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.

Variety Children's Hopsital (NPI 1811141633)

Variety Children's Hopsital is a children's hospital provider located in Miami, Florida. This profile covers 0 Medicare and 40 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	Variety Children's Hopsital
Address	13400 Sw 120th St
City	Miami
State	FL
ZIP	33186
Taxonomy	Children's Hospital
NPI Enumerated	November 6, 2008

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

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

40 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…	13,640	$160	$2.2M
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…	8,580	$180	$1.5M
S9083	Global fee urgent care centers	6,850	$120	$822.1K
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…	3,520	$190	$672.3K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	22,230	$30	$600.1K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	18,700	$20	$373.9K
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…	1,480	$140	$202.9K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	12,870	$10	$180.2K
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…	630	$190	$120.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	1,800	$60	$111.4K

Showing 1–10 of 40

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

Variety Children's Hopsital — 4 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9083	Global fee urgent care centers	27	130	680	$90	$517.2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	144	320	750	$40	$232.7K
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…	1,137	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…	212	6,380	430	$50	$139.3K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	73	160	450	$50	$115.7K
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…	22	980	120	$90	$76.8K
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…	164	1,850	90	$110	$71.5K
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…	303	1,670	90	$80	$69.2K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	95	190	640	$10	$59.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	182	650	380	$20	$47.9K

Showing 1–10 of 40

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Children's Hospital	FL	Children's Hospital	$0	$175.3M
Nicklaus Children's Pediatric Specialists, LLC	FL	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$66.2M
Variety Children's Hospital	FL	Children's Hospital	$0	$22.8M
Variety Children's Hospital	FL	Children's Hospital	$0	$15.5M
Variety Children's Hospital	FL	Children's Hospital	$0	$13.4M
Miami Children's Hospital Ambulatory Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$0	$11.3M
Variety Children's Hospital	FL	Children's Hospital	$0	$10.6M
Variety Childrens Hospital	FL	Children's Hospital	$0	$8.2M
Sergey Shkurovich	MN	Diagnostic Radiology Physician	$162.1K	$0
Amir Fallahian	AL	Diagnostic Radiology Physician	$151.4K	$3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nory's Home Services, Inc.	FL	Home Health Agency	$0	$33.8M
Absolute Home Health Inc.	FL	Home Health Agency	$0	$25.2M
Amazing Kidz Extended Care Inc.	FL	Pediatric Skilled Nursing Facility	$0	$14.4M
Dly Case Management Services, LLC.	FL	Social Worker	$0	$13.1M
Three-sixty Home Health Services LLC	FL	In Home Supportive Care Agency	$0	$11.7M
Cermeno's Home Services, Corp	FL	In Home Supportive Care Agency	$0	$11.3M
B & V Thera Pro Associates Corp	FL	Clinic/Center	$0	$10.6M
Lifetime Home Health Care Corp	FL	Home Health Agency	$0	$10.2M
Social Diversity LLC	FL	Community/Behavioral Health Agency	$0	$10.2M
Golden Years Servicing LLC	FL	General Practice Physician	$0	$9.7M

Variety Children's Hopsital — Billing Profile & Reimbursement Data

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Variety Children's Hopsital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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