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.

Cape Memorial Hospital Inc (NPI 1487760906)

Cape Memorial Hospital Inc is a general acute care hospital provider located in Cape Coral, Florida. This profile covers 0 Medicare and 282 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	Cape Memorial Hospital Inc
Address	636 Del Prado Blvd
City	Cape Coral
State	FL
ZIP	33990
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 21, 2006

Payer Source	Total Paid
Medicaid	$13.8M
Medicare	$0

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

282 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.	18,150	$70	$1.2M
G0381	Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	14,000	$80	$1.1M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	24,370	$40	$950.4K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	11,060	$80	$874.1K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	7,760	$100	$760.1K
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.	9,330	$70	$662.6K
G0382	Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	8,760	$70	$648.4K
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…	13,640	$50	$627.3K
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.	4,230	$150	$621.2K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	3,660	$110	$384.3K

Showing 1–10 of 282

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

Cape Memorial Hospital Inc — 2 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

282 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	11	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.	160	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.	259	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.	310	660	1,900	$70	$743.6K
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.	51	320	1,970	$90	$463.1K
G0381	Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	1	10	2,100	$70	$324.2K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	118	210	2,890	$70	$321.6K
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.	1,386	2,310	1,910	$40	$315.4K
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.	75	350	1,160	$80	$308.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	19	130	1,860	$30	$301.8K

Showing 1–10 of 282

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lee Memorial Health System	FL	General Acute Care Hospital	$0	$97.7M
Lee Memorial Health System	FL	Internal Medicine Physician	$0	$15.1M
Lee Memorial Health System	FL	General Acute Care Hospital	$0	$11.1M
Cedar Valley Pathologists PC	IA	Clinical Pathology/Laboratory Medicine Physician	$0	$1.8M
Eric Pressman	FL	Cardiovascular Disease Physician	$795.2K	$0
David Harris	FL	Urology Physician	$582.9K	$0
Murali Muppala	FL	Interventional Cardiology Physician	$340.1K	$0
Michael Lipinski	FL	Interventional Cardiology Physician	$336.9K	$0
Jerilee Lomas	FL	Internal Medicine Physician	$303.7K	$0
Kamaldeep Singh	FL	Interventional Cardiology Physician	$292.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Life Home Health Agency Corp	FL	Home Health Agency	$0	$7.9M
Constantine Mantz	FL	Therapeutic Radiology Physician	$3.8M	$0
Surgery Centre Of Sw Florida LLC	FL	Ambulatory Surgical Clinic/Center	$1.1M	$0
Dunnett Durando	FL	Dermatology Physician	$455.7K	$0
John Thompson	FL	Adult Reconstructive Orthopaedic Surgery Physician	$286.7K	$0
Donald Mcalpine	FL	Pulmonary Disease Physician	$276.4K	$0
Brian Rajca	FL	Internal Medicine Physician	$230.2K	$0
Alejandro Martinez	FL	Family Medicine Physician	$187K	$0
Richard Wingert	FL	Otolaryngology Physician	$182.9K	$0
Patrick Rickert	FL	Physical Therapist	$180.6K	$0

Cape Memorial Hospital Inc — Billing Profile & Reimbursement Data

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Cape Memorial 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

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