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    OpenPayerNPI Medicare & MedicaidCentral Florida Family Health Center Inc
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    Central Florida Family Health Center Inc — Billing Profile & Reimbursement Data

    NPI 1396746988 · Sanford, FL · Federally Qualified Health Center (FQHC)

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    Central Florida Family Health Center Inc is a federally qualified health center (fqhc) provider located in Sanford, Florida. This profile covers 0 Medicare and 134 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCentral Florida Family Health Center Inc
    Address4930 E Lake Mary Blvd
    CitySanford
    StateFL
    ZIP32771
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedAugust 3, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    134 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…84,600$30$2.5M
    H1000Prenatal care, at-risk assessment23,560$50$1.1M
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…13,750$70$1M
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…13,040$80$1M
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.7,660$70$536.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…13,450$30$363.1K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.3,950$80$296.3K
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…450$640$283K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…5,820$40$256.1K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.21,430$10$128.6K

    Showing 1–10 of 134

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Florida median

    134 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H1000Prenatal care, at-risk assessment306101,580$60$329.2K
    T1015Clinic visit/encounter, all-inclusive299680680$50$308.4K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…261,130780$90$210.4K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…201,050640$80$183.6K
    99213The 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…265,930460$40$169.3K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.371,120520$80$141.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…5956,380430$50$139.3K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.50980360$80$97.2K
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…43030$600$95.8K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.213230430$40$85.4K

    Showing 1–10 of 134

    • More pages

    Nearby Providers

    Other providers in the same ZIP code as Central Florida Family Health Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Mental Health Center IncFLCommunity/Behavioral Health Agency$0$18.8M
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$12.3M
    Total Renal Care IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9.6M
    Central Florida Regional Hospital, IncFLGeneral Acute Care Hospital$0$7.3M
    Maneesh GossainFLRadiation Oncology Physician$312.3K$0
    Richard LeeFLRadiation Oncology Physician$295.8K$0
    Tazeen ZaidiFLFamily Medicine Physician$224.6K$0
    Sameh SaklaFLDiagnostic Radiology Physician$204.2K$110
    Jose VeraFLPsychiatric/Mental Health Nurse Practitioner$66.2K$0
    David HakFLOrthopaedic Trauma Physician$59K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Florida Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Central Florida Family Health Center Inc — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida