Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WEST FLORIDA MEDICAL ASSOCIATES, PA

NPI: 1457499576 · CRYSTAL RIVER, FL 34429 · Rural Health Clinic/Center · NPI assigned 02/01/2007

$1.31M
Total Medicaid Paid
32,054
Total Claims
29,124
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLI, CHARLES (PHYSICIAN)
NPI Enumeration Date02/01/2007

Related Entities

Other providers sharing the same authorized official: LI, CHARLES

ProviderCityStateTotal Paid
WEST FLORIDA MEDICAL ASSOCIATES, PA CRYSTAL RIVER FL $59K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 500 $6K
2019 4,150 $176K
2020 3,154 $129K
2021 4,844 $194K
2022 8,641 $369K
2023 6,634 $289K
2024 4,131 $152K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,250 19,910 $770K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,711 1,681 $132K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,537 1,442 $114K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,316 1,249 $97K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,034 1,854 $81K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 979 935 $72K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,363 1,278 $39K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 441 436 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $955.61
90472 Immunization administration, each additional vaccine (list separately) 13 13 $360.70
99308 Subsequent nursing facility care, per day, straightforward 175 120 $340.28
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 68 44 $292.52
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 29 28 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 28 27 $0.00
3008F 58 56 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 28 27 $0.00