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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Rchp - Florence LLC (NPI 1477874337)

Rchp - Florence LLC is a general acute care hospital provider located in Florence, Alabama. This profile covers 0 Medicare and 87 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	Rchp - Florence LLC
Address	1701 Veterans Dr
City	Florence
State	AL
ZIP	35630
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 15, 2010

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

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

87 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	21,970	$60	$1.3M
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.	19,890	$40	$735.9K
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.	2,290	$250	$572.3K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	24,220	$10	$193.8K
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.	19,260	$10	$173.3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	2,090	$20	$48.2K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	2,130	$20	$44.8K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	11,850	$1	$35.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	680	$50	$32K
87088	The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification.	2,510	$10	$25.1K

Showing 1–10 of 87

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Rchp - Florence LLC — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

87 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	57	70	380	$60	$893.8K
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.	36	240	4,820	$60	$807.6K
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.	86	190	1,480	$100	$730.7K
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.	39	230	5,160	$40	$474.1K
86480	The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.	4	10	240	$30	$448.2K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	40	40	860	$10	$212K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	49	70	550	$50	$210.5K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	32	80	300	$10	$159.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	49	100	610	$40	$152.5K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	45	130	260	$10	$124.7K

Showing 1–10 of 87

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Dobbs	LA	Interventional Cardiology Physician	$855.5K	$0
Ajit Naidu	AL	Cardiovascular Disease Physician	$522.2K	$0
Randall Juleff	LA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$510.6K	$0
Loren Mccoy	AL	Internal Medicine Physician	$334.2K	$0
Kenneth Rose	AL	Internal Medicine Physician	$318.9K	$0
William Heaton	AL	Cardiovascular Disease Physician	$302.1K	$0
Therese Lango	AL	Interventional Cardiology Physician	$284.5K	$0
Roy Barco	AL	Internal Medicine Physician	$242K	$0
Ira Mitchell	AL	Internal Medicine Physician	$234.1K	$0
Robert Mann	AL	Internal Medicine Physician	$170K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Infants And Childrens Clinic PC	AL	Pediatrics Physician	$0	$8.7M
Shoals Pediatric Group PC	AL	Pediatrics Physician	$0	$4.4M
Pinnacle Medical Solutions LLC	AL	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Stepping Stone Pediatric Therapy, Inc.	AL	Occupational Therapist	$0	$4.1M
Lifeguard Ambulance Service LLC	AL	Land Ambulance	$1.9M	$1.6M
Alahealth, Inc.	AL	Case Management Agency	$0	$3.2M
Shoals Pediatric Dentistry, P.C.	AL	Pediatric Dentistry	$0	$3.1M
Heather Brody	AL	Hematology & Oncology Physician	$3.1M	$0
Shoals Hospice LLC	AL	Community Based Hospice Care Agency	$0	$3M
The Pediatric Dental Clinic	AL	Pediatric Dentistry	$0	$3M

Rchp - Florence LLC — Billing Profile & Reimbursement Data

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Rchp - Florence LLC — 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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