Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › BEVERLY HILLS › WEST FLORIDA MEDICAL ASSOCIATES P A

WEST FLORIDA MEDICAL ASSOCIATES P A

NPI: 1265515001 · BEVERLY HILLS, FL 34465 · Clinical Medical Laboratory · NPI assigned 10/23/2006

$907K
Total Medicaid Paid
135,805
Total Claims
112,816
Beneficiaries
120
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKUMAR, MARIANANDA (M.D. / PRESIDENT)
NPI Enumeration Date10/23/2006

Related Entities

Other providers sharing the same authorized official: KUMAR, MARIANANDA

ProviderCityStateTotal Paid
WEST FLORIDA MEDICAL ASSOCIATES, PA BEVERLY HILLS FL $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 691 $7K
2019 1,824 $25K
2020 17,761 $199K
2021 41,675 $341K
2022 30,328 $133K
2023 27,143 $150K
2024 16,383 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,593 7,856 $224K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,316 2,164 $110K
90472 Immunization administration, each additional vaccine (list separately) 3,727 3,260 $97K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,127 3,272 $95K
99223 Prolong inpt eval add15 m 1,314 980 $77K
90670 653 644 $36K
99232 Subsequent hospital care, per day, moderate complexity 3,149 926 $29K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 287 268 $28K
90460 Immunization administration through 18 years of age via any route, first or only component 4,658 4,189 $26K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 534 381 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 196 195 $20K
99308 Subsequent nursing facility care, per day, straightforward 2,561 1,412 $17K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,066 1,333 $17K
99233 Prolong inpt eval add15 m 1,118 618 $16K
99188 1,928 1,740 $15K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 178 136 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 98 95 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 71 71 $6K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 826 442 $5K
87428 237 183 $4K
81002 2,853 2,771 $4K
90686 778 764 $4K
90716 179 177 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 140 120 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 602 528 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 50 $4K
99310 Prolong nursin fac eval 15m 302 154 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 39 39 $3K
90651 225 220 $2K
99239 Hospital discharge day management, more than 30 minutes 168 124 $2K
90633 409 386 $2K
90700 992 980 $2K
90715 79 79 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 126 125 $834.35
0071A 19 19 $770.00
G9695 Long-acting inhaled bronchodilator prescribed 1,268 1,106 $699.94
0072A 18 17 $680.00
90688 292 282 $661.63
99050 153 147 $660.19
96160 1,292 1,173 $509.61
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,947 1,653 $417.97
90756 21 17 $373.88
99222 Initial hospital care, per day, moderate complexity 19 15 $330.66
99442 14 12 $298.65
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 1,801 1,582 $296.34
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 148 73 $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) 890 788 $248.72
90713 688 678 $233.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 150 109 $200.00
99238 Hospital discharge day management, 30 minutes or less 78 51 $139.86
90734 15 15 $126.27
G9902 Patient screened for tobacco use and identified as a tobacco user 904 798 $112.38
90648 550 542 $103.74
99051 39 13 $90.20
90707 169 167 $82.49
83036 Hemoglobin; glycosylated (A1C) 13 12 $74.30
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 13,782 11,488 $52.50
G0444 Annual depression screening, 5 to 15 minutes 237 165 $31.40
90744 187 185 $10.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $10.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,884 3,327 $8.75
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,855 2,441 $8.71
3074F 2,891 2,512 $2.98
1036F 3,647 3,016 $1.79
4004F 1,927 1,638 $1.03
G8599 Aspirin or another antiplatelet therapy not used, reason not given 545 467 $0.48
1159F 1,489 1,286 $0.36
3075F 866 792 $0.29
3288F 1,907 1,659 $0.26
1125F 85 63 $0.24
3044F 171 150 $0.23
3077F 488 424 $0.19
1111F 82 73 $0.18
G8752 Most recent systolic blood pressure < 140 mmhg 9,930 8,527 $0.16
1160F 1,473 1,270 $0.11
91307 68 51 $0.11
3078F 3,084 2,625 $0.09
1034F 70 65 $0.09
36415 Collection of venous blood by venipuncture 42 26 $0.06
1126F 47 40 $0.05
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 126 110 $0.05
G8783 Normal blood pressure reading documented, follow-up not required 758 591 $0.03
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,409 1,248 $0.03
3008F 7,216 5,958 $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) 335 294 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,152 1,050 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 716 647 $0.00
3725F 38 32 $0.00
0518F 221 190 $0.00
90671 265 130 $0.00
G8598 Aspirin or another antiplatelet therapy used 89 71 $0.00
G8482 Influenza immunization administered or previously received 313 290 $0.00
1158F 202 170 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 12 12 $0.00
90710 55 25 $0.00
4013F 16 14 $0.00
90621 18 15 $0.00
4025F 15 13 $0.00
3016F 24 24 $0.00
1101F 607 502 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 10,407 8,914 $0.00
90680 353 283 $0.00
G9275 Documentation that patient is a current non-tobacco user 160 122 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 1,437 1,255 $0.00
3017F 220 194 $0.00
3079F 1,182 1,045 $0.00
90474 80 79 $0.00
1170F 445 364 $0.00
3049F 12 12 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 336 306 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 133 127 $0.00
1123F 227 194 $0.00
4010F 18 15 $0.00
90619 68 63 $0.00
1220F 65 56 $0.00
90697 131 68 $0.00
3048F 47 41 $0.00
3080F 21 13 $0.00
M1008 <50% of total number of a patient's outpatient ra encounters assessed 13 12 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 19 13 $0.00