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.

Professional Health Care Of Pinellas LLC (NPI 1881647253)

Professional Health Care Of Pinellas LLC is a internal medicine physician provider located in St Petersburg, Florida. This profile covers 0 Medicare and 124 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	Professional Health Care Of Pinellas LLC
Address	1839 Central Ave
City	St Petersburg
State	FL
ZIP	33713
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

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

124 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	146,170	$20	$2.9M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	32,890	$60	$1.9M
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	143,950	$10	$1.7M
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…	43,870	$30	$1.3M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	105,900	$10	$953.1K
99220	N/A	7,320	$70	$475.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	13,990	$30	$405.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10,520	$40	$389.3K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	7,640	$30	$236.9K
99336	N/A	15,280	$10	$198.6K

Showing 1–10 of 124

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

Professional Health Care Of Pinellas LLC — 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

124 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,059	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…	44	6,380	430	$50	$139.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	108	1,500	470	$30	$87.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3	1,980	660	$20	$74.4K
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…	1,124	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…	894	1,670	90	$80	$69.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	1,460	190	$70	$58.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	148	1,330	340	$10	$54.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	490	590	130	$40	$51.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	21	500	160	$40	$47.6K

Showing 1–10 of 124

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mariano D Cibran, Md Corp Dba St Petersburg Pediatrics	FL	Pediatrics Physician	$0	$30M
Todd Berger	FL	Ophthalmology Physician	$1.6M	$0
Tracy Halme	FL	Diagnostic Radiology Physician	$324.5K	$0
Mia Jackson	FL	Diagnostic Radiology Physician	$221.5K	$0
Rishi Patel	FL	Family Medicine Physician	$204.5K	$0
Patricia Gilroy	FL	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$164.6K	$0
Loren Miller	FL	Foot & Ankle Surgery Podiatrist	$159K	$0
Kevin Huguet	FL	Surgery Physician	$132.5K	$0
Ralph Dematteis	FL	Vascular Surgery Physician	$98.3K	$0
Donna Stephens	FL	Family Medicine Physician	$92.8K	$0

Professional Health Care Of Pinellas LLC — Billing Profile & Reimbursement Data

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Professional Health Care Of Pinellas LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Odukomaiya	FL	Family Medicine Physician	$1.7M	$0
Hazem Al-andary	FL	Internal Medicine Physician	$975.2K	$0
Luis Ycaza	FL	Internal Medicine Physician	$232.7K	$0
Francis Butler	FL	Psychiatry Physician	$127.2K	$0
Talal Hamdan	FL	Cardiovascular Disease Physician	$109.7K	$0
Christina Angel	FL	Internal Medicine Physician	$98K	$0