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 Epilepsy And Neurology Specialists (NPI 1689765737)

Pediatric Epilepsy And Neurology Specialists is a specialist provider located in Tampa, Florida. This profile covers 0 Medicare and 26 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Pediatric Epilepsy And Neurology Specialists
Address	508 S Habana Ave
City	Tampa
State	FL
ZIP	33609
Taxonomy	Specialist
NPI Enumerated	September 27, 2006

Payer Source	Total Paid
Medicaid	$15.4M
Medicare	$0

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

26 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…	50,610	$100	$5M
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…	27,080	$70	$1.8M
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	4,010	$370	$1.5M
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…	10,600	$130	$1.4M
95813	An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer…	2,800	$320	$902.8K
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…	5,170	$150	$774.8K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	6,680	$100	$661.7K
H0031	Mental health assessment, by non-physician	2,360	$260	$616K
95716	The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…	500	$890	$449.1K
95700	The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…	1,200	$330	$397.2K

Showing 1–10 of 26

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 Epilepsy And Neurology Specialists — 8 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	844	1,880	1,010	$70	$544.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	66	80	150	$440	$271.5K
95813	An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer…	1	20	140	$340	$179.1K
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…	181	5,930	460	$40	$169.3K
95716	The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…	4	20	230	$560	$158.3K
95812	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring is a routine…	3	20	90	$330	$150.4K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	2	100	110	$270	$142.4K
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…	37	6,380	430	$50	$139.3K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	9	40	330	$170	$128.3K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	3	220	150	$160	$117.4K

Showing 1–10 of 26

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Olson Healthcare, LLC	FL	Home Health Agency	$0	$39M
Columbus Medical Services, LLC	FL	Developmental Disabilities Clinic/Center	$0	$12.2M
Selwyn St Louis Inc	FL	Home Health Agency	$0	$7.2M
Marc Peden	FL	Ophthalmology Physician	$2.5M	$0
Ivan Suner	FL	Ophthalmology Physician	$2.4M	$0
Alexander Engelman	FL	Radiation Oncology Physician	$1.7M	$0
Jeetpaul Saran	FL	Internal Medicine Physician	$880.8K	$0
Blackstone Medical Services LLC	FL	Sleep Disorder Diagnostic Clinic/Center	$110.1K	$623.9K
Geoffrey Kwitko	FL	Ophthalmology Physician	$568.9K	$0
Ethan Carey	FL	Physician Assistant	$567.7K	$0

Pediatric Epilepsy And Neurology Specialists — Billing Profile & Reimbursement Data

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Pediatric Epilepsy And Neurology Specialists — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References