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.

Lakeland Regional Health Systems, Inc. (NPI 1497748743)

Field	Value
Entity Type	Organization
Organization	Lakeland Regional Health Systems, Inc.
Address	1324 Lakeland Hills Blvd
City	Lakeland
State	FL
ZIP	33805
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	August 23, 2005

Payer Source	Total Paid
Medicaid	$12.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

161 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	37,000	$40	$1.4M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	32,950	$40	$1.3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	25,950	$40	$1.1M
H1000	Prenatal care, at-risk assessment	21,140	$50	$1M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	38,620	$30	$965.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	7,640	$80	$626.3K
99220	N/A	7,410	$80	$614.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	8,540	$70	$606.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,480	$100	$520.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,760	$90	$489.3K

Showing 1–10 of 161

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

Lakeland Regional Health Systems, Inc. — 12 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

161 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	586	700	2,400	$80	$1.2M
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.	552	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.	266	320	1,970	$90	$463.1K
H1000	Prenatal care, at-risk assessment	37	610	1,580	$60	$329.2K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	86	120	80	$890	$277.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	60	80	150	$440	$271.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	103	1,130	780	$90	$210.4K
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.	327	640	4,400	$10	$193.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	78	1,050	640	$80	$183.6K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	18	140	330	$100	$173.1K

Showing 1–10 of 161

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lakeland Regional Health Systems, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeland Regional Medical Center, Inc.	FL	General Acute Care Hospital	$0	$62.1M
Ethan Carey	FL	Physician Assistant	$567.7K	$0
Frances Martin	KY	Urology Physician	$532.8K	$0
Ghulam Thaver	AL	Diagnostic Radiology Physician	$444.7K	$0
Paul Rochon	CO	Vascular & Interventional Radiology Physician	$420.6K	$0
Edward Denstman	CT	Diagnostic Radiology Physician	$420K	$0
Zia Rab	FL	Interventional Cardiology Physician	$365.6K	$0
William Upshaw	FL	Psychiatry Physician	$310.3K	$0
Anthony Infante	FL	Orthopaedic Surgery Physician	$294.9K	$0
Mark Mines	FL	Interventional Cardiology Physician	$251K	$0

Nearby Providers

Other providers in the same ZIP code as Lakeland Regional Health Systems, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Osprey Emergency Physicians LLC	FL	Emergency Medicine Physician	$0	$14.6M
Good Shepherd Hospice, Inc.	FL	Community Based Hospice Care Agency	$0	$10.3M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.6M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.1M
Watson Clinic LLP	FL	Clinical Medical Laboratory	$3.4M	$2.7K
Leonard Gitter	FL	Medical Oncology Physician	$2.5M	$0
Shalini Mulaparthi	FL	Medical Oncology Physician	$2.2M	$0
David Graham	FL	Radiation Oncology Physician	$1.7M	$0
Richard Hamilton	FL	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
Sandra Sha	FL	Radiation Oncology Physician	$1.5M	$0

Lakeland Regional Health Systems, Inc. — Billing Profile & Reimbursement Data

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Lakeland Regional Health Systems, 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