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.

South Florida Perinatal Medicine (NPI 1750494373)

South Florida Perinatal Medicine is a specialist provider located in South Miami, Florida. This profile covers 0 Medicare and 24 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	South Florida Perinatal Medicine
Address	6200 Sunset Dr
City	South Miami
State	FL
ZIP	33143
Taxonomy	Specialist
NPI Enumerated	August 17, 2006

Payer Source	Total Paid
Medicaid	$16.2M
Medicare	$0

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	42,650	$120	$5M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	66,990	$70	$4.8M
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	21,790	$100	$2.3M
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	31,290	$70	$2M
76813	The provider uses either a transabdominal or transvaginal ultrasound to measure the fetal nuchal translucency, or the clear, fluid–filled space at the back of the neck, of the first or a single…	18,190	$40	$709.3K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	11,000	$50	$527.8K
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	7,080	$20	$120.4K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	2,060	$50	$103.2K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	1,630	$60	$102.9K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	880	$100	$87.5K

Showing 1–10 of 24

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

South Florida Perinatal Medicine — 7 of 23 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	1	140	330	$100	$173.1K
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…	4,938	5,930	460	$40	$169.3K
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…	2,344	6,380	430	$50	$139.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1	300	390	$60	$127.6K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	15	150	150	$110	$107.6K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	2	230	430	$40	$85.4K
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…	203	980	120	$90	$76.8K
99203	The provider sees a new 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 provider…	244	1,670	90	$80	$69.2K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	28	100	250	$60	$62.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	105	1,330	340	$10	$54.3K

Showing 1–10 of 24

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Senior Care Services	FL	In Home Supportive Care Agency	$0	$14M
Psychosocial Rehabilitation Center Inc	FL	Community/Behavioral Health Agency	$0	$12.7M
South Miami Hospital Inc	FL	General Acute Care Hospital	$0	$9.4M
Atlantic Pediatric Partners LLC	FL	Pediatrics Physician	$0	$7.8M
Timothy Murray	FL	Retina Specialist (Ophthalmology) Physician	$733.7K	$50.9K
Beatriz Amendola	FL	Radiation Oncology Physician	$610.7K	$0
Baptist Surgery And Endoscopy Centers LLC	FL	Ambulatory Surgical Clinic/Center	$597.5K	$0
Humberto Fernandez-miro	FL	Family Medicine Physician	$572.9K	$4K
Lara Paraskos	FL	Endocrinology, Diabetes & Metabolism Physician	$533.9K	$0
Abbe Rosenbaum	FL	Cardiovascular Disease Physician	$425K	$0

South Florida Perinatal Medicine — Billing Profile & Reimbursement Data

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South Florida Perinatal Medicine — 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