Clinic
West Florida Medical Associates, PA
West Florida Medical Associates, PA was paid $767K by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoWEST FLORIDA MEDICAL ASSOCIATES, PA
INVERNESS, FL 34453
INVERNESS, FL 34453
33aNPI1407994510assigned 02/01/2007
33bProvider typeRural Health Clinic/Center
28Total paid$767K
24GClaims67,881
24DCodes billed95
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Florida
Rank by total paid#26 of 76
Median peer was paid$164K
This provider vs. median4.7×
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 | 2,637 | $12K | |
| 2019 | 31,328 | $208K | |
| 2020 | 17,195 | $72K | |
| 2021 | 4,149 | $179K | |
| 2022 | 6,925 | $78K | |
| 2023 | 2,415 | $82K | |
| 2024incomplete | 3,232 | $135K |
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 | 44% | 10,653 | 9,272 | $335K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.6% | 735 | 711 | $58K |
| 90670 | 6.1% | 625 | 602 | $47K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.2% | 3,506 | 1,034 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 475 | 475 | $39K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.7% | 3,058 | 2,678 | $36K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.4% | 989 | 647 | $26K |
| 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 | 3.1% | 1,250 | 1,016 | $24K |
| 99223 | Prolong inpt eval add15 m | 3.0% | 702 | 515 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 591 | 553 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 221 | 220 | $18K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 3,651 | 3,482 | $11K |
83 more codes
| 99188 | 1.5% | 1,834 | $11K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 137 | $11K |
| 90716 | 1.2% | 247 | $9K | |
| 90633 | 1.2% | 740 | $9K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 234 | $8K |
| 90651 | <1% | 279 | $7K | |
| 90686 | <1% | 631 | $5K | |
| 90700 | <1% | 933 | $5K | |
| 99050 | <1% | 634 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 230 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 402 | $4K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 719 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 878 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 157 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 250 | $1K |
| G9695 | Long-acting inhaled bronchodilator prescribed | <1% | 359 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 22 | $995.22 |
| 90621 | <1% | 41 | $655.20 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 9,145 | $559.86 |
| 99460 | <1% | 12 | $555.13 | |
| 90685 | <1% | 51 | $447.04 | |
| 99051 | <1% | 47 | $359.20 | |
| 90734 | <1% | 134 | $247.57 | |
| 90744 | <1% | 286 | $178.11 | |
| 90707 | <1% | 261 | $178.01 | |
| 96160 | <1% | 903 | $140.45 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | <1% | 77 | $126.16 |
| 81002 | <1% | 630 | $109.14 | |
| 90715 | <1% | 63 | $100.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 76 | $96.42 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 153 | $81.82 |
| 90713 | <1% | 741 | $60.47 | |
| 90648 | <1% | 636 | $32.74 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,793 | $17.84 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 1,251 | $14.37 |
| 1036F | <1% | 703 | $0.99 | |
| 3074F | <1% | 927 | $0.93 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 3,889 | $0.62 |
| 3075F | <1% | 186 | $0.58 | |
| 4004F | <1% | 645 | $0.47 | |
| 1159F | <1% | 170 | $0.42 | |
| 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% | 90 | $0.35 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 93 | $0.35 |
| 3077F | <1% | 114 | $0.23 | |
| 3288F | <1% | 357 | $0.21 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 47 | $0.18 |
| 1160F | <1% | 152 | $0.12 | |
| 1111F | <1% | 47 | $0.08 | |
| G8478 | Blood pressure measurement not performed or documented, reason not given | <1% | 135 | $0.08 |
| G8421 | Bmi not documented and no reason is given | <1% | 36 | $0.05 |
| 3044F | <1% | 31 | $0.04 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 453 | $0.01 |
| G8482 | Influenza immunization administered or previously received | <1% | 88 | $0.01 |
| 3078F | 0% | 979 | $0.00 | |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 229 | $0.00 |
| 3016F | 0% | 17 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 188 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 272 | $0.00 |
| 0518F | 0% | 25 | $0.00 | |
| 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% | 138 | $0.00 |
| 4025F | 0% | 42 | $0.00 | |
| 4040F | 0% | 60 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 24 | $0.00 |
| 90680 | 0% | 300 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 349 | $0.00 |
| 3008F | 0% | 203 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 4,011 | $0.00 |
| 1170F | 0% | 25 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 352 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 367 | $0.00 |
| 3079F | 0% | 262 | $0.00 | |
| 1123F | 0% | 49 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 20 | $0.00 |
| 92587 | 0% | 42 | $0.00 | |
| 3014F | 0% | 13 | $0.00 | |
| 90474 | 0% | 12 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 19 | $0.00 |
| 3017F | 0% | 68 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 139 | $0.00 |
| 1101F | 0% | 12 | $0.00 | |
| 36416 | 0% | 13 | $0.00 | |
| 3080F | 0% | 29 | $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 officialHIREMATH, UDAY (PHYSICIAN)