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 Health Medical Group Inc (NPI 1669429577)

Key Findings

Field	Value
Entity Type	Organization
Organization	Orlando Health Medical Group Inc
Address	52 W Underwood St
City	Orlando
State	FL
ZIP	32806
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicaid	$57.6M
Medicare	$0

This provider is effectively single‑payer: there is no Medicare billing on file while Medicaid revenue totals $57.6M, so Medicaid accounts for the entirety of recorded government payer activity for this NPI. Analysts should treat the profile as Medicaid‑centric when evaluating volume, risk, and network leverage.

Revenue is concentrated in a small set of evaluation-and-management and prenatal codes: the top three Medicaid codes (99214, H1000, 99233) account for 41.9% of the provider's total Medicaid revenue. Specifically, 99214 accounts for $10.1M (21.0%), H1000 $5.1M (10.7%), and 99233 $4.9M (10.2%), indicating that a relatively small number of services drive a large share of payments.

The code mix points to a combined ambulatory primary care, obstetrics, and inpatient follow‑up operation: 99214 (established outpatient visits) and H1000 (prenatal at‑risk assessment) are major revenue drivers alongside high volumes of subsequent inpatient care (99233 and 99232). This suggests the organization operates both outpatient clinics with heavy prenatal caseloads and active inpatient rounding or hospitalist coverage.

On competitive standing within Florida the provider is a clear high‑volume outlier for multiple codes: 99233 ranks #1 of 1503 providers (100th percentile; extreme outlier), 99214 ranks #10 of 6379 (100th percentile; extreme outlier), and H1000 ranks #4 of 612 (100th percentile; extreme outlier). Multiple other E/M and procedural codes (e.g., 99232 #2 of 1976, 99215 #3 of 979) also sit at top state ranks, signaling dominant statewide scale for those services.

Beyond the top three, the provider shows broad service lines supporting obstetrics and imaging: high volumes and revenue appear for obstetric ultrasound codes (76816: 31.5K claims, $1.9M revenue; 76811: 10.4K claims, $1M revenue; 76819: 11.8K claims, $482.2K revenue) and for delivery and perinatal care (59410: 690 claims, $512.7K revenue). Cardiac testing is also present at scale (93010: 101.1K claims, $505.6K revenue; 93306: 16.6K claims, $613K revenue), indicating substantial ancillary diagnostic capacity.

Operational scale is illustrated by extremely large claim counts for core E/M codes (99214: 136.8K claims; 99232: 153.2K claims; 99233: 100.6K claims), which implies significant clinic scheduling, inpatient coverage capacity, and care‑coordination resources are required to support this volume. The presence of higher‑complexity outpatient codes with higher avg paid/claim (99215 $106 avg; 99204 $128 avg) shows a mix of routine and complex ambulatory encounters in revenue mix.

The provider has a long enrollment history (NPI enumerated 2006-05-27, ~20 years ago), which aligns with the scale and high state ranking: long tenure likely underpins established referral relationships and the operational infrastructure needed to generate consistently high Medicaid volumes. Given the Medicaid concentration and sustained activity over two decades, payers and partners should treat this entity as a mature, Medicaid‑focused service provider when assessing contracting or network strategies.

Medicaid: Complete Services Breakdown

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

240 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	136,770	$70	$10.1M
H1000	Prenatal care, at-risk assessment	80,330	$60	$5.1M
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…	100,650	$50	$4.9M
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…	153,220	$30	$4.3M
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…	55,700	$60	$3.2M
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…	25,710	$110	$2.7M
99204	The provider sees a new 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 provider…	17,760	$130	$2.3M
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…	28,780	$70	$2.1M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	31,510	$60	$1.9M
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.	30,810	$50	$1.5M

Showing 1–10 of 240

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 Health Medical Group Inc — 21 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

240 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.	101	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.	334	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.	606	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.	71	320	1,970	$90	$463.1K
H1000	Prenatal care, at-risk assessment	4	610	1,580	$60	$329.2K
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	17	40	260	$580	$315.8K
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.	2,073	2,310	1,910	$40	$315.4K
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.	27	350	1,160	$80	$308.7K
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	90	320	$180	$307.9K
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…	19	120	80	$890	$277.5K

Showing 1–10 of 240

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orlando Health, Inc.	FL	General Acute Care Hospital	$0	$105.5M
South Lake Hospital, Inc.	FL	General Acute Care Hospital	$0	$16.9M
Orlando Health Central, Inc.	FL	General Acute Care Hospital	$0	$12.5M
Orlando Physicians Network Inc	FL	Internal Medicine Physician	$0	$9.4M
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
David Lew	FL	Cardiovascular Disease Physician	$1.6M	$0
Orlando Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$1.5M	$0
Julio Gonzalez-paoli	FL	Rheumatology Physician	$1.4M	$0

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 Health Medical Group 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