagnostic Radiology Physician	$0	$13.1M
Sedigheh Ebadi	FL	Pediatrics Physician	$0	$10.1M
Florida Hospital Zephyrhills Inc	FL	General Acute Care Hospital	$0	$9.9M
Memorial Health Systems Inc	FL	Surgery Physician	$0	$7.4M

Nearby Providers

Other providers in the same ZIP code as Adventist Health System-sunbelt, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florida Emergency Physicians Kang And Associates Md LLC	FL	Emergency Medical Services (Emergency Medicine) Physician	$0	$58.5M
Vaxcare LLC	FL	Family Medicine Physician	$45.5M	$780
Florida Dental Team, LLC	FL	Pediatric Dentistry	$0	$28.1M
Orlando Childrens Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$0	$21.7M
Central Florida Pathology Associates PA	FL	Anatomic Pathology & Clinical Pathology Physician	$0	$11.1M
Life Concepts Inc	FL	Developmentally Disabled Services Day Training Agency	$0	$9.2M
Pradip Jamnadas	FL	Interventional Cardiology Physician	$1.8M	$610
Matthew Biagioli	FL	Radiation Oncology Physician	$1.2M	$0
Orlando Mills Fl Endoscopy Asc LLC	FL	Ambulatory Surgical Clinic/Center	$1.1M	$0
Bruce Stein	FL	Interventional Cardiology Physician	$1M	$0

Adventist Health System-sunbelt, Inc — Billing Profile & Reimbursement Data

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Adventist Health System-sunbelt, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References