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.

Bartow Regional Medical Center, Inc. (NPI 1558734095)

Bartow Regional Medical Center, Inc. is a general acute care hospital provider located in Bartow, Florida. This profile covers 0 Medicare and 142 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	Bartow Regional Medical Center, Inc.
Address	2200 Osprey Blvd
City	Bartow
State	FL
ZIP	33830
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 5, 2015

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

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

142 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.	36,140	$90	$3.2M
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.	22,720	$70	$1.6M
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.	8,460	$90	$735.7K
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.	6,140	$80	$496.9K
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.	2,520	$180	$458.3K
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.	15,730	$20	$330.3K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	390	$640	$246.3K
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.	2,260	$110	$239.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,690	$120	$204.4K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,130	$60	$190.9K

Showing 1–10 of 142

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

Bartow Regional Medical Center, Inc. — 0 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

142 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.	86	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.	124	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.	215	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.	55	320	1,970	$90	$463.1K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	34	60	100	$710	$379K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	33	80	230	$400	$331.4K
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.	171	210	2,890	$70	$321.6K
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.	122	350	1,160	$80	$308.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	114	130	1,860	$30	$301.8K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	45	90	550	$110	$284.8K

Showing 1–10 of 142

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Polk County Board Of County Commissioners	FL	Ambulance	$5.9M	$14.3M
Peace River Center For Personal Development Inc	FL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.3M
Rocky Mountain Holdings, LLC	FL	Air Ambulance	$1.4M	$0
Nicole Rule	FL	Adult Health Nurse Practitioner	$49.2K	$0
Robert Mclean	FL	Otolaryngology Physician	$46.8K	$0
Korey Koper	FL	Physician Assistant	$27.6K	$0

Bartow Regional Medical Center, Inc. — Billing Profile & Reimbursement Data

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Bartow Regional Medical Center, 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph's Hospital, Inc.	FL	General Acute Care Hospital	$0	$70.7M
Winter Haven Hospital Inc	FL	General Acute Care Hospital	$0	$26.3M
South Florida Baptist Hospital Inc	FL	General Acute Care Hospital	$0	$12.8M
Trustees Of Mease Hospital Inc	FL	General Acute Care Hospital	$0	$9.2M
Holy Cross Hospital Inc	FL	General Acute Care Hospital	$0	$7.9M
Morton Plant Hospital Association Inc	FL	General Acute Care Hospital	$0	$7.3M
Julio Gonzalez-paoli	FL	Rheumatology Physician	$1.4M	$0
Bardmoor Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$1.1M	$0
James Connors	FL	MOHS-Micrographic Surgery Physician	$735.7K	$0
Aung Tun	FL	Cardiovascular Disease Physician	$663K	$0