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.

Pedi Stat, Inc (NPI 1770581498)

Field	Value
Entity Type	Organization
Organization	Pedi Stat, Inc
Address	1450 Nw 159th St
City	Miami
State	FL
ZIP	33169
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicaid	$35.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	5,970	$860	$5.1M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	14,170	$240	$3.4M
A9900	Miscellaneous dme supply, accessory, and/or service component of another hcpcs code	22,430	$100	$2.3M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	14,070	$150	$2.1M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	3,030	$670	$2M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	8,460	$230	$2M
A4624	Tracheal suction catheter, any type other than closed system, each	10,320	$160	$1.7M
B9002	Enteral nutrition infusion pump, any type	16,970	$80	$1.3M
E0445	Oximeter device for measuring blood oxygen levels non-invasively	12,690	$100	$1.2M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	7,790	$150	$1.2M

Showing 1–10 of 72

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

Pedi Stat, Inc — 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	5	30	1,790	$670	$1.8M
E1399	Durable medical equipment, miscellaneous	15	50	420	$790	$880.5K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2	30	1,450	$520	$775K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	47	50	1,800	$60	$730.4K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	35	60	2,140	$60	$601K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	7	50	1,820	$180	$550K
S5199	Personal care item, nos, each	25	40	2,820	$50	$547.8K
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	8	20	400	$690	$542.2K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	5	60	2,250	$110	$520.7K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	7	20	550	$350	$501.6K

Showing 1–10 of 72

Nearby Providers

Other providers in the same ZIP code as Pedi Stat, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Affinity Home Care Inc.	FL	Attendant Care Provider	$0	$43.1M
The Trend Group Corporation	FL	Home Health Agency	$0	$21.7M
North Beach Dialysis Center, LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$20.9M
Silveroak Home Health Care Service Inc	FL	Home Health Agency	$0	$17.9M
Community Connections For Life, Inc	FL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.2M
Public Health Trust Of Miami Dade County Florida	FL	Rehabilitation Hospital Unit	$0	$15.9M
Millenium Clinic Of Dade Inc	FL	Community/Behavioral Health Agency	$0	$14.6M
Dva Healthcare Renal Care, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14.3M
Vivian Orizu	FL	Developmentally Disabled Services Day Training Agency	$0	$14.3M
Talimena Dialysis LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.7M

Pedi Stat, Inc — Billing Profile & Reimbursement Data

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Pedi Stat, Inc — 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