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 Of Central Florida LLP (NPI 1326033341)

Field	Value
Entity Type	Organization
Organization	Emergency Physicians Of Central Florida LLP
Address	1414 S Orange Ave
City	Orlando
State	FL
ZIP	32806
Taxonomy	Emergency Medicine Physician
NPI Enumerated	September 15, 2005

Payer Source	Total Paid
Medicaid	$50M
Medicare	$0

Key Findings

The provider’s billing mix is overwhelmingly emergency-department evaluation-and-management care: the top three Medicaid codes are 99285, 99284, and 99283, which correspond to high-, moderate-, and low-level emergency E/M visits respectively, indicating this entity operates as an ED-focused physician group rather than an outpatient primary care or procedure-centric practice. The presence of large claim volumes for those E/M codes (284.6K, 245.6K, and 197.4K claims) reinforces a high-throughput emergency practice model.

Revenue is highly concentrated in a narrow set of ED E/M codes: the top three Medicaid codes (99285, 99284, 99283) together account for 98.9% of the provider’s total Medicaid revenue, and total Medicaid revenue on file is $50M. Individually, 99285 accounts for $21.1M (42.1%), 99284 for $16.7M (33.4%), and 99283 for $11.6M (23.3%), showing almost all Medicaid dollars flow from standard ED visit E/M billing.

This provider is a dominant statewide volume outlier on core ED E/M codes: 99285 ranks #2 of 658 providers in-state (100th percentile; extreme outlier), 99284 ranks #7 of 739 (99th percentile; extreme outlier), and 99283 ranks #6 of 701 (99th percentile; extreme outlier). Those ranks and percentile labels indicate the group bills far above typical state volume for high-, moderate-, and low-acuity emergency visits and likely represents one of the largest Medicaid ED billers in Florida for these services.

Payer mix is effectively single-payer Medicaid: there is no Medicare billing on file while Medicaid revenue totals $50M, so the provider’s recorded Medicare footprint is nil. That concentration creates exposure to Medicaid policy, rate changes, and payer contracting dynamics rather than balanced Medicare/Medicaid risk.

Operational profile shows emphasis on higher-acuity E/M: very large claim counts for 99285 (284.6K claims) and 99284 (245.6K claims) compared with a modest number for the straightforward visit code 99282 (6.9K claims, $394.8K revenue, 0.8% of Medicaid revenue) which ranks as a typical, unremarkable volume in-state. The distribution suggests the practice either treats a higher-acuity case mix or systematically codes toward moderate-to-high acuity E/M levels.

Ancillary services appear present but deminimis to revenue: 93010 has 64.2K claims at $2 avg paid/claim yielding $128.4K (0.3% of Medicaid revenue) and ranks #10 in-state (99th percentile; extreme outlier), indicating high-volume, low-reimbursement EKG interpretation activity consistent with ED workflows but not material to overall revenue. Other ancillary codes (e.g., 93042, 99053) contribute negligible revenue.

Critical care and extended-stay billing are minimal relative to ED visits: 99291 (critical care) shows 498 claims and $49.8K revenue (0.1% of Medicaid revenue) and ranks in the mid-range in-state (70th percentile; typical), while 99053 (overnight services) and similar codes register only trace revenue. This pattern further supports characterization as a high-throughput ED-focused billing profile rather than a unit that provides significant billed inpatient critical care or prolonged oversight.

The provider has a long-tenured NPI (enumerated 2005-09-15, ~21 years ago), indicating an established presence in the market; combined with extreme statewide ranks on core ED codes, this tenure suggests entrenched operational scale for emergency services in the region and likely meaningful bargaining relevance with payers focused on Florida Medicaid.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	284,570	$70	$21.1M
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.	245,570	$70	$16.7M
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.	197,430	$60	$11.6M
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.	6,930	$60	$394.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	64,210	$1	$128.4K
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…	500	$100	$49.8K
99053	The provider renders overnight services at a 24 hour facility.	30	$1	$30
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	670	$0	$0

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 Of Central Florida LLP — 4 of 7 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

8 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.	6	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.	7	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.	2	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.	67	320	1,970	$90	$463.1K
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…	122	400	190	$80	$118.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	10	640	640	$1	$22.5K
99053	The provider renders overnight services at a 24 hour facility.	25	40	100	$1	$1.6K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	7	30	220	$1	$260

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Physicians Of Central Florida LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Pirvan	AL	Emergency Medicine Physician	$109.7K	$0
Drew Bienvenu	LA	Emergency Medicine Physician	$44.4K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Physicians Of Central Florida LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orlando Health, Inc.	FL	General Acute Care Hospital	$0	$105.5M
Orlando Health Medical Group Inc	FL	Internal Medicine Physician	$0	$57.6M
Nemours Children's Health, Downtown Orlando, Specialty Care	FL	Multi-Specialty Clinic/Center	$0	$44.4M
Dva Renal Healthcare Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14.5M
Orlando Physicians Network Inc	FL	Internal Medicine Physician	$0	$9.4M
Elia Mavrofrides	FL	Ophthalmology Physician	$6.2M	$240
Samuel Houston	FL	Ophthalmology Physician	$4.2M	$39.3K
Matthew Cunningham	FL	Ophthalmology Physician	$4M	$1.8K
Eric Feinstein	FL	Ophthalmology Physician	$3.4M	$1.5K
Jaya Kumar	FL	Ophthalmology Physician	$3.4M	$3K

Emergency Physicians Of Central Florida LLP — Billing Profile & Reimbursement Data

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Emergency Physicians Of Central Florida LLP — 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