Active NPI 1104168509 Individual Practitioner Male Practitioner

Dr. Wilmer Neptali Mata , MD

Surgery • Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Wilmer Mata, MD is a certified Surgery practicing in Miami, FL. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Mata delivers high-quality medical care to the local community at 15955 SW 96TH ST STE 102.

Dr. Mata is affiliated with Baptist Health Medical Group Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15955 Sw 96th St Ste 102

Miami, FL 33196

Telephone 7864673435

Fax 7865339383

Associated Practice Facility / Clinic

🏢 Baptist Health Medical Group Physicians, Llc Facility NPI 1588327159

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Miami, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -3.6 yrs vs City Avg

City Avg: 21.6 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

135 Specialists

Practicing in Miami, FL (2030 Statewide)

Telehealth Adoption Rate

7.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mata (18 Years) 18 Yrs

Miami Specialty Average (21.6 Years) 21.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	55	$249.00	$88.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$418.00	$148.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	24	$159.00	$53.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	46	$252.00	$86.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$419.00	$143.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	27	$162.00	$55.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$379.00	$129.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$553.00	$188.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	58	$232.00	$77.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	63	$446.00	$149.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	29	$129.00	$43.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	18	$333.00	$111.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$648.00	$217.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$554.00	$185.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$453.00	$152.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	68	$216.00	$78.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	59	$120.00	$41.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	65	$415.00	$149.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	26	$307.00	$112.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$607.00	$218.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	63	$460.00	$153.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	49	$341.00	$114.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	52	$237.00	$78.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	44	$131.00	$43.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$668.00	$222.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	18	$244.90	$78.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	12	$343.00	$112.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$669.00	$219.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$456.00	$149.62

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME134812

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Baptist Health Medical Group Physicians Llc

15955 Sw 96th St, Miami, FL 331961272

Phone: 7864673435

Secondary Practice Locations

2001 W 86th St

Indianapolis, IN 462601902

Phone: 3173382281

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Carlos Moran Martinez

Nurse Practitioner

NPI 1174830210

Emily Davide

Physician Assistant

NPI 1417602905

Charly Escobar , APRN

Nurse Practitioner

NPI 1629720719

Advanced Practice Registered Nurse

Jose Pazos-Perez , PA-C

Physician Assistant - Surgical

NPI 1801269402

Physician Assistant (Certified)

Dr. Michael Gonzalez Ramos , MD

Surgery

NPI 1922331933

Doctor of Medicine (M.D.)

Jessica Miller , APRN

Nurse Practitioner

NPI 1942912449

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location July 11, 2019

Registered at 15955 SW 96TH ST STE 102, MIAMI, FL 33196 (Tel: 7864673435)

📍

Updated Business Mailing Address July 11, 2019

Registered at PO BOX 198054, ATLANTA, GA 303848054

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Surgery (License #ME134812 in FL)

✅

NPI Profile Active March 23, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 23, 2013

Registered at 2001 W 86TH ST, INDIANAPOLIS, IN 462601902 (Tel: 3173382281)

📍

Updated Business Mailing Address March 23, 2013

Registered at 2001 W 86TH ST, INDIANAPOLIS, IN 462601902 (Tel: 3173382281)

👤

Provider Name / Credentials Updated March 23, 2013

Recorded as WILMER MATA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 23, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104168509

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 23, 2013

Last Update: July 11, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 198054

Atlanta, GA 303848054

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.