Clinic
Sacred Heart Health System, INC.
Sacred Heart Health System, INC. was paid $869K by Medicaid between Jan 2018 and Nov 2024, across 59 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 21% of everything it billed.
33Billing provider infoSACRED HEART HEALTH SYSTEM, INC.
PENSACOLA, FL 32504
PENSACOLA, FL 32504
33aNPI1043261498assigned 05/12/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$869K
24GClaims21,627
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Florida
Rank by total paid#25 of 215
Median peer was paid$25K
This provider vs. median35×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HEMM, MIRANDA controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 106 | $10K | |
| 2019 | 2,979 | $122K | |
| 2020 | 6,376 | $166K | |
| 2021 | 7,535 | $299K | |
| 2022 | 1,647 | $67K | |
| 2023 | 2,769 | $181K | |
| 2024incomplete | 215 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 21% | 7,693 | 3,801 | $180K |
| 99223 | Prolong inpt eval add15 m | 19% | 1,359 | 1,016 | $165K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 2,050 | 815 | $116K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 1,435 | 1,291 | $56K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.3% | 1,283 | 978 | $46K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.1% | 986 | 401 | $35K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.7% | 488 | 378 | $32K |
| H1000 | Prenatal care, at-risk assessment | 3.2% | 772 | 543 | $27K |
| 99460 | 2.6% | 365 | 320 | $23K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.5% | 393 | 328 | $21K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 280 | 180 | $17K |
| 99236 | Prolong inpt eval add15 m | 2.0% | 202 | 135 | $17K |
47 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 2.0% | 266 | $17K |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | 1.9% | 170 | $17K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.7% | 636 | $15K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.3% | 111 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 119 | $11K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.2% | 78 | $10K |
| 99235 | 1.1% | 70 | $9K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 60 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 89 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 25 | $4K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 24 | $4K |
| 99243 | <1% | 72 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 40 | $3K |
| 99462 | <1% | 166 | $2K | |
| 91300 | <1% | 110 | $2K | |
| 0002A | <1% | 47 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 43 | $2K |
| 0012A | <1% | 49 | $2K | |
| 93325 | <1% | 121 | $1K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 20 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 24 | $734.58 |
| 94664 | <1% | 14 | $533.87 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 171 | $416.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | $359.64 |
| 92567 | <1% | 245 | $321.35 | |
| 92060 | <1% | 61 | $295.25 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 27 | $199.23 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 25 | $139.17 |
| 3008F | <1% | 83 | $124.12 | |
| 92587 | <1% | 36 | $85.23 | |
| 76820 | <1% | 142 | $73.34 | |
| 93000 | <1% | 77 | $69.93 | |
| 92015 | Determination of refractive state | <1% | 270 | $68.15 |
| 0001A | <1% | 33 | $46.00 | |
| 1159F | 0% | 133 | $0.00 | |
| 1160F | 0% | 245 | $0.00 | |
| 90670 | 0% | 39 | $0.00 | |
| 3078F | 0% | 13 | $0.00 | |
| 73630 | 0% | 13 | $0.00 | |
| 1036F | 0% | 60 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 45 | $0.00 |
| 91301 | 0% | 83 | $0.00 | |
| 3074F | 0% | 14 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 99024 | 0% | 74 | $0.00 | |
| 93320 | 0% | 24 | $0.00 | |
| 90723 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHEMM, MIRANDA (ENROLLMENT MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Sacred Heart Health System, INC. | Pensacola, FL | $12.31M |
| ST Vincents Ambulatory Care INC | Jacksonville, FL | $10.43M |
| Sacred Heart Health System, INC. | Pensacola, FL | $744K |
| Ascension Sacred Heart Gulf | Pensacola, FL | $480K |
| Sacred Heart Health System, INC. | Pensacola, FL | $437K |
| Ascension Sacred Heart Gulf | Apalachicola, FL | $109K |
| Sacred Heart Health System, INC. | Pensacola, FL | $108K |
| Sacred Heart Health System, INC. | Pensacola, FL | $21K |
| Saint Thomas Medical Partners | Nashville, TN | $10K |
| Sacred Heart Health System, INC. | Foley, AL | $1K |
| Ascension Sacred Heart Gulf | Port St Joe, FL | $493.53 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.