Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Florida (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

White-wilson Medical Center PA (NPI 1467437277)

White-wilson Medical Center PA is a clinic/center provider located in Fort Walton Beach, Florida. This profile covers 0 Medicare and 147 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	White-wilson Medical Center PA
Address	1005 Mar Walt Dr
City	Fort Walton Beach
State	FL
ZIP	32547
Taxonomy	Clinic/Center
NPI Enumerated	December 14, 2005

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

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

147 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	65,460	$60	$4.1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	68,790	$50	$3.2M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	14,810	$100	$1.5M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12,260	$90	$1.2M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	42,920	$20	$686.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,350	$90	$486.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	5,230	$60	$329.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,630	$100	$161.2K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	7,510	$20	$150.2K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	13,640	$10	$122.8K

Showing 1–10 of 147

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

White-wilson Medical Center PA — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

147 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	76	80	230	$400	$331.4K
H1000	Prenatal care, at-risk assessment	528	610	1,580	$60	$329.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	19	1,130	780	$90	$210.4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	213	640	4,400	$10	$193.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	27	1,050	640	$80	$183.6K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	68	70	180	$20	$178K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	41	5,930	460	$40	$169.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	65	1,120	520	$80	$141.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	24	6,380	430	$50	$139.3K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	152	170	300	$60	$121.4K

Showing 1–10 of 147

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amjad Safvi	IL	Vascular & Interventional Radiology Physician	$568.9K	$765.4K
Karl Metz	FL	Gynecology Physician	$760.5K	$0
Vergil Brown	FL	Internal Medicine Physician	$695.9K	$0
Jason Boole	FL	Otolaryngology Physician	$616K	$0
Abbas Chamsuddin	IL	Diagnostic Radiology Physician	$368.8K	$114.2K
NPI 1588640759	—	—	$465.1K	$0
Andrew Van Brocklin	FL	Pain Medicine (Anesthesiology) Physician	$447.6K	$0
Ronald Barnes	FL	Family Medicine Physician	$290K	$0
Luke Simon Yuhico	FL	Pulmonary Disease Physician	$226.7K	$0
Peter Shih	FL	Critical Care Medicine (Internal Medicine) Physician	$221.7K	$3.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizons Of Okaloosa County, Inc.	FL	Developmentally Disabled Services Day Training Agency	$0	$15.2M
Dynamic Pain & Wellness LLC	FL	Anesthesiology Physician	$0	$10.8M
Patrick Anastasio	FL	Infectious Disease Physician	$10.3M	$0
Fort Walton Beach Medical Center, Inc.	FL	General Acute Care Hospital	$0	$10.3M
Renal Care Group Of The Southeast, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.4M
Sherri Barton	FL	Family Nurse Practitioner	$4.8M	$0
Yunhui Hsiang	FL	Medical Oncology Physician	$3.6M	$1.3K
Leo Chen	FL	Orthopaedic Surgery Physician	$2.6M	$0
Jeffrey Lin	FL	Infectious Disease Physician	$2.2M	$0
James Stevens	FL	Radiation Oncology Physician	$1.4M	$0

White-wilson Medical Center PA — Billing Profile & Reimbursement Data

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White-wilson Medical Center PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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