Lab
West Florida Medical Associates P a
West Florida Medical Associates P a was paid $907K by Medicaid between Jan 2018 and Nov 2024, across 120 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoWEST FLORIDA MEDICAL ASSOCIATES P A
BEVERLY HILLS, FL 34465
BEVERLY HILLS, FL 34465
33aNPI1265515001assigned 10/23/2006
33bProvider typeClinical Medical Laboratory
28Total paid$907K
24GClaims135,805
24DCodes billed120
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Florida
Rank by total paid#44 of 225
Median peer was paid$74K
This provider vs. median12×
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 | 691 | $7K | |
| 2019 | 1,824 | $25K | |
| 2020 | 17,761 | $199K | |
| 2021 | 41,675 | $341K | |
| 2022 | 30,328 | $133K | |
| 2023 | 27,143 | $150K | |
| 2024incomplete | 16,383 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 9,593 | 7,856 | $224K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 12% | 2,316 | 2,164 | $110K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 11% | 3,727 | 3,260 | $97K |
| 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 | 10% | 4,127 | 3,272 | $95K |
| 99223 | Prolong inpt eval add15 m | 8.5% | 1,314 | 980 | $77K |
| 90670 | 4.0% | 653 | 644 | $36K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.2% | 3,149 | 926 | $29K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 287 | 268 | $28K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.9% | 4,658 | 4,189 | $26K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.6% | 534 | 381 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 196 | 195 | $20K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.9% | 2,561 | 1,412 | $17K |
108 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.8% | 2,066 | $17K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.7% | 1,118 | $16K |
| 99188 | 1.7% | 1,928 | $15K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 178 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 98 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 71 | $6K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 826 | $5K |
| 87428 | <1% | 237 | $4K | |
| 81002 | <1% | 2,853 | $4K | |
| 90686 | <1% | 778 | $4K | |
| 90716 | <1% | 179 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 140 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 602 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 57 | $4K |
| 99310 | Prolong nursin fac eval 15m | <1% | 302 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 39 | $3K |
| 90651 | <1% | 225 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 168 | $2K |
| 90633 | <1% | 409 | $2K | |
| 90700 | <1% | 992 | $2K | |
| 90715 | <1% | 79 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 126 | $834.35 |
| 0071A | <1% | 19 | $770.00 | |
| G9695 | Long-acting inhaled bronchodilator prescribed | <1% | 1,268 | $699.94 |
| 0072A | <1% | 18 | $680.00 | |
| 90688 | <1% | 292 | $661.63 | |
| 99050 | <1% | 153 | $660.19 | |
| 96160 | <1% | 1,292 | $509.61 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 1,947 | $417.97 |
| 90756 | <1% | 21 | $373.88 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 19 | $330.66 |
| 99442 | <1% | 14 | $298.65 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | <1% | 1,801 | $296.34 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 148 | $285.52 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | <1% | 890 | $248.72 |
| 90713 | <1% | 688 | $233.78 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 150 | $200.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 78 | $139.86 |
| 90734 | <1% | 15 | $126.27 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 904 | $112.38 |
| 90648 | <1% | 550 | $103.74 | |
| 99051 | <1% | 39 | $90.20 | |
| 90707 | <1% | 169 | $82.49 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $74.30 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 13,782 | $52.50 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 237 | $31.40 |
| 90744 | <1% | 187 | $10.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $10.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 3,884 | $8.75 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 2,855 | $8.71 |
| 3074F | <1% | 2,891 | $2.98 | |
| 1036F | <1% | 3,647 | $1.79 | |
| 4004F | <1% | 1,927 | $1.03 | |
| G8599 | Aspirin or another antiplatelet therapy not used, reason not given | <1% | 545 | $0.48 |
| 1159F | <1% | 1,489 | $0.36 | |
| 3075F | <1% | 866 | $0.29 | |
| 3288F | <1% | 1,907 | $0.26 | |
| 1125F | <1% | 85 | $0.24 | |
| 3044F | <1% | 171 | $0.23 | |
| 3077F | <1% | 488 | $0.19 | |
| 1111F | <1% | 82 | $0.18 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 9,930 | $0.16 |
| 1160F | <1% | 1,473 | $0.11 | |
| 91307 | <1% | 68 | $0.11 | |
| 3078F | <1% | 3,084 | $0.09 | |
| 1034F | <1% | 70 | $0.09 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 42 | $0.06 |
| 1126F | <1% | 47 | $0.05 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 126 | $0.05 |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 758 | $0.03 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,409 | $0.03 |
| 3008F | <1% | 7,216 | $0.01 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 335 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,152 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 716 | $0.00 |
| 3725F | 0% | 38 | $0.00 | |
| 0518F | 0% | 221 | $0.00 | |
| 90671 | 0% | 265 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 89 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 313 | $0.00 |
| 1158F | 0% | 202 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 12 | $0.00 |
| 90710 | 0% | 55 | $0.00 | |
| 4013F | 0% | 16 | $0.00 | |
| 90621 | 0% | 18 | $0.00 | |
| 4025F | 0% | 15 | $0.00 | |
| 3016F | 0% | 24 | $0.00 | |
| 1101F | 0% | 607 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 10,407 | $0.00 |
| 90680 | 0% | 353 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 160 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 1,437 | $0.00 |
| 3017F | 0% | 220 | $0.00 | |
| 3079F | 0% | 1,182 | $0.00 | |
| 90474 | 0% | 80 | $0.00 | |
| 1170F | 0% | 445 | $0.00 | |
| 3049F | 0% | 12 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 336 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 133 | $0.00 |
| 1123F | 0% | 227 | $0.00 | |
| 4010F | 0% | 18 | $0.00 | |
| 90619 | 0% | 68 | $0.00 | |
| 1220F | 0% | 65 | $0.00 | |
| 90697 | 0% | 131 | $0.00 | |
| 3048F | 0% | 47 | $0.00 | |
| 3080F | 0% | 21 | $0.00 | |
| M1008 | <50% of total number of a patient's outpatient ra encounters assessed | 0% | 13 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 19 | $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 officialKUMAR, MARIANANDA (M.D. / PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| West Florida Medical Associates, PA | Beverly Hills, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.