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.

Pediatric Surgery Centers, LLC (NPI 1689664906)

Field	Value
Entity Type	Organization
Organization	Pediatric Surgery Centers, LLC
Address	10080 Balaye Run Dr
City	Tampa
State	FL
ZIP	33619
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 27, 2005

Payer Source	Total Paid
Medicaid	$10.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	5,190	$630	$3.3M
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	3,400	$900	$3.1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	2,760	$1,050	$2.9M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,530	$380	$585.6K
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.	610	$840	$510.3K
41010	In this procedure, the provider makes an incision in the lingual frenum, a membranous ridge under the tongue, to allow greater movement of the tongue in patients with ankyloglossia.	250	$400	$100.3K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	710	$30	$19.1K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	30	$540	$13.4K
42825	The provider performs an initial, recurrent, or secondary tonsillectomy procedure in a patient who is less than 12 years old.	10	$930	$13.1K
31238	In this procedure, the provider inserts an endoscope into the nasal cavity. The provider then uses bipolar cautery or other means to control bleeding.	10	$810	$11.4K

Showing 1–10 of 11

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

Pediatric Surgery Centers, LLC — 3 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	3	60	100	$710	$379K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	2	40	120	$610	$357.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	2	80	230	$400	$331.4K
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.	16	40	260	$580	$315.8K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	16	50	270	$160	$141.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	38	330	220	$130	$82.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	91	120	120	$180	$71K
41010	In this procedure, the provider makes an incision in the lingual frenum, a membranous ridge under the tongue, to allow greater movement of the tongue in patients with ankyloglossia.	2	10	90	$230	$27.8K
42825	The provider performs an initial, recurrent, or secondary tonsillectomy procedure in a patient who is less than 12 years old.	3	10	30	$440	$13.6K
31238	In this procedure, the provider inserts an endoscope into the nasal cavity. The provider then uses bipolar cautery or other means to control bleeding.	3	10	20	$470	$9.9K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pediatric Surgery Centers, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Surgery Center -odessa, LLC	FL	Ambulatory Surgical Clinic/Center	$0	$10.6M

Nearby Providers

Other providers in the same ZIP code as Pediatric Surgery Centers, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
After Hours Pediatrics, Inc.	FL	Clinic/Center	$0	$25.8M
Hillsborough County Florida Board Of County Commissioners	FL	Land Ambulance	$5.8M	$12.3M
Ambassador Health Services Inc	FL	Home Health Agency	$0	$17M
Independent Clinical Laboratories LLC	FL	Clinical Medical Laboratory	$3.4M	$1M
The Surgery Center At Tgh Brandon Healthplex LLC	FL	Ambulatory Surgical Clinic/Center	$2M	$0
Gerald Rhode	FL	Nurse Practitioner	$62.4K	$0
Pharmscript Of Florida LLC	FL	Long Term Care Pharmacy	$28.6K	$0

Pediatric Surgery Centers, LLC — Billing Profile & Reimbursement Data

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Pediatric Surgery Centers, LLC — 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