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.

Pediatrix Medical Group Of California, A Professional Corporation (NPI 1316041833)

Field	Value
Entity Type	Organization
Organization	Pediatrix Medical Group Of California, A Professional Corporation
Address	1301 Concord Ter
City	Sunrise
State	FL
ZIP	33323
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	September 13, 2006

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Z0104	N/A	18,650	$140	$2.7M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	20,730	$120	$2.5M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	10,890	$130	$1.4M
Z0102	N/A	6,210	$200	$1.2M
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	18,160	$40	$744.5K
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	1,910	$200	$376.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6,320	$50	$335.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	7,010	$50	$329.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	8,090	$30	$242.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	4,070	$50	$195.5K

Showing 1–10 of 36

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

Pediatrix Medical Group Of California, A Professional Corporation — 3 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Z0104	N/A	1	10	18,650	$140	$2.7M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	19	30	2,120	$320	$2.3M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	20	30	2,220	$350	$1.3M
Z0102	N/A	1	10	6,210	$200	$1.2M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	11	50	570	$100	$1.1M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	7	40	830	$100	$785.9K
92586	N/A	27	50	270	$40	$293.9K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	19	20	40	$800	$292.5K
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…	4,687	5,930	460	$40	$169.3K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	6	170	300	$60	$121.4K

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pediatrix Medical Group Of California, A Professional Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Shanti Thirumalai	NV	Neurology with Special Qualifications in Child Neurology Physician	$10.3K	$0

Nearby Providers

Other providers in the same ZIP code as Pediatrix Medical Group Of California, A Professional Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatrix Medical Group Of South Carolina PA	FL	Neonatal-Perinatal Medicine Physician	$0	$51.3M
Pediatrix Medical Group Of Georgia, P.C.	FL	Maternal & Fetal Medicine Physician	$0	$50.6M
Pediatrix Medical Group Of Florida Inc	FL	Pediatric Cardiology Physician	$0	$35.9M
Pediatrix Medical Group Of Michigan PC	FL	Neonatal-Perinatal Medicine Physician	$0	$26.4M
Pediatrix Medical Group Of North Carolina PC	FL	Neonatal-Perinatal Medicine Physician	$0	$23.1M
Kellee Campbell	FL	Podiatrist	$283.5K	$0
Dileep Ravi	FL	Emergency Medicine Physician	$142.5K	$0
Burak Ilsin	FL	Anesthesiology Physician	$60.4K	$0
Andrea Banta	FL	Certified Registered Nurse Anesthetist	$52.5K	$0
Will Crowthers	FL	Certified Registered Nurse Anesthetist	$51K	$0

Pediatrix Medical Group Of California, A Professional Corporation — Billing Profile & Reimbursement Data

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Pediatrix Medical Group Of California, A Professional Corporation — 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