Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › DELTONA › MEDICAL CENTER OF DELTONA, INC.

MEDICAL CENTER OF DELTONA, INC.

NPI: 1003465097 · DELTONA, FL 32725 · General Acute Care Hospital · NPI assigned 09/11/2019

$3.35M
Total Medicaid Paid
90,649
Total Claims
70,699
Beneficiaries
86
Codes Billed
2020-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPEBURN, ERIC (CFO)
Parent OrganizationHALIFAX HOSPITAL MEDICAL CENTER
NPI Enumeration Date09/11/2019

Related Entities

Other providers sharing the same authorized official: PEBURN, ERIC

ProviderCityStateTotal Paid
HALIFAX HOSPITAL MEDICAL CENTER DAYTONA BEACH FL $26.97M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12,991 $266K
2021 27,198 $801K
2022 33,761 $1.22M
2023 12,994 $760K
2024 3,705 $307K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 11,424 10,538 $1.12M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,941 865 $410K
99284 Emergency department visit for the evaluation and management, high severity 4,009 3,495 $372K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,915 2,809 $332K
74177 Computed tomography, abdomen and pelvis; with contrast material 849 773 $240K
80053 Comprehensive metabolic panel 4,361 3,452 $128K
96361 Intravenous infusion, hydration; each additional hour 2,325 1,737 $118K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,129 998 $113K
70450 Computed tomography, head or brain; without contrast material 752 630 $91K
74176 Computed tomography, abdomen and pelvis; without contrast material 242 210 $73K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 921 816 $49K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,224 622 $47K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,787 528 $30K
71275 Computed tomographic angiography, chest, with contrast material 66 64 $27K
84703 2,420 2,155 $22K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,078 2,839 $21K
87081 1,153 1,088 $20K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 887 772 $20K
99281 Emergency department visit for the evaluation and management, self-limited or minor 194 185 $19K
80048 Basic metabolic panel (calcium, ionized) 699 605 $15K
94664 323 296 $10K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 205 192 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,044 2,517 $7K
81001 3,603 3,143 $6K
97162 90 80 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 257 236 $5K
71045 Radiologic examination, chest; single view 1,880 1,623 $4K
96375 Therapeutic injection; each additional sequential IV push 1,995 1,551 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,422 1,104 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,285 4,181 $4K
G0378 Hospital observation service, per hour 253 161 $3K
92523 14 14 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,034 1,674 $2K
87086 Culture, bacterial; quantitative colony count, urine 1,255 1,112 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 129 42 $2K
71046 Radiologic examination, chest; 2 views 133 125 $2K
J7030 Infusion, normal saline solution , 1000 cc 2,414 1,713 $1K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 18 13 $1K
82948 746 354 $1K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,212 1,880 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 225 205 $927.32
85379 261 236 $873.88
96376 284 176 $839.45
84702 244 202 $819.59
84484 1,636 1,100 $802.48
85610 749 632 $725.41
73110 16 16 $723.03
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,675 1,257 $641.13
J1885 Injection, ketorolac tromethamine, per 15 mg 1,815 1,407 $580.56
83690 1,631 1,406 $514.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg 529 325 $480.00
83735 726 613 $414.20
85730 535 459 $367.87
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,287 1,214 $340.92
87210 106 95 $222.15
83605 209 169 $220.88
87077 124 111 $159.55
87807 1,022 978 $154.07
J2270 Injection, morphine sulfate, up to 10 mg 732 461 $150.87
82550 324 238 $121.59
87040 248 138 $98.14
87186 187 164 $63.99
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 149 137 $56.15
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 149 137 $56.15
J0696 Injection, ceftriaxone sodium, per 250 mg 458 350 $49.07
97750 13 12 $38.36
86140 197 172 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 208 169 $0.00
86901 58 52 $0.00
83880 17 15 $0.00
J0690 Injection, cefazolin sodium, 500 mg 114 61 $0.00
J1170 Injection, hydromorphone, up to 4 mg 160 80 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 183 164 $0.00
84443 Thyroid stimulating hormone (TSH) 56 51 $0.00
82077 12 12 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 76 67 $0.00
J8501 Aprepitant, oral, 5 mg 14 14 $0.00
J2060 Injection, lorazepam, 2 mg 33 24 $0.00
86403 37 26 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 16 13 $0.00
85652 33 25 $0.00
73630 16 13 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 190 135 $0.00
86900 41 36 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 154 128 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 12 12 $0.00