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.

Orlando Physicians Network Inc (NPI 1568693554)

Field	Value
Entity Type	Organization
Organization	Orlando Physicians Network Inc
Address	21 W Columbia St
City	Orlando
State	FL
ZIP	32806
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 7, 2009

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

77 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…	38,850	$60	$2.4M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	43,150	$40	$1.6M
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…	23,620	$70	$1.6M
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…	14,780	$100	$1.5M
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…	13,910	$80	$1.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,740	$100	$464K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	14,220	$20	$327.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,770	$100	$184.4K
0241U	N/A	680	$100	$69.6K
0240U	N/A	390	$110	$42.8K

Showing 1–10 of 77

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

Orlando Physicians Network Inc — 6 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

77 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H1000	Prenatal care, at-risk assessment	591	610	1,580	$60	$329.2K
99090	N/A	4	10	270	$90	$272.8K
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…	20	1,130	780	$90	$210.4K
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…	18	1,050	640	$80	$183.6K
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…	100	5,930	460	$40	$169.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	79	1,120	520	$80	$141.7K
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…	97	6,380	430	$50	$139.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	169	980	360	$80	$97.2K
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…	1,178	1,500	470	$30	$87.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	539	980	120	$90	$76.8K

Showing 1–10 of 77

Related Providers

Other providers that share a Tax Identification Number (TIN) with Orlando Physicians Network Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orlando Health, Inc.	FL	General Acute Care Hospital	$0	$105.5M
Orlando Health Medical Group Inc	FL	Internal Medicine Physician	$0	$57.6M
Pediatrix Medical Group Of Florida Inc	FL	Pediatric Cardiology Physician	$0	$35.9M
Pediatrix Medical Group Of Tennessee, P.C.	TN	Neonatal-Perinatal Medicine Physician	$0	$32.3M
South Lake Hospital, Inc.	FL	General Acute Care Hospital	$0	$16.9M
Orlando Health Central, Inc.	FL	General Acute Care Hospital	$0	$12.5M
Sedigheh Ebadi	FL	Pediatrics Physician	$0	$10.1M
Yuanbin Chen	FL	Medical Oncology Physician	$2.7M	$0
Amarilis Torres	FL	Rheumatology Physician	$1.7M	$0
Ernesto Rodriguez	FL	Rheumatology Physician	$1.6M	$0

Nearby Providers

Other providers in the same ZIP code as Orlando Physicians Network Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Of Central Florida LLP	FL	Emergency Medicine Physician	$0	$50M
Nemours Children's Health, Downtown Orlando, Specialty Care	FL	Multi-Specialty Clinic/Center	$0	$44.4M
Dva Renal Healthcare Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14.5M
Elia Mavrofrides	FL	Ophthalmology Physician	$6.2M	$240
Samuel Houston	FL	Ophthalmology Physician	$4.2M	$39.3K
Matthew Cunningham	FL	Ophthalmology Physician	$4M	$1.8K
Eric Feinstein	FL	Ophthalmology Physician	$3.4M	$1.5K
Jaya Kumar	FL	Ophthalmology Physician	$3.4M	$3K
John Randolph	FL	Ophthalmology Physician	$3M	$0
Gokul Kumar	FL	Ophthalmology Physician	$3M	$0

Orlando Physicians Network Inc — Billing Profile & Reimbursement Data

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Orlando Physicians Network 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