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.

Johns Hopkins All Children's Hospital, Inc (NPI 1427114099)

Key Findings

Field	Value
Entity Type	Organization
Organization	Johns Hopkins All Children's Hospital, Inc
Address	501 6th Ave S
City	St Petersburg
State	FL
ZIP	33701
Taxonomy	Children's Hospital
NPI Enumerated	December 28, 2006

Payer Source	Total Paid
Medicaid	$152.9M
Medicare	$0

JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC is effectively a Medicaid-centric provider: there is no Medicare billing on file while lifetime Medicaid revenue is $152.9M, indicating the organization operates at scale largely within the Medicaid payer channel. This concentration means Medicaid policy and reimbursement changes will materially affect the provider’s revenue base.

Revenue is heavily concentrated in a small set of procedure lines: the top three Medicaid codes (92507, 99283, 97110) account for 50.5% of the provider’s total Medicaid revenue. Individually these codes represent $27.1M (22.9%), $19M (16.0%), and $13.9M (11.7%) of Medicaid revenue respectively, highlighting a dependence on high-volume speech/communication, emergency department E/M, and therapeutic exercise services.

The mix of high-volume codes points to a large pediatric acute-care and therapy operation: dominant codes include speech and language therapy (92507, 92523), emergency department E/M levels (99283, 99284, 99285), and rehabilitative therapies (97110, 97530). High-revenue diagnostic and specialty services such as transthoracic echocardiography (93303 $4.8M; 93306 $4.6M) and polysomnography (95810 $1.7M) further suggest integrated inpatient/outpatient pediatric specialty capabilities rather than a narrow outpatient clinic model.

On competitive standing within Florida the provider is a statewide leader or extreme outlier for multiple pediatric therapy and speech codes: 92507 ranks #13 of 2245 providers (99th percentile, extreme outlier), 97110 ranks #5 of 2099 providers (100th percentile, extreme outlier), and 92523 ranks #2 of 561 providers (100th percentile, extreme outlier). Emergency care volumes are also well above typical state activity for selected ED codes (99283 ranks #27 of 701, 96th percentile), showing the hospital is a dominant in-state source for both ED pediatric encounters and allied therapy services.

The provider also offers specialized, higher-cost pediatric services and treatments: high average paid amounts appear for echocardiography (93303 $723 avg paid/claim; 93306 $556 avg paid/claim), sleep studies (95810 $1001 avg paid/claim), and immune globulin infusions (J1569 $1994 avg paid/claim, $1.6M revenue), and J1569 ranks #1 of 2 providers in-state (100th percentile). These data points indicate capability to deliver resource-intensive diagnostics and infusion therapies in addition to high-volume therapy and ED throughput.

Operational scale is evident in claim volumes across multiple service lines: 92507 has 105.6K claims, 99283 has 85.1K claims, 97110 has 81.6K claims, and 97530 has 52.8K claims, supporting the interpretation of a high-throughput pediatric hospital with significant outpatient and ambulatory therapy activity. The presence of large claim counts combined with substantial per-claim payments on select codes explains how a relatively narrow set of codes can generate a majority of Medicaid revenue.

There is a mix of code-level statistical characterizations across the top 25: several codes are labeled as “extreme outlier” or “notably above typical” in-state (e.g., 92507 extreme outlier; 97110 extreme outlier; 99283 notably above typical), while many diagnostic and ED-related codes are described as “typical, unremarkable volume.” This pattern suggests concentrated excellence and market dominance in pediatric speech and therapy services coexisting with a broad set of routine hospital services provided at expected state volumes.

The provider’s NPI has been enumerated since 2006-12-28 (~20 years ago), indicating an established, long-tenured presence in the market. That tenure, together with the facility’s concentrated revenue drivers and outlier ranks in therapy and speech services, is consistent with a mature pediatric referral hub that captures high volumes of specialized and general pediatric Medicaid activity.

Medicaid: Complete Services Breakdown

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

540 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	105,590	$260	$27.1M
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.	85,080	$220	$19M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	81,560	$170	$13.9M
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.	38,000	$290	$11M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	52,770	$160	$8.4M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	6,620	$720	$4.8M
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…	8,230	$560	$4.6M
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.	44,490	$100	$4.4M
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.	16,150	$200	$3.3M
G0378	Hospital observation service, per hour	11,900	$180	$2.1M

Showing 1–10 of 540

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

Johns Hopkins All Children's Hospital, Inc — 9 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

540 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81479	Use 81479 to report a molecular pathology procedure that does not have a specific code.	6	10	80	$50	$2.4M
T1017	Targeted case management, each 15 minutes	82	560	7,680	$50	$1.5M
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.	27	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.	70	740	2,180	$70	$1.1M
83498	The lab analyst measures the 17 hydroxyprogesterone in a sample such as blood, serum, urine, or even amniotic fluid. This hormone is a building block for the adrenal cortex hormone cortisol.	5	10	7,990	$10	$932.8K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	8	10	710	$850	$915.3K
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	1	10	430	$2,010	$861.2K
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.	190	660	1,900	$70	$743.6K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	6	30	310	$720	$616.3K
81229	The lab analyst performs the technical lab test using comparative genomic hybridization (CGH) microarray, also referred to as chromosomal microarray (CMA) or molecular karyotype performed by…	5	10	680	$270	$506.2K

Showing 1–10 of 540

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Physician Services, Inc.	FL	Pediatrics Physician	$0	$43.4M
West Coast Neonatology, Inc.	FL	Neonatal-Perinatal Medicine Physician	$0	$18.8M
Access Home Health Care Inc	FL	Home Health Agency	$0	$15.1M
Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A	FL	Pediatric Gastroenterology Physician	$0	$14.9M
Rai Care Centers Of St. Petersburg, LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.3M
Pediatric Otolaryngology Head And Neck Surgeyr Assoc. PA	FL	Specialist	$0	$11.2M
Ohi West, Inc	FL	Rehabilitation Hospital Unit	$0	$10.3M
St Petersburg Kidney Care LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.9M
Fresenius Kidney Care American Dialysis, LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.5M
Children's Orthopaedic & Scoliosis Surgery Associates, LLP	FL	Pediatric Orthopaedic Surgery Physician	$0	$7.3M

Johns Hopkins All Children's Hospital, Inc — Billing Profile & Reimbursement Data

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Johns Hopkins All Children's Hospital, Inc — 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

Nearby Providers

Frequently Asked Questions

References