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.

Miami Children's Hospital (NPI 1972545879)

Field	Value
Entity Type	Organization
Organization	Miami Children's Hospital
Address	3601 Nw 107th Ave
City	Doral
State	FL
ZIP	33178
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	38,040	$50	$2.1M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	15,820	$60	$1M
D0150	Comprehensive oral evaluation – new or established patient	11,670	$60	$734.9K
D2930	N/A	11,150	$60	$646.5K
D9420	N/A	720	$870	$628.3K
D2392	Post 2 surface resin‑based composite	7,190	$80	$561.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	13,020	$40	$468.8K
D0330	N/A	3,800	$110	$428.8K
D2391	Resin‑based composite – one surface, posterior	6,600	$50	$336.3K
D0210	Intraoral - complete series of radiographic images	1,200	$170	$200.4K

Showing 1–10 of 37

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

Miami Children's Hospital — 18 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	9	220	310	$150	$421.5K
D9420	N/A	20	70	210	$170	$367.9K
D2390	N/A	7	20	230	$160	$92.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	10	510	190	$60	$81.9K
D1510	N/A	26	40	60	$290	$74.2K
D1120	Prophylaxis–child	7	1,160	420	$30	$60K
D2392	Post 2 surface resin‑based composite	17	880	320	$60	$58.7K
D0120	Periodic oral evaluation - established patient	7	1,350	490	$20	$51.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8	1,250	350	$40	$50.6K
D0330	N/A	33	970	240	$50	$39.2K

Showing 1–10 of 37

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Dade Board Of County Commissioners	FL	Ambulance	$4M	$15M
Randle Eastern Ambulance Service Inc	FL	Ambulance	$2.5M	$6M
Cdr Laboratories Inc	FL	Clinical Medical Laboratory	$2.1M	$828.6K
Belarmino Parra	FL	Adult Health Nurse Practitioner	$472.4K	$0
Gamaliel Mattos	FL	Family Medicine Physician	$138.5K	$150.2K
Javier Sanchez	FL	Emergency Medicine Physician	$102K	$0

Miami Children's Hospital — Billing Profile & Reimbursement Data

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Miami Children's Hospital — 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