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.

Southern Baptist Hospital Of Florida Inc (NPI 1578620449)

Key Findings

Field	Value
Entity Type	Organization
Organization	Southern Baptist Hospital Of Florida Inc
Address	800 Prudential Dr
City	Jacksonville
State	FL
ZIP	32207
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 2, 2007

Payer Source	Total Paid
Medicaid	$88M
Medicare	$0

This provider is effectively single-payer in the available data: there is no Medicare billing on file while Medicaid accounts for $88M in lifetime revenue, indicating Medicaid dominates the revenue mix and payer exposure for this hospital. Analysts should treat the facility as Medicaid-focused when modeling revenue risk or negotiating managed-care arrangements.

Revenue concentration is high and concentrated in emergency department E/M services: the precomputed top three Medicaid codes (99283, 99284, 99285) account for 38.1% of the provider’s total Medicaid revenue, with 99283 generating $11.5M (17.2%), 99284 $7.9M (11.9%), and 99285 $6M (9.0%). This concentration means changes in ED utilization or reimbursement for those codes would materially affect overall Medicaid revenue.

The code mix points to a high-volume acute care and emergency operations footprint: large paid-claim volumes for ED E/M codes (e.g., 127.4K claims for 99283, 86.4K for 99284, 52.1K for 99285) combined with substantial infusion/IV hydration and infusion administration codes (96361: 28.1K claims, $5.9M revenue; 96360: 10.9K claims, $2M revenue; 96365: 8.8K claims, $1.9M revenue) and observation (G0378: 19.9K claims, $736.8K). Together these patterns suggest heavy ED throughput, frequent IV/infusion interventions, and notable observation unit use rather than outpatient clinic–centric care.

Competitive standing within Florida is strong for emergency services: 99283 ranks #17 of 701 providers in-state (98th percentile; extreme outlier), 99284 ranks #22 of 739 (97th percentile; notably above typical), and 99285 ranks #17 of 658 (98th percentile; notably above typical). Those ranks indicate the hospital is a major in-state provider of high-acuity and moderate/low-acuity ED services relative to peers.

Beyond core ED services, the hospital shows concentrated high-volume activity in a handful of specialized procedures and tests that exceed typical state volumes: 96361 is a 99th percentile extreme outlier (rank #3 of 212), 0241U is an extreme outlier and the highest-volume in-state provider for that code (31.2K claims, $1.9M revenue; rank #1 of 110, 100th percentile), and 87631 ranks #3 of 108 (98th percentile; extreme outlier). These stand outlier positions point to either local referral patterns or service-line specialization that produce unusually large volumes for specific services.

The provider also records meaningful volumes in diagnostic imaging, cardiology testing, and pediatric ENT procedures that diversify its Medicaid revenue: transthoracic echocardiography codes 93303 and 93304 together contribute roughly $3.8M in revenue (each ~$1.9M), CT head and CT abdomen/pelvis appear in the top codes (70450: 15.4K claims, $710K; 74177: 11.1K claims, $806.7K), and pediatric ENT procedures 42820 and 42830 contribute $1.6M and $832.3K respectively. These data indicate the hospital operates a full acute-care imaging and procedural stack alongside its ED workload, supporting inpatient and surgical case mix.

Volume indicators for common lab and therapy services are sizeable and consistent with high throughput: broad panels and basic labs appear with high claim counts (80053: 52.3K claims, $1.2M revenue; 80048: 51.6K claims, $981.3K revenue), respiratory and SARS–CoV–2 testing show elevated volume (87635: 17.5K claims, $2.7M revenue), and therapy code 97530 has notable activity (32.5K claims, $3.1M revenue). These figures support a view of steady inpatient and ED testing plus allied therapy utilization as part of the hospital’s operational profile.

The provider has an established tenure in the NPI registry (enumerated 2007-01-02, ~19 years ago), reinforcing that the observed Medicaid-dominated billing pattern is produced by a long-standing acute care hospital rather than a very recent entrant. Combined with the Medicaid concentration ($88M and no Medicare billing on file), this longevity suggests an entrenched role serving the Medicaid population in its market, which should inform competitor/contracting assessments and risk sensitivity to Medicaid policy changes.

Medicaid: Complete Services Breakdown

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

482 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.	127,380	$90	$11.5M
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.	86,360	$90	$7.9M
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.	52,120	$120	$6M
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.	28,150	$210	$5.9M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	27,860	$160	$4.5M
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.	39,530	$100	$3.8M
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.	32,510	$90	$3.1M
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…	17,550	$160	$2.7M
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.	10,870	$180	$2M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	4,350	$440	$1.9M

Showing 1–10 of 482

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

Southern Baptist Hospital Of Florida Inc — 11 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

482 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.	17	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.	22	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.	17	660	1,900	$70	$743.6K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	11	30	310	$720	$616.3K
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.	6	320	1,970	$90	$463.1K
A6258	Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	6	10	110	$140	$452.4K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	17	40	400	$460	$395.7K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	5	60	100	$710	$379K
44970	Laparoscopy, surgical, appendectomy	7	10	60	$1,820	$372.9K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	6	40	120	$610	$357.5K

Showing 1–10 of 482

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
One Call Government Solutions, LLC	FL	Transportation Broker	$0	$48.5M
The Nemours Foundation	FL	Multi-Specialty Clinic/Center	$0	$46.2M
Emergency Physicians Inc	FL	Emergency Medicine Physician	$0	$34.2M
Nemours Children's Health, Jacksonville, Specialty Care	FL	Multi-Specialty Clinic/Center	$0	$23.6M
Child Guidance Center, Inc.	FL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8M
Metro Treatment Of Florida, LP	FL	Methadone Clinic	$168.7K	$4.4M
Swl Services LLC	FL	Clinical Medical Laboratory	$4.1M	$2.5K
Gary Gabor	FL	Rheumatology Physician	$2.7M	$0
Bernhardt Laboratories Inc	FL	Clinical Medical Laboratory	$1.8M	$620.2K
Nicole Anderson	FL	Radiation Oncology Physician	$719.5K	$0

Southern Baptist Hospital Of Florida Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References