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.

Florida Hospital Ocala Inc (NPI 1740772268)

Key Findings

Field	Value
Entity Type	Organization
Organization	Florida Hospital Ocala Inc
Address	1500 Sw 1st Ave
City	Ocala
State	FL
ZIP	34471
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2018

Payer Source	Total Paid
Medicaid	$40.4M
Medicare	$0

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and all recorded federal revenue is Medicaid‑based, with total Medicaid revenue of $40.4M. That payer mix indicates financial exposure concentrated to Medicaid reimbursement levels and policies rather than traditional Medicare dynamics.

Revenue concentration is high: the precomputed top three Medicaid codes account for 49.6% of the provider's total Medicaid revenue, driven by 99283 ($8M, 22.9%), 99284 ($5.4M, 15.6%), and 92507 ($3.9M, 11.1%). This level of concentration means a small set of service lines materially determines overall Medicaid revenue.

The code mix points to a high-volume emergency department operation: 99283 appears with 100.8K claims, 99284 with 61.8K claims, 99285 with 25.2K claims, and 99282 with 19.5K claims, suggesting frequent ED encounters spanning straightforward through high medical decision‑making levels. Together with the provider taxonomy of General Acute Care Hospital, these counts are consistent with ED-centered throughput as a primary service line.

The provider also shows substantial in‑house respiratory and infectious disease testing capacity: 0202U (10.7K claims, $2.4M, 7.0%) and 87637 (15.8K claims, $1.3M, 3.8%) are both notably above typical state volume, and U0003 appears as well (6.9K claims, $395K). The presence of a PLA code (0202U) and high multiplex testing volumes indicates reliance on proprietary/advanced respiratory diagnostics.

Imaging, infusion, and rehabilitation are meaningful secondary service lines: CT abdomen/pelvis with contrast 74177 (6.1K claims, $1.2M) and CT head 70450 (7.6K claims, $491.1K) are in the top 25, while IV infusion and administration codes (96360, 96361, 96365, 96374, 96375) and physical therapy codes (97110 at 18.8K claims, $1.4M; 97530 at 15.2K claims, $819.1K) together indicate a mix of acute medical treatment and rehab throughput. This combination is consistent with an acute hospital handling both emergent care and post‑acute therapy.

Competitive standing within Florida is strong for several specific codes: 99283 ranks #20 of 701 providers in‑state (97th percentile, notably above typical state volume), 0202U ranks #6 of 94 (95th percentile, notably above typical state volume), and 87637 ranks #3 of 83 (98th percentile, notably above typical state volume). These rank/percentile signals identify the hospital as a major state‑level participant for low‑to‑moderate ED visits and respiratory testing, even if other codes show more typical volumes.

Multiple codes are flagged as statistical outliers relative to peers, which underscores operational emphasis rather than suggesting any nonclinical interpretation: notable examples called out in the data are 99283, 92507, 0202U, 87637, Q9967, 96372, and 97161, each described in the source as "notably above typical" for Florida providers. These outlier labels point toward concentrated capacity in ED services, speech/hearing evaluation, respiratory diagnostics, contrast usage, select injections, and initial physical therapy evaluations.

The NPI enumeration date of 2018-05-31 (~8 years ago) indicates the hospital has an established mid‑term presence in the market; paired with the General Acute Care Hospital taxonomy and the service mix observed, the data portray a mature acute care facility with operational emphasis on emergency services, respiratory diagnostics, imaging, parenteral therapies, and rehabilitation services.

Medicaid: Complete Services Breakdown

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

266 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.	100,830	$80	$8M
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.	61,780	$90	$5.4M
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…	30,750	$130	$3.9M
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…	10,690	$230	$2.4M
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.	25,160	$90	$2.2M
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.	19,450	$80	$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…	18,820	$70	$1.4M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	15,780	$80	$1.3M
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.	6,110	$200	$1.2M
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.	15,170	$50	$819.1K

Showing 1–10 of 266

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

Florida Hospital Ocala Inc — 7 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

266 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.	20	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.	29	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.	60	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.	20	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…	97	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.	22	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.	309	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.	46	350	1,160	$80	$308.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	59	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…	6	90	550	$110	$284.8K

Showing 1–10 of 266

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marion Community Hospital, Inc.	FL	General Acute Care Hospital	$0	$25.5M
Renal Treatment Centers-southeast, LP.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$20.4M
Marion County Board Of Commissioner	FL	Ambulance	$5.6M	$7.7M
Childrens Health Of Ocala	FL	Pediatrics Physician	$0	$8.2M
Sylvester Ajufo	FL	Exclusive Provider Organization	$0	$7.6M
Vipul Patel	FL	Medical Oncology Physician	$3.2M	$0
Nikia Williams	FL	Nurse Practitioner	$2.9M	$0
Central Florida Endoscopy & Surgical Institute Of Ocala LLC	FL	Ambulatory Surgical Clinic/Center	$204.7K	$1.9M
Srisha Rao	FL	Cardiovascular Disease Physician	$1.9M	$0
Asad Qamar	FL	Cardiovascular Disease Physician	$1.9M	$0

Florida Hospital Ocala 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

Nearby Providers

Frequently Asked Questions

References