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    OpenPayerNPI Medicare & MedicaidWest Florida Medical Center Clinic PA
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    West Florida Medical Center Clinic PA — Billing Profile & Reimbursement Data

    NPI 1043396245 · Pensacola, FL · Ambulatory Surgical Clinic/Center

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    West Florida Medical Center Clinic PA is a ambulatory surgical clinic/center provider located in Pensacola, Florida. This profile covers 37 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWest Florida Medical Center Clinic PA
    Address8333 N Davis Hwy
    CityPensacola
    StateFL
    ZIP32514
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedOctober 31, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$3.7M
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…800$770$612K
    64590The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that…40$13,660$519K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.140$3,520$475.7K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.420$560$232.3K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…890$230$208.3K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.50$3,470$156.2K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…370$410$151.6K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.570$210$120.7K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…330$360$120.2K
    43450The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.400$300$119.3K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64590138020$6,330$151.8K
    6698458940100$570$125.5K
    636506312050$1,980$113K
    6456138030$2,080$95.8K
    J05851653107,780$1$59.6K
    66991559030$1,510$57.5K
    66183274020$1,320$38.4K
    67042348020$1,180$36.5K
    45385591,14060$300$31K
    669822529030$660$27.7K

    Showing 1–10 of 37

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…940$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Florida median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…1010060$1$20

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with West Florida Medical Center Clinic PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brian KirbyFLRheumatology Physician$2.3M$0
    Michael VandenbergFLRheumatology Physician$2M$0
    Anthony DoerrFLUrology Physician$1.3M$0
    Richard MeyerholzFLRheumatology Physician$1.3M$0
    Robert NusbaumFLDiagnostic Radiology Physician$946.9K$0
    Timothy MclaughlinFLOphthalmology Physician$737.4K$0
    Samer Al-shuriekiFLGastroenterology Physician$721.5K$0
    Robert MacnealFLMOHS-Micrographic Surgery Physician$716.7K$0
    Ridgely MeyersCADiagnostic Radiology Physician$599.1K$2.4K
    Scott McmartinFLDermatology Physician$597.4K$0

    Nearby Providers

    Other providers in the same ZIP code as West Florida Medical Center Clinic PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Florida Regional Medical Center, Inc.FLGeneral Acute Care Hospital$0$17.7M
    Renal Treatment Centers-southeast, LP.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$11.1M
    Pardeep KumariFLInfectious Disease Physician$2.4M$0
    Baptist Medical Park Surgery Center LLCFLAmbulatory Surgical Clinic/Center$1.4M$0
    William AldredFLOphthalmology Physician$528.5K$0
    Andrew Van BrocklinFLPain Medicine (Anesthesiology) Physician$447.6K$0
    Justin SmithFLClinical Cardiac Electrophysiology Physician$339K$0
    Kristin DavisFLNeurology Physician$322.5K$0
    Roman KeslerFLNeurology Physician$276.1K$0
    Trevin ThurmanFLPain Medicine (Physical Medicine & Rehabilitation) Physician$246.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    West Florida Medical Center Clinic PA — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    West Florida Medical Center Clinic PA — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida