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.

West Boca Medical Center, Inc. (NPI 1588697296)

West Boca Medical Center, Inc. is a general acute care hospital provider located in Boca Raton, Florida. This profile covers 0 Medicare and 155 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	West Boca Medical Center, Inc.
Address	21644 State Road 7
City	Boca Raton
State	FL
ZIP	33428
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicaid	$13.4M
Medicare	$0

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

155 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	14,930	$150	$2.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	18,610	$110	$2.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	7,610	$230	$1.7M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,830	$340	$956.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	5,840	$150	$858.9K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,140	$690	$786.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	10,200	$40	$448.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	960	$450	$430.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	5,130	$80	$430.5K
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.	15,490	$20	$371.7K

Showing 1–10 of 155

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

West Boca Medical Center, Inc. — 1 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

155 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	157	700	2,400	$80	$1.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	169	740	2,180	$70	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	189	660	1,900	$70	$743.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	138	320	1,970	$90	$463.1K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	8	40	400	$460	$395.7K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	28	60	100	$710	$379K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	18	40	120	$610	$357.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	28	80	230	$400	$331.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	295	2,250	1,250	$50	$324.4K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	51	210	2,890	$70	$321.6K

Showing 1–10 of 155

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samarth Reddy	FL	Medical Oncology Physician	$1.8M	$0
Sunil Patel	FL	Hematology & Oncology Physician	$1.2M	$0
Richard Phelps	FL	Psychiatry Physician	$711.7K	$0
Jonathan Levy	FL	Orthopaedic Surgery Physician	$700.1K	$0
Brian Costell	FL	Epilepsy Physician	$699.9K	$0
Jodi Fiedler	FL	Dermatology Physician	$686.8K	$0
Shari Topper	FL	Dermatology Physician	$478.6K	$0
Alan Mitchell	FL	Ophthalmology Physician	$477.2K	$0
Noah Schreibman	FL	Pulmonary Disease Physician	$379.9K	$0
Paul Diamond	FL	Family Medicine Physician	$345.4K	$0

West Boca Medical Center, Inc. — 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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Frequently Asked Questions

References