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.

Baptist Hospital Of Miami Inc (NPI 1528042884)

Field	Value
Entity Type	Organization
Organization	Baptist Hospital Of Miami Inc
Address	8900 N Kendall Dr
City	Miami
State	FL
ZIP	33176
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 30, 2005

Payer Source	Total Paid
Medicaid	$31.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

366 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.	45,260	$90	$4.2M
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.	31,040	$100	$2.9M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	47,570	$40	$1.9M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	14,710	$80	$1.1M
J9271	Injection, pembrolizumab, 1 mg	1,010	$1,100	$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.	18,100	$60	$1M
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	3,400	$260	$873.5K
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.	6,120	$140	$868.9K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	7,630	$110	$831.8K
77387	The provider uses imaging guidance to locate the target site for delivery of radiation treatment over the tumor. This helps to protect the surrounding healthy tissues.	2,160	$380	$829.1K

Showing 1–10 of 366

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

Baptist Hospital Of Miami Inc — 10 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

366 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.	99	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.	51	740	2,180	$70	$1.1M
J9271	Injection, pembrolizumab, 1 mg	3	10	630	$1,300	$977.3K
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.	89	660	1,900	$70	$743.6K
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	9	10	1,510	$190	$692.6K
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.	125	320	1,970	$90	$463.1K
G0257	Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility	23	30	500	$250	$377.6K
44970	Laparoscopy, surgical, appendectomy	10	10	60	$1,820	$372.9K
77523	This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is…	1	10	980	$340	$330.2K
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…	4	10	2,100	$70	$324.2K

Showing 1–10 of 366

Nearby Providers

Other providers in the same ZIP code as Baptist Hospital Of Miami Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nova Rehabilitation Inc.	FL	Home Health Agency	$0	$44.9M
Advantis Home Care, Inc.	FL	Home Health Agency	$0	$11.1M
Pediatric Gastroenterology Associates PLLC	FL	Pediatric Gastroenterology Physician	$0	$10.1M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.6M
Andrew Schimel	FL	Ophthalmology Physician	$1.8M	$0
Baptist Health Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$1.5M	$6.9K
Pedro Lopez	FL	Ophthalmology Physician	$1.1M	$0
Randy Edwards	FL	Acute Care Nurse Practitioner	$787.4K	$0
Thomas Lange	FL	Physical Therapist	$625.7K	$0
Claudia Ferreiro	FL	Occupational Therapist	$624.7K	$0

Baptist Hospital Of Miami 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

Nearby Providers

Frequently Asked Questions

References