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.

Pchp (NPI 1821597444)

Field	Value
Entity Type	Organization
Organization	Pchp
Address	5660 W Cypress St Ste G
City	Tampa
State	FL
ZIP	33607
Taxonomy	Case Manager/Care Coordinator
NPI Enumerated	February 9, 2018

Payer Source	Total Paid
Medicaid	$16.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99404	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	47,980	$300	$14.4M
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	23,870	$40	$930.7K
99402	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	2,740	$300	$808K
99403	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	5,570	$100	$551.4K

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

Pchp — 4 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99404	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	1	10	50	$290	$1.8M
99403	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	2	60	230	$30	$125.7K
99402	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	3	40	100	$50	$23.7K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	2	250	250	$10	$17.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	FL	Clinical Medical Laboratory	$47.4M	$171.2M
St. Joseph's Hospital, Inc.	FL	General Acute Care Hospital	$0	$70.7M
Maxim Healthcare Services, Inc.	FL	Home Health Agency	$0	$45.3M
Cr & Ra Investments LLC	FL	Home Health Agency	$0	$37.4M
Florida Woman Care, LLC	FL	Obstetrics & Gynecology Physician	$0	$30.9M
Emergency Medical Associates Of Tampa Bay, LLC	FL	Emergency Medicine Physician	$0	$25.1M
Women's Care Florida LLC	FL	Obstetrics & Gynecology Physician	$0	$14.7M
Care For America Corp	FL	Home Health Agency	$0	$11.3M
Macdonald Traning Center, Inc	FL	Community/Behavioral Health Agency	$0	$10.8M
Abc Home Care Inc	FL	Home Health Agency	$0	$8.3M

Pchp — Billing Profile & Reimbursement Data

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Pchp — 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