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.

Guardian Pharmacy Of Nw Florida (NPI 1861798613)

Field	Value
Entity Type	Organization
Organization	Guardian Pharmacy Of Nw Florida
Address	212 N Wilson St
City	Crestview
State	FL
ZIP	32536
Taxonomy	Long Term Care Pharmacy
NPI Enumerated	January 26, 2011

Payer Source	Total Paid
Medicare	$91K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	550	$70	$39.7K
G0008	Administration of influenza virus vaccine	920	$30	$27.7K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	220	$80	$16.6K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	150	$20	$3.2K
0011A	N/A	50	$40	$2.1K
0134A	N/A	50	$40	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Guardian Pharmacy Of Nw Florida — 4 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90694	583	3,460	70	$70	$9.7K
90662	9	3,870	40	$70	$7.6K
G0008	24	6,850	60	$30	$3.9K
90686	20	410	20	$20	$2.1K
0134A	374	1,210	30	$40	$1.9K
0011A	1	10	30	$40	$1.3K

Nearby Providers

Other providers in the same ZIP code as Guardian Pharmacy Of Nw Florida, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sean Hodson	FL	Foot & Ankle Surgery Podiatrist	$3.6M	$0
Michael Vincent Tablang	FL	Infectious Disease Physician	$2M	$0
Tiffany Kruger	FL	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$21.2K	$992.5K
Joshua Kolmetz	FL	Internal Medicine Physician	$622.6K	$0
Charles Trapp	FL	Dermatology Physician	$408.7K	$0
Ian Weisberg	FL	Clinical Cardiac Electrophysiology Physician	$342.6K	$0
Christopher Howard	FL	Optometrist	$62.6K	$0

Guardian Pharmacy Of Nw Florida — Billing Profile & Reimbursement Data

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Guardian Pharmacy Of Nw Florida — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References