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.

Memorial Hospital Flagler Inc (NPI 1679678486)

Field	Value
Entity Type	Organization
Organization	Memorial Hospital Flagler Inc
Address	60 Memorial Medical Pkwy
City	Palm Coast
State	FL
ZIP	32164
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 14, 2006

Payer Source	Total Paid
Medicaid	$13.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

180 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.	17,910	$110	$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.	14,840	$100	$1.5M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	11,210	$120	$1.3M
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…	6,560	$170	$1.1M
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.	4,210	$170	$715.4K
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.	6,580	$90	$611.7K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,620	$140	$513.8K
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.	2,120	$230	$478.9K
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.	5,420	$80	$417.3K
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.	2,900	$140	$394.8K

Showing 1–10 of 180

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

Memorial Hospital Flagler 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

180 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.	165	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.	171	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.	211	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.	137	320	1,970	$90	$463.1K
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…	411	2,250	1,250	$50	$324.4K
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.	69	210	2,890	$70	$321.6K
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.	721	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.	130	350	1,160	$80	$308.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	108	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…	80	90	550	$110	$284.8K

Showing 1–10 of 180

Related Providers

Other providers that share a Tax Identification Number (TIN) with Memorial Hospital Flagler Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adventist Health System-sunbelt, Inc	FL	General Acute Care Hospital	$0	$173.7M
Mary Washington Hospital Inc.	VA	General Acute Care Hospital	$0	$80.1M
Florida Hospital Medical Group Inc	FL	Family Medicine Physician	$0	$71.2M
Adventist Health System Sunbelt, Inc.	FL	Urgent Care Clinic/Center	$0	$67.5M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Adventist Health System-sunbelt, Inc	FL	Clinical Medical Laboratory	$0	$28.2M
Florida Hospital Physician Group Inc	FL	Family Medicine Physician	$0	$21.4M
Memorial Health Systems Inc	FL	Rehabilitation Hospital Unit	$0	$17.6M
Southwest Volusia Healthcare Corporation	FL	General Acute Care Hospital	$0	$17.2M
Florida Hospital Medical Group Inc	FL	Diagnostic Radiology Physician	$0	$13.1M

Nearby Providers

Other providers in the same ZIP code as Memorial Hospital Flagler Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Padmaja Sai	FL	Medical Oncology Physician	$3.7M	$0
Amit Nanavati	FL	Interventional Cardiology Physician	$1.2M	$0
Renato Alfonso	FL	Specialist	$795K	$0
Anthony Tucker	FL	Otolaryngology Physician	$413.4K	$0
Arnaldo Trabucco	FL	Urology Physician	$363.1K	$0
Issam Nasr	FL	Gastroenterology Physician	$228.7K	$0
Kizhake Kurian	FL	Cardiovascular Disease Physician	$226.8K	$0
Dean Abtahi	FL	Cardiovascular Disease Physician	$222.4K	$0
Charles Stein	FL	Phlebology Physician	$212.9K	$0
Terrence Regan	FL	Urology Physician	$211.1K	$0

Memorial Hospital Flagler 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