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 Hospital (NPI 1871540237)

Field	Value
Entity Type	Organization
Organization	Variety Children's Hospital
Address	3100 Sw 62nd Ave
City	Miami
State	FL
ZIP	33155
Taxonomy	Children's Hospital
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicaid	$175.3M
Medicare	$0

Key Findings

VARIETY CHILDREN'S HOSPITAL is effectively a Medicaid-centric provider: the record shows no Medicare billing on file and $175.3M in lifetime Medicaid revenue, indicating near‑exclusive exposure to Medicaid as its primary payer. This concentration will shape reimbursement risk, contracting leverage, and population health responsibilities compared with mixed‑payer peers.

Revenue is highly concentrated in a small set of outpatient/ED and therapy codes: the top three Medicaid codes (99283, 92507, 99284) together account for 44.6% of the provider's total Medicaid revenue, specifically 99283 $28.5M revenue (22.1%), 92507 $14.7M revenue (11.4%), and 99284 $14.4M revenue (11.1%). That concentration signals that emergency department evaluation and management plus speech/hearing services are the primary revenue drivers.

The hospital operates a high‑volume pediatric emergency practice: 99283 (ED low MDM) shows $28.5M revenue and ranks #14 of 701 providers in‑state (98th percentile; extreme outlier), while complementary ED codes 99284 ($14.4M, 96th percentile; typical) and 99282 ($6.2M, 97th percentile; notably above typical) together point to large ED throughput with a mix of low‑ and moderate‑acuity presentations. Presence of observation billing (G0378 $3.8M, 96th percentile; notably above typical) further supports significant short‑stay/observation activity tied to the ED.

The facility is a major provider of pediatric rehabilitation, speech, and hearing services: 92507 ($14.7M, 99th percentile; extreme outlier), 97530 ($13M, 99th percentile; extreme outlier), and 97110 ($10.3M, 99th percentile; extreme outlier) are all among the hospital's top revenue generators. High volumes and top percentile ranks for these therapy and audiology codes indicate an integrated rehab/therapy service line that likely handles a large caseload of developmental and post‑acute pediatric patients.

Diagnostics and specialty imaging are significant support services: echocardiography 93306 ($3.3M, 94th percentile; typical) and 93303 ($1.6M, 77th percentile; typical), abdominal/retroperitoneal ultrasound codes 76775 ($1.4M, rank #2 of 94, 99th percentile; extreme outlier) and 76705 ($1.4M, 98th percentile; extreme outlier), plus MRI 70553 ($1.4M, 93rd percentile; notably above typical) reflect a broad inpatient/outpatient imaging footprint. High volumes in influenza testing 87804 ($4.2M, 99th percentile; extreme outlier) and SARS‑CoV‑2 testing 87635 ($2.8M, 100th percentile; extreme outlier) show substantial lab throughput supporting acute pediatric care.

The provider holds dominant statewide positions on many pediatric codes: multiple top codes are in the 98th–100th percentiles (for example, 92507 at the 99th, 97530 at the 99th, 76775 at the 99th and 87635 at the 100th), and several codes rank in the top 2–20 providers in Florida. These rank/percentile patterns characterize the hospital as a major Medicaid pediatric service hub in Florida for ED visits, therapy/audiology, select imaging, and high‑volume infectious disease testing.

Scope of surgical and specialty treatments is evident beyond ED and therapy: procedural and specialty items such as laparoscopic appendectomy 44970 ($2.7M, rank #2 of 14, 92nd percentile; notably above typical), dental procedures 41899 ($2.8M, rank #2 of 41, 98th percentile; notably above typical), and infusion therapy J1745 ($2.4M, 77th percentile; typical) indicate the hospital delivers operative, dental, and infusion services alongside its core emergency and rehabilitative care lines. This mix supports a complex pediatric clinical model rather than a narrow ambulatory clinic.

The hospital's NPI tenure (enumerated 2006-05-30, ~20 years ago) indicates long‑standing presence in the market; combined with the large Medicaid revenue base and repeated extreme outlier rankings, this suggests an established regional referral footprint for pediatric acute, rehabilitative, and diagnostic services. That longevity plus heavy Medicaid dependence should be considered when assessing contracting strategy, network adequacy, and pediatric service capacity in the region.

Medicaid: Complete Services Breakdown

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

428 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.	140,350	$200	$28.5M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	72,450	$200	$14.7M
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.	60,080	$240	$14.4M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	70,920	$180	$13M
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…	47,680	$220	$10.3M
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.	32,170	$190	$6.2M
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.	64,480	$70	$4.2M
G0378	Hospital observation service, per hour	28,260	$130	$3.8M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	5,660	$590	$3.3M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3,410	$830	$2.8M

Showing 1–10 of 428

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 Hospital — 17 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

428 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	434	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.	14	700	2,400	$80	$1.2M
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.	32	740	2,180	$70	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	4	10	710	$850	$915.3K
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	2	10	430	$2,010	$861.2K
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.	127	660	1,900	$70	$743.6K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	9	30	310	$720	$616.3K
S9083	Global fee urgent care centers	72	130	680	$90	$517.2K
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.	10	320	1,970	$90	$463.1K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	2	40	400	$460	$395.7K

Showing 1–10 of 428

Related Providers

Other providers that share a Tax Identification Number (TIN) with Variety Children's Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Variety Children's Hopsital	FL	Children's Hospital	$0	$7.4M
Sergey Shkurovich	MN	Diagnostic Radiology Physician	$162.1K	$0
Amir Fallahian	AL	Diagnostic Radiology Physician	$151.4K	$3K

Nearby Providers

Other providers in the same ZIP code as Variety Children's Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alternative Medical Healthcare Services, Corp.	FL	Home Health Agency	$0	$61.9M
Harmony Homes Of Miami, Inc	FL	Home Health Agency	$0	$41.7M
Hha Home Services Corp	FL	Developmentally Disabled Services Day Training Agency	$0	$30M
Bocasa Gourmet, LLC.	FL	Attendant Care Provider	$0	$24.8M
Continental Home Health Care, Inc.	FL	Home Health Agency	$0	$23.4M
Preferred Home Health Care, Inc.	FL	Home Health Agency	$0	$15.7M
First Quality Medical Supplies, Inc	FL	Durable Medical Equipment & Medical Supplies	$0	$14.8M
Syx, Corp.	FL	Community/Behavioral Health Agency	$0	$13.4M
Morning Star Centers Inc.	FL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.6M
Mdt Home Health Care Agency, Inc.	FL	Home Health Agency	$0	$11.3M

Variety Children's Hospital — Billing Profile & Reimbursement Data

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Variety Children's Hospital — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References