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 Florida Regional Medical Center, Inc. (NPI 1639116726)

Field	Value
Entity Type	Organization
Organization	West Florida Regional Medical Center, Inc.
Address	8383 N Davis Hwy
City	Pensacola
State	FL
ZIP	32514
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$17.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

213 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	80,880	$80	$6.4M
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.	40,580	$60	$2.5M
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.	14,860	$80	$1.2M
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.	5,430	$140	$754.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1,890	$330	$628K
J7030	Infusion, normal saline solution , 1000 cc	15,100	$40	$558.5K
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.	39,100	$10	$508.3K
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.	6,500	$70	$435.7K
99281	The provider sees a patient for the lowest level emergency department visit.	3,440	$100	$340.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	5,560	$60	$311.5K

Showing 1–10 of 213

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 Florida Regional 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

213 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.	30	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.	63	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.	193	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.	31	320	1,970	$90	$463.1K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	18	60	100	$710	$379K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	16	40	120	$610	$357.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	11	80	230	$400	$331.4K
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.	122	210	2,890	$70	$321.6K
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.	1,071	2,310	1,910	$40	$315.4K
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.	58	350	1,160	$80	$308.7K

Showing 1–10 of 213

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ruth Henchey	FL	Neurology Physician	$222.8K	$0
Cary Chapman	FL	Orthopaedic Surgery Physician	$43.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Renal Treatment Centers-southeast, LP.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.1M
West Florida Medical Center Clinic PA	FL	Ambulatory Surgical Clinic/Center	$3.7M	$0
Pardeep Kumari	FL	Infectious Disease Physician	$2.4M	$0
Brian Kirby	FL	Rheumatology Physician	$2.3M	$0
Michael Vandenberg	FL	Rheumatology Physician	$2M	$0
Baptist Medical Park Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$1.4M	$0
Anthony Doerr	FL	Urology Physician	$1.3M	$0
Richard Meyerholz	FL	Rheumatology Physician	$1.3M	$0
Timothy Mclaughlin	FL	Ophthalmology Physician	$737.4K	$0
Samer Al-shurieki	FL	Gastroenterology Physician	$721.5K	$0

West Florida Regional Medical Center, Inc. — Billing Profile & Reimbursement Data

Sign up for West Florida Regional Medical Center, Inc. — Billing Profile & Reimbursement Data policy alerts

West Florida Regional Medical Center, Inc. — Billing Profile & Reimbursement Data

Sign up for West Florida Regional Medical Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References