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.

Health First Medical Group, LLC (NPI 1750626495)

Health First Medical Group, LLC is a general practice physician provider located in Melbourne, Florida. This profile covers 0 Medicare and 157 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	Health First Medical Group, LLC
Address	1223 Gateway Dr
City	Melbourne
State	FL
ZIP	32901
Taxonomy	General Practice Physician
NPI Enumerated	December 6, 2012

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

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

157 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	32,250	$40	$1.2M
H1000	Prenatal care, at-risk assessment	21,740	$50	$1M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	2,230	$470	$1M
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…	43,420	$20	$955.2K
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…	28,070	$30	$954.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	32,510	$20	$682.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5,920	$60	$343.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,330	$40	$151.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	14,100	$10	$112.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	4,260	$20	$102.3K

Showing 1–10 of 157

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

Health First Medical Group, LLC — 5 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

157 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H1000	Prenatal care, at-risk assessment	33	610	1,580	$60	$329.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	31	100	650	$80	$238.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	142	1,130	780	$90	$210.4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	210	640	4,400	$10	$193.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	175	1,050	640	$80	$183.6K
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…	171	5,930	460	$40	$169.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	215	1,120	520	$80	$141.7K
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…	46	6,380	430	$50	$139.3K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	40	50	230	$150	$137.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	158	300	390	$60	$127.6K

Showing 1–10 of 157

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Julie Bell	FL	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$0
Ashish Dalal	FL	Medical Oncology Physician	$3M	$0
Amit Barochia	FL	Medical Oncology Physician	$2.4M	$0
Boris Havkin	FL	Urology Physician	$2.3M	$0
Shawn Carter	FL	Nuclear Medicine Physician	$2.2M	$0
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Brendan Prendergast	FL	Radiation Oncology Physician	$1.5M	$0
Ravi Shankar	FL	Radiation Oncology Physician	$1.4M	$0
Solomon Zimm	FL	Medical Oncology Physician	$1.4M	$0
Long Dang	FL	Medical Oncology Physician	$1.3M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brevard Physician Associates, PLLC	FL	Anesthesiology Physician	$0	$12.7M
Holmes Regional Medical Center, Inc.	FL	General Acute Care Hospital	$0	$12.3M
Circles Of Care, Inc.	FL	Psychiatric Hospital	$0	$11.8M
Central Florida Kidney Centers Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$10.5M
Florida Clinical Laboratory, Inc	FL	Clinical Medical Laboratory	$4.7M	$549K
Sumeet Thareja	FL	Specialist	$4M	$0
Hetal Vaishnav	FL	Ophthalmology Physician	$2M	$0
Melbourne Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$935.1K	$1.1M
Vrinda Hershberger	FL	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Gary Ganiban	FL	Ophthalmology Physician	$1.7M	$0

Health First Medical Group, LLC — Billing Profile & Reimbursement Data

Sign up for Health First Medical Group, LLC — Billing Profile & Reimbursement Data policy alerts

Health First Medical Group, LLC — Billing Profile & Reimbursement Data

Sign up for Health First Medical Group, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References