Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

West Florida - PPH, LLC

West Florida - PPH, LLC was paid $992K by Medicaid between Jan 2018 and Oct 2024, across 55 billing codes. Its largest line is 99283, emergency room visit (moderate) — 30% of everything it billed.

33Billing provider infoWEST FLORIDA - PPH, LLC
SOUTH PASADENA, FL 33707
33aNPI1437591708assigned 07/26/2013
28Total paid$992K
24GClaims53,922
24DCodes billed55
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other General Acute Care Hospital providers in Florida

Rank by total paid#129 of 163
Median peer was paid$4.77M
This provider vs. median0.2×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20184,532$111K
201913,303$123K
202010,039$95K
202113,832$255K
20228,800$244K
20233,018$135K
2024incomplete398$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 30% 4,607 3,784 $296K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 21% 4,522 3,560 $206K
80053 Comprehensive metabolic panel 11% 4,894 3,586 $107K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 8.6% 3,849 1,168 $85K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.0% 855 629 $70K
70450 Computed tomography, head or brain; without contrast material 4.5% 971 687 $45K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.9% 162 131 $19K
85027 1.4% 5,307 3,798 $14K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.4% 2,318 1,753 $13K
71045 Radiologic examination, chest; single view 1.3% 2,110 1,596 $13K
83735 1.2% 1,748 1,274 $12K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1.1% 299 251 $11K
43 more codes
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 2,151 $9K
81001 <1% 1,780 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 175 $7K
87070 <1% 653 $7K
85610 <1% 1,241 $7K
80048 Basic metabolic panel (calcium, ionized) <1% 168 $6K
96375 Therapeutic injection; each additional sequential IV push <1% 716 $6K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 15 $6K
87086 Culture, bacterial; quantitative colony count, urine <1% 64 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 956 $4K
81025 <1% 697 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 801 $3K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 57 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 576 $3K
G0378 Hospital observation service, per hour <1% 249 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,026 $2K
87077 <1% 470 $2K
11045 <1% 207 $2K
81003 <1% 548 $2K
96361 Intravenous infusion, hydration; each additional hour <1% 26 $2K
A9270 Non-covered item or service <1% 2,480 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 246 $1K
87186 <1% 262 $1K
84484 <1% 1,685 $844.55
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 277 $827.59
72125 Computed tomography, cervical spine; without contrast material <1% 32 $798.31
87040 <1% 212 $775.23
83690 <1% 651 $759.83
82397 <1% 258 $746.88
85730 <1% 796 $623.63
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 64 $478.44
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 24 $320.48
84443 Thyroid stimulating hormone (TSH) <1% 86 $248.95
71046 Radiologic examination, chest; 2 views <1% 33 $154.12
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 595 $137.41
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml <1% 36 $115.64
36415 Collection of venous blood by venipuncture <1% 111 $54.28
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 417 $48.74
J2270 Injection, morphine sulfate, up to 10 mg 0% 187 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 135 $0.00
83605 0% 85 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 18 $0.00
J3490 Unclassified drugs 0% 14 $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 officialCARUSO, MARIA (CFO)
Same official

Other billing entities under CARUSO, MARIA

Full network →
ProviderLocationPaid
Galen of Florida, INC.St Petersburg, FL$7.15M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.