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.

National Medical Care, Inc. (NPI 1477665214)

Field	Value
Entity Type	Organization
Organization	National Medical Care, Inc.
Address	40 Medical Center Ave
City	Sebring
State	FL
ZIP	33870
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	19,510	$180	$3.6M
A4657	Syringe, with or without needle, each	6,540	$120	$778.6K
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	4,600	$140	$630.1K
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	3,880	$140	$524.3K
J1756	Injection, iron sucrose, 1 mg	2,610	$140	$352.2K
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	2,270	$140	$324K
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	2,260	$140	$323K
84155	The lab analyst performs the technical lab test to quantitate total protein in a serum, plasma, or whole blood specimen using one of several assay methods, excluding refractometry. Total protein is a…	2,230	$140	$316.7K
84100	The lab analyst performs a test to evaluate the level of phosphate, which is phosphorus not contained in biological compounds, in a patient specimen such as serum.	2,170	$140	$304.2K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	1,770	$170	$302.3K

Showing 1–10 of 31

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

National Medical Care, Inc. — 1 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	137	460	12,420	$140	$2M
A4657	Syringe, with or without needle, each	89	400	2,640	$160	$771K
J1756	Injection, iron sucrose, 1 mg	161	390	1,800	$100	$279.4K
J1644	Injection, heparin sodium, per 1000 units	107	180	890	$70	$221.4K
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	46	300	1,170	$60	$186K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	52	230	850	$160	$183.3K
82310	The lab analyst measures the calcium level, primarily on a serum sample.	57	220	880	$50	$151.3K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	15	80	220	$200	$143.5K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	154	460	510	$50	$110.2K
84155	The lab analyst performs the technical lab test to quantitate total protein in a serum, plasma, or whole blood specimen using one of several assay methods, excluding refractometry. Total protein is a…	29	250	680	$60	$94.3K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with National Medical Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Medical Care, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$19.6M
National Medical Care, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.3M
National Medical Care, Inc.	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$182.9K
National Medical Care, Inc.	DE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$94.7K

Nearby Providers

Other providers in the same ZIP code as National Medical Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
F&s Radiology, P.C.	FL	Diagnostic Radiology Physician	$0	$7.5M
Highlands County Board Of County Commissioners	FL	Land Ambulance	$1.7M	$1.8M
Scott Gasiorek	FL	Radiation Oncology Physician	$3M	$0
Darrin Rotman	FL	Dermatology Physician	$2.7M	$0
Mahender Yellu	FL	Medical Oncology Physician	$2.6M	$0
Amit Shah	FL	Medical Oncology Physician	$2M	$0
Syed Ahmed	FL	Medical Oncology Physician	$1.2M	$0
Thomas Lackey	FL	Surgery Physician	$1.1M	$61.7K
Winter Haven-sebring Fl Ophthalmology Asc LLC	FL	Ambulatory Surgical Clinic/Center	$923K	$0
Alexander Kennon	FL	MOHS-Micrographic Surgery Physician	$870.9K	$0

National Medical Care, Inc. — Billing Profile & Reimbursement Data

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National Medical 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

Related Providers

Nearby Providers

Frequently Asked Questions

References