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.

St Vincents Ambulatory Care Inc (NPI 1417987124)

St Vincents Ambulatory Care Inc is a neurological surgery physician provider located in Jacksonville, Florida. This profile covers 0 Medicare and 163 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	St Vincents Ambulatory Care Inc
Address	2 Shircliff Way
City	Jacksonville
State	FL
ZIP	32204
Taxonomy	Neurological Surgery Physician
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$10.4M
Medicare	$0

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

163 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	132,340	$30	$4.5M
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…	49,850	$30	$1.6M
99391	Preventive 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…	10,500	$80	$798K
99392	Preventive 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…	7,910	$90	$719.7K
H1000	Prenatal care, at-risk assessment	13,040	$40	$482.6K
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…	370	$1,030	$378.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	13,840	$30	$359.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	18,940	$20	$321.9K
99204	The provider sees a new 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 provider…	4,350	$70	$304.4K
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…	5,220	$10	$73.1K

Showing 1–10 of 163

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

St Vincents Ambulatory Care Inc — 8 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

163 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H1000	Prenatal care, at-risk assessment	68	610	1,580	$60	$329.2K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	102	120	80	$890	$277.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	30	80	150	$440	$271.5K
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…	56	100	650	$80	$238.6K
99392	Preventive 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…	63	1,130	780	$90	$210.4K
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.	575	640	4,400	$10	$193.4K
99391	Preventive 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…	35	1,050	640	$80	$183.6K
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…	71	5,930	460	$40	$169.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	545	1,120	520	$80	$141.7K
99214	The 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…	11	6,380	430	$50	$139.3K

Showing 1–10 of 163

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sacred Heart Health System, Inc.	FL	General Acute Care Hospital	$0	$38.5M
Saint Thomas Rutherford Hospital	TN	General Acute Care Hospital	$0	$16.2M
Ascension Sacred Heart Emerald Coast	FL	General Acute Care Hospital	$0	$11.9M
Saint Thomas River Park Hospital, LLC	TN	General Acute Care Hospital	$0	$8.4M
Saint Thomas West Hospital	TN	General Acute Care Hospital	$0	$7.1M
Saint Thomas Highlands Hospital, LLC	TN	General Acute Care Hospital	$0	$3.3M
Raguveer Murthy	FL	Interventional Cardiology Physician	$1.2M	$0
The Surgery Center Of Jacksonville LLC	FL	Ambulatory Surgical Clinic/Center	$1M	$0
Saumil Oza	FL	Clinical Cardiac Electrophysiology Physician	$550K	$0
Mark Watkins	GA	Specialist	$485.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All About Pediatrics, LLC	FL	Durable Medical Equipment & Medical Supplies	$0	$16.6M
St Vincents Medical Center Inc	FL	General Acute Care Hospital	$0	$12.7M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.1M
Carol Bowen-wells	FL	Surgical Oncology Physician	$5.1M	$0
Abdallah Jeroudi	FL	Ophthalmology Physician	$3.3M	$2.9K
Leonard Shvartzman	FL	MOHS-Micrographic Surgery Physician	$2.5M	$0
Mitchell Terk	FL	Radiation Oncology Physician	$2.2M	$0
Jacksonville Endoscopy Centers LLC	FL	Ambulatory Surgical Clinic/Center	$1.2M	$36.1K
Richard Lewis	FL	Urology Physician	$583.6K	$0
Josep Genebriera De Lamo	FL	Dermatology Physician	$576.3K	$0

St Vincents Ambulatory Care Inc — Billing Profile & Reimbursement Data

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St Vincents Ambulatory Care 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

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