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.

Fresenius Medical Care Miami Shores, LLC (NPI 1912372293)

Field	Value
Entity Type	Organization
Organization	Fresenius Medical Care Miami Shores, LLC
Address	11440 Nw 7th Ave
City	Miami
State	FL
ZIP	33168
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	December 11, 2015

Payer Source	Total Paid
Medicaid	$13.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	32,720	$140	$4.6M
A4657	Syringe, with or without needle, each	14,730	$110	$1.7M
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	6,860	$130	$864.2K
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	5,710	$130	$764.9K
J1756	Injection, iron sucrose, 1 mg	6,380	$120	$758.9K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	3,890	$150	$583K
82310	The lab analyst measures the calcium level, primarily on a serum sample.	4,280	$130	$534.6K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	2,330	$190	$435.1K
84100	The lab analyst performs a test to evaluate the level of phosphate, which is phosphorus not contained in biological compounds, in a patient specimen such as serum.	3,040	$130	$386.5K
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	2,870	$130	$369.6K

Showing 1–10 of 30

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

Fresenius Medical Care Miami Shores, LLC — 3 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

30 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.	42	460	12,420	$140	$2M
A4657	Syringe, with or without needle, each	26	400	2,640	$160	$771K
J1756	Injection, iron sucrose, 1 mg	40	390	1,800	$100	$279.4K
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	24	300	1,170	$60	$186K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	8	230	850	$160	$183.3K
82310	The lab analyst measures the calcium level, primarily on a serum sample.	10	220	880	$50	$151.3K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	5	80	220	$200	$143.5K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	62	460	510	$50	$110.2K
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	16	240	580	$60	$92.3K
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	15	170	620	$40	$87.8K

Showing 1–10 of 30

Fresenius Medical Care Miami Shores, LLC — Billing Profile & Reimbursement Data

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Fresenius Medical Care Miami Shores, 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

Frequently Asked Questions

References