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.

Shands Jacksonville Medical Center Inc (NPI 1821186313)

Field	Value
Entity Type	Organization
Organization	Shands Jacksonville Medical Center Inc
Address	655 W 8th St
City	Jacksonville
State	FL
ZIP	32209
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicaid	$75.1M
Medicare	$0

Key Findings

This provider effectively bills only Medicaid on file — there is no Medicare revenue reported and total Medicaid revenue is $75.1M. The absence of Medicare billing makes SHANDS JACKSONVILLE MEDICAL CENTER INC functionally a single‑payer (Medicaid) billing profile in the available data, which concentrates analytic attention on Medicaid service lines and volumes.

Revenue is highly concentrated in emergency department evaluation-and-management visits: the three ED codes 99283, 99284, and 99285 together account for a large share of Medicaid receipts (top 3 Medicaid codes by revenue account for 39.9% of this provider's total Medicaid revenue). Individually those codes are $7.6M (16.8%) for 99283, $6.7M (14.8%) for 99284, and $3.7M (8.2%) for 99285, signaling that ED throughput is the primary revenue driver.

The code mix indicates a hybrid acute-care and high-volume infusion/ancillary services operation: large volumes for ED E/M codes are complemented by high utilization of IV hydration and infusion codes (96361: 21.7K claims, $3M revenue, rank #5 of 212, 98th percentile) and chemotherapy administration (96413: 12.7K claims, $2.3M revenue, rank #7 of 97, 94th percentile). This pattern is consistent with a general acute care hospital that also runs substantial infusion-based outpatient treatment and oncology services.

On emergency services specifically, SHANDS shows a dominant statewide presence: 99283 ranks #25 of 701 providers in-state (97th percentile), 99284 ranks #25 of 739 (97th percentile), and 99285 ranks #33 of 658 (95th percentile). Those consistently high percentiles across the main ED codes indicate the provider is a major regional ED service provider within Florida Medicaid.

Several ancillary and therapy codes are statistical outliers compared with in-state peers, pointing to exceptional throughput in specific service lines: 97110 is an extreme outlier (40.7K claims, $1.9M revenue, 99th percentile), 82962 is an extreme outlier (78.7K claims, $1.2M revenue, 99th percentile), and 96372 is at the 100th percentile (24.7K claims, $1.2M revenue). These outlier labels suggest unusually large volumes of therapeutic exercise, blood glucose monitoring, and injection services relative to other Florida Medicaid providers.

The provider also reports materially paid, high-cost drug administrations and oncology-related injections: J9271 (pembrolizumab) produced $1M revenue on 744 claims at $1355 avg paid/claim, while Q4081 (epoetin alfa) contributed $1.3M revenue at $368 avg paid/claim and J1270 produced $725.2K at $348 avg paid/claim. These entries indicate meaningful activity in specialty drug administration and select high-cost outpatient infusions.

Outpatient clinic and imaging volumes support a broad hospital-based ambulatory footprint: G0463 records 90.1K claims and $901.1K revenue (rank #4 of 133, 98th percentile) while imaging and echo codes such as 93306 (7.2K claims, $981.9K revenue, 96th percentile) and 70450 (9.3K claims, $639.4K revenue, 88th percentile) show notable utilization. Together these data point to significant clinic-level visits and diagnostic capacity billed to Medicaid.

The provider has an established enrollment history (NPI enumerated 2006-10-10, ~20 years ago), which combined with sustained high volumes across ED, infusion, therapy, and outpatient clinic codes, is consistent with a long-standing regional acute care hub for Medicaid beneficiaries. Analysts should treat the entity as a mature, high-volume Medicaid hospital when benchmarking in-state performance and capacity.

Medicaid: Complete Services Breakdown

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

546 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.	89,070	$90	$7.6M
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.	70,280	$100	$6.7M
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.	34,620	$110	$3.7M
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.	21,720	$140	$3M
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…	12,670	$180	$2.3M
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…	40,710	$50	$1.9M
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.	21,420	$80	$1.6M
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	73,810	$20	$1.6M
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	8,350	$160	$1.3M
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	3,480	$370	$1.3M

Showing 1–10 of 546

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

Shands Jacksonville Medical Center Inc — 16 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

546 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	140	180	15,540	$120	$2.1M
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	369	460	12,420	$140	$2M
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.	25	700	2,400	$80	$1.2M
J1270	Injection, doxercalciferol, 1 mcg	149	200	7,800	$120	$1.1M
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.	25	740	2,180	$70	$1.1M
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	2	10	50	$920	$1M
J9271	Injection, pembrolizumab, 1 mg	5	10	630	$1,300	$977.3K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	12	10	710	$850	$915.3K
A4657	Syringe, with or without needle, each	220	400	2,640	$160	$771K
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.	33	660	1,900	$70	$743.6K

Showing 1–10 of 546

Nearby Providers

Other providers in the same ZIP code as Shands Jacksonville Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Florida Jacksonville Physicians, Inc.	FL	Internal Medicine Physician	$0	$41.4M
Carlene Gentles	FL	Diagnostic Radiology Physician	$1.3M	$0
Lindsay Chandler	FL	Foot & Ankle Surgery Podiatrist	$344.4K	$0
Aditya Saini	FL	Clinical Cardiac Electrophysiology Physician	$332.5K	$0
Amanda Kent	FL	Diagnostic Radiology Physician	$203K	$0
Ambar Patel	FL	Cardiovascular Disease Physician	$174.8K	$0
Dalys Haymes	FL	Diagnostic Radiology Physician	$166.1K	$0
Martin Zenni	FL	Interventional Cardiology Physician	$117.2K	$0
Robert Kim	FL	Clinical Cardiac Electrophysiology Physician	$114.1K	$0
Ira Harmon	FL	Specialist	$98.8K	$0

Shands Jacksonville Medical Center 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