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.

Winter Haven Hospital Inc (NPI 1477599975)

Field	Value
Entity Type	Organization
Organization	Winter Haven Hospital Inc
Address	200 Ave F Ne
City	Winter Haven
State	FL
ZIP	33881
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicaid	$26.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

294 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	41,610	$90	$3.7M
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.	37,450	$70	$2.4M
H2019	Therapeutic behavioral services, per 15 minutes	41,850	$50	$1.9M
T1015	Clinic visit/encounter, all-inclusive	39,720	$50	$1.9M
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.	21,360	$70	$1.4M
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.	55,410	$20	$1.3M
H0032	Mental health service plan development by non-physician	20,490	$40	$860.7K
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.	9,760	$90	$829.6K
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.	5,290	$140	$719.3K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	16,750	$40	$670.1K

Showing 1–10 of 294

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

Winter Haven Hospital Inc — 6 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

294 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	171	180	15,540	$120	$2.1M
T1017	Targeted case management, each 15 minutes	249	560	7,680	$50	$1.5M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	7	20	130	$210	$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.	75	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.	71	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.	76	660	1,900	$70	$743.6K
H2019	Therapeutic behavioral services, per 15 minutes	88	1,880	1,010	$70	$544.5K
59899	Use 59899 to report procedures in maternity care and delivery, other than those that employ laparoscopy, that do not have a specific code.	2	10	3,110	$130	$469.5K
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.	49	320	1,970	$90	$463.1K
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	17	20	620	$30	$423.4K

Showing 1–10 of 294

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph's Hospital, Inc.	FL	General Acute Care Hospital	$0	$70.7M
South Florida Baptist Hospital Inc	FL	General Acute Care Hospital	$0	$12.8M
Trustees Of Mease Hospital Inc	FL	General Acute Care Hospital	$0	$9.2M
Bartow Regional Medical Center, Inc.	FL	General Acute Care Hospital	$0	$9M
Holy Cross Hospital Inc	FL	General Acute Care Hospital	$0	$7.9M
Morton Plant Hospital Association Inc	FL	General Acute Care Hospital	$0	$7.3M
Julio Gonzalez-paoli	FL	Rheumatology Physician	$1.4M	$0
Bardmoor Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$1.1M	$0
James Connors	FL	MOHS-Micrographic Surgery Physician	$735.7K	$0
Aung Tun	FL	Cardiovascular Disease Physician	$663K	$0

Nearby Providers

Other providers in the same ZIP code as Winter Haven Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paragon Emergency Services LLC	FL	Emergency Medicine Physician	$0	$53.1M
Rai Care Centers Of Florida Ii, LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.2M
Dva Healthcare Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$10.7M
Senior Health-winter Haven, LLC	FL	Skilled Nursing Facility	$0	$10.6M
Maurice Mccarthy	FL	Rheumatology Physician	$1.3M	$0
Winter Haven Ambulatory Surgical Center LLC	FL	Ambulatory Surgical Clinic/Center	$958.9K	$121.4K
Zaheed Tai	FL	Cardiovascular Disease Physician	$814.7K	$0
Ahmad El-far	FL	Hematology & Oncology Physician	$814.5K	$0
Richard Lacalamito	FL	Family Medicine Physician	$391K	$0
Jose Martinez-salas	FL	Pulmonary Disease Physician	$367.1K	$0

Winter Haven Hospital Inc — Billing Profile & Reimbursement Data

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Winter Haven 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