Woodlands Medical Specialists P a
Woodlands Medical Specialists P a was paid $475K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoWOODLANDS MEDICAL SPECIALISTS P A
PENSACOLA, FL 32503
PENSACOLA, FL 32503
33aNPI1225274772assigned 01/05/2009
33bProvider typeSpecialist
28Total paid$475K
24GClaims38,510
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Florida
Rank by total paid#94 of 553
Median peer was paid$31K
This provider vs. median15×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,536 | $7K | |
| 2019 | 3,844 | $122K | |
| 2020 | 3,141 | $25K | |
| 2021 | 5,888 | $48K | |
| 2022 | 6,632 | $45K | |
| 2023 | 9,572 | $175K | |
| 2024incomplete | 6,897 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 80% | 11,292 | 8,624 | $379K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 6.1% | 84 | 41 | $29K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.2% | 7,946 | 5,824 | $20K |
| 80053 | Comprehensive metabolic panel | 1.9% | 4,227 | 3,181 | $9K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.8% | 1,529 | 1,261 | $9K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.4% | 410 | 347 | $7K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.2% | 2,417 | 1,811 | $6K |
| 80061 | Lipid panel | <1% | 1,662 | 1,441 | $4K |
| 82607 | <1% | 850 | 736 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,812 | 1,527 | $3K |
| 82728 | <1% | 887 | 736 | $2K | |
| 80076 | <1% | 1,001 | 734 | $1K |
24 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 594 | $735.27 |
| 99490 | Ccm add 20min | <1% | 784 | $501.00 |
| 83540 | <1% | 886 | $494.74 | |
| 83550 | <1% | 621 | $478.32 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 44 | $470.54 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 57 | $352.08 |
| 51798 | <1% | 220 | $210.78 | |
| 84153 | <1% | 142 | $162.65 | |
| 82570 | <1% | 207 | $97.40 | |
| 82043 | <1% | 228 | $75.91 | |
| 84439 | <1% | 31 | $67.87 | |
| 74018 | <1% | 15 | $59.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 75 | $33.03 |
| 81003 | <1% | 133 | $21.14 | |
| 84460 | <1% | 54 | $20.20 | |
| 87186 | <1% | 29 | $14.54 | |
| 84450 | <1% | 39 | $13.75 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 132 | $6.54 |
| 87088 | <1% | 15 | $6.48 | |
| 1170F | 0% | 12 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 25 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 26 | $0.00 |
| 1159F | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBARFIELD, BETHANY (CFO)