Clinic
West Florida Medical Associates, PA
West Florida Medical Associates, PA was paid $1.31M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoWEST FLORIDA MEDICAL ASSOCIATES, PA
CRYSTAL RIVER, FL 34429
CRYSTAL RIVER, FL 34429
33aNPI1457499576assigned 02/01/2007
33bProvider typeRural Health Clinic/Center
28Total paid$1.31M
24GClaims32,054
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Florida
Rank by total paid#15 of 76
Median peer was paid$164K
This provider vs. median8.0×
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 | 500 | $6K | |
| 2019 | 4,150 | $176K | |
| 2020 | 3,154 | $129K | |
| 2021 | 4,844 | $194K | |
| 2022 | 8,641 | $369K | |
| 2023 | 6,634 | $289K | |
| 2024incomplete | 4,131 | $152K |
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 | 59% | 22,250 | 19,910 | $770K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 1,711 | 1,681 | $132K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.7% | 1,537 | 1,442 | $114K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 1,316 | 1,249 | $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 | 6.1% | 2,034 | 1,854 | $81K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 979 | 935 | $72K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 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 | <1% | 441 | 436 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $955.61 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | 13 | $360.70 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 175 | 120 | $340.28 |
5 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 68 | $292.52 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 29 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 28 | $0.00 |
| 3008F | 0% | 58 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 28 | $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 officialLI, CHARLES (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| West Florida Medical Associates, PA | Crystal River, FL | $59K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.