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.

Indian River Memorial Hospital Inc (NPI 1376512988)

Field	Value
Entity Type	Organization
Organization	Indian River Memorial Hospital Inc
Address	1000 36th St
City	Vero Beach
State	FL
ZIP	32960
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 16, 2006

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

198 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.	14,440	$110	$1.6M
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.	17,010	$70	$1.2M
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.	17,640	$60	$1.1M
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.	31,200	$20	$592.8K
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.	6,580	$50	$355.4K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	25,850	$10	$336.1K
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.	6,990	$50	$314.6K
99281	The provider sees a patient for the lowest level emergency department visit.	3,560	$70	$263.6K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	2,850	$90	$248.1K
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…	3,940	$60	$240.4K

Showing 1–10 of 198

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

Indian River Memorial Hospital Inc — 0 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

198 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.	168	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.	160	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.	116	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.	69	320	1,970	$90	$463.1K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	33	40	400	$460	$395.7K
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.	45	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.	171	350	1,160	$80	$308.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	9	130	1,860	$30	$301.8K
J1756	Injection, iron sucrose, 1 mg	285	390	1,800	$100	$279.4K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	35	100	650	$80	$238.6K

Showing 1–10 of 198

Related Providers

Other providers that share a Tax Identification Number (TIN) with Indian River Memorial Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Martin Memorial Medical Center Inc	FL	General Acute Care Hospital	$0	$26M
Coastal Care Corporation	FL	Radiology Clinic/Center	$2.7M	$800
Refat Baridi	IL	Hematology & Oncology Physician	$1.7M	$27.6K
Caroline Kedem	FL	Diagnostic Radiology Physician	$1.4M	$0
Prasad Chalasani	FL	Cardiovascular Disease Physician	$1.4M	$0
Felipe Martinez	AZ	Nuclear Medicine Physician	$1.3M	$0
Amy Eversole	FL	Cardiovascular Disease Physician	$1.3M	$0
Joseph Mcclure	FL	Medical Oncology Physician	$1.2M	$0
Roberto Pancorbo	FL	Rheumatology Physician	$1.1M	$0
William Mcmanus	FL	Interventional Cardiology Physician	$948.2K	$0

Nearby Providers

Other providers in the same ZIP code as Indian River Memorial Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Reinauer	FL	Ophthalmology Physician	$8.1M	$0
Thomas Baudo	FL	Specialist	$5.4M	$0
Advanced Eye Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$3.8M	$0
Raul Storey-rojas	FL	Medical Oncology Physician	$3.6M	$0
Julie Bell	FL	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$0
Monika Srivastava	FL	MOHS-Micrographic Surgery Physician	$3M	$0
William Mcgarry	FL	Hematology & Oncology Physician	$2.6M	$0
Grove Place Surgery Center ,LLC	FL	Ambulatory Surgical Clinic/Center	$2.4M	$0
Seth Coren	FL	Orthopaedic Surgery Physician	$2.2M	$0
Advanced Center For Surgery - Vero Beach, LLC	FL	Ambulatory Surgical Clinic/Center	$2.1M	$0

Indian River Memorial Hospital Inc — Billing Profile & Reimbursement Data

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Indian River Memorial Hospital 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

Related Providers

Nearby Providers

Frequently Asked Questions

References