Physician
Ohi West Medical Group, LLC
Ohi West Medical Group, LLC was paid $1.28M by Medicaid between Oct 2020 and Dec 2024, across 54 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 22% of everything it billed.
33Billing provider infoOHI WEST MEDICAL GROUP, LLC
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
33aNPI1518572551assigned 09/15/2020
33bProvider typeFamily Medicine Physician
28Total paid$1.28M
24GClaims63,067
24DCodes billed54
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#48 of 996
Median peer was paid$13K
This provider vs. median96×
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 | |
|---|---|---|---|
| 2020 | 6,446 | $56K | |
| 2021 | 16,757 | $223K | |
| 2022 | 19,007 | $292K | |
| 2023 | 12,804 | $429K | |
| 2024incomplete | 8,053 | $276K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 22% | 7,817 | 4,534 | $286K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 12,414 | 9,017 | $195K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 13% | 3,909 | 2,167 | $168K |
| 88307 | 8.1% | 3,305 | 2,248 | $103K | |
| 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 | 6.9% | 3,208 | 2,196 | $88K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.1% | 1,599 | 1,091 | $77K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 5.6% | 1,320 | 700 | $72K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.4% | 2,100 | 1,260 | $44K |
| 76819 | Fetal biophysical profile; without non-stress testing | 3.4% | 1,332 | 745 | $43K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.3% | 365 | 310 | $29K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 389 | 278 | $22K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 204 | 187 | $19K |
42 more codes
| 99223 | Prolong inpt eval add15 m | 1.5% | 331 | $19K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.4% | 605 | $18K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.3% | 5,188 | $16K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 267 | $14K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 512 | $11K |
| 88342 | <1% | 851 | $11K | |
| 99205 | Prolong outpt/office vis | <1% | 70 | $10K |
| 81003 | <1% | 3,634 | $5K | |
| 99235 | <1% | 67 | $5K | |
| 43237 | <1% | 82 | $5K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 55 | $5K |
| 99236 | Prolong inpt eval add15 m | <1% | 15 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 29 | $1K |
| 99254 | <1% | 22 | $1K | |
| 59025 | Fetal non-stress test | <1% | 33 | $1K |
| 76830 | Ultrasound, transvaginal | <1% | 13 | $953.27 |
| 81025 | <1% | 739 | $945.07 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 162 | $786.64 |
| 88302 | <1% | 167 | $523.30 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 27 | $494.24 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 30 | $382.03 |
| 95819 | <1% | 12 | $354.17 | |
| 85018 | <1% | 504 | $296.72 | |
| 71045 | Radiologic examination, chest; single view | <1% | 110 | $290.97 |
| 93000 | <1% | 93 | $284.56 | |
| 82962 | <1% | 88 | $196.24 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 15 | $188.56 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $12.50 |
| 1160F | 0% | 710 | $0.00 | |
| 1159F | 0% | 2,735 | $0.00 | |
| 3078F | 0% | 1,404 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 233 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 19 | $0.00 |
| 3077F | 0% | 36 | $0.00 | |
| 1125F | 0% | 793 | $0.00 | |
| 3074F | 0% | 1,700 | $0.00 | |
| 1036F | 0% | 526 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,377 | $0.00 |
| 3079F | 0% | 429 | $0.00 | |
| 1126F | 0% | 1,312 | $0.00 | |
| 99024 | 0% | 52 | $0.00 | |
| 3075F | 0% | 33 | $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 officialNAPIER, MICHELE (SVP, REVENUE MANAGEMENT & CRO)
| Provider | Location | Paid |
|---|---|---|
| Orlando Health, INC. | Orlando, FL | $105.45M |
| Orlando Health Medical Group INC | Orlando, FL | $57.49M |
| South Lake Hospital, INC. | Clermont, FL | $16.88M |
| Orlando Physicians Network INC | Orlando, FL | $9.44M |
| Baptist Health Centers LLC | Talladega, AL | $6.99M |
| Baptist Health Centers, LLC | Winfield, AL | $2.15M |
| Baptist Health Centers LLC | Talladega, AL | $2.00M |
| Orlando Regional Healthcare | Orlando, FL | $1.01M |
| Baptist Health Centers, LLC | Lincoln, AL | $988K |
| BW Physician Practices, LLC | Birmingham, AL | $967K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.