Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Adventhealth Polk South INC

Adventhealth Polk South INC was paid $447K by Medicaid between Jan 2018 and Sep 2020, across 77 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 13% of everything it billed.

33Billing provider infoADVENTHEALTH POLK SOUTH INC
LAKE WALES, FL 33853
33aNPI1053972760assigned 06/24/2019
28Total paid$447K
24GClaims26,653
24DCodes billed77
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers

Next to other Psychiatric Hospital Unit providers in Florida

Rank by total paid#13 of 15
Median peer was paid$7.13M
This provider vs. median0.1×

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.

Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20182,131$4K
20195,054$83K
202019,468$360K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80053 Comprehensive metabolic panel 13% 1,489 1,061 $58K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 2,306 2,074 $51K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 9.9% 395 155 $44K
G0378 Hospital observation service, per hour 7.4% 223 121 $33K
99282 Emergency department visit for the evaluation and management, low to moderate severity 6.1% 541 504 $27K
99281 Emergency department visit for the evaluation and management, self-limited or minor 5.4% 356 324 $24K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4.5% 542 454 $20K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 4.1% 1,423 1,207 $18K
87430 3.9% 625 590 $17K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.4% 596 466 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3.1% 557 486 $14K
70450 Computed tomography, head or brain; without contrast material 2.6% 204 186 $12K
65 more codes
80048 Basic metabolic panel (calcium, ionized) 2.3% 326 $10K
96361 Intravenous infusion, hydration; each additional hour 2.1% 356 $9K
97597 2.0% 144 $9K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.8% 285 $8K
36415 Collection of venous blood by venipuncture 1.6% 568 $7K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.2% 132 $5K
87086 Culture, bacterial; quantitative colony count, urine 1.2% 572 $5K
71045 Radiologic examination, chest; single view 1.1% 758 $5K
84703 1.0% 155 $5K
81025 1.0% 558 $5K
71046 Radiologic examination, chest; 2 views <1% 191 $4K
86756 <1% 113 $4K
80306 <1% 219 $4K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 31 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 249 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,216 $3K
81003 <1% 557 $3K
87077 <1% 204 $2K
81001 <1% 1,023 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 200 $2K
82962 <1% 420 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 12 $2K
84484 <1% 605 $2K
73562 <1% 38 $2K
87070 <1% 646 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 $944.73
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 43 $929.52
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,748 $561.79
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 34 $464.88
82947 <1% 72 $423.74
74018 <1% 13 $405.49
87186 <1% 166 $296.57
73030 <1% 15 $281.32
J7030 Infusion, normal saline solution , 1000 cc <1% 675 $241.49
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 734 $230.86
73630 <1% 16 $203.41
96375 Therapeutic injection; each additional sequential IV push <1% 382 $179.97
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 480 $115.75
J2704 Injection, propofol, 10 mg <1% 44 $93.22
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 295 $78.60
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 82 $69.98
72125 Computed tomography, cervical spine; without contrast material <1% 13 $68.92
83735 <1% 352 $66.45
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 13 $64.86
94760 <1% 270 $60.57
83690 <1% 393 $59.45
87040 <1% 16 $54.12
84443 Thyroid stimulating hormone (TSH) <1% 64 $32.59
87088 <1% 134 $27.06
83605 <1% 16 $27.06
85379 <1% 89 $20.19
83880 <1% 66 $20.19
85610 <1% 230 $16.90
85730 <1% 188 $15.64
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 407 $13.55
J2270 Injection, morphine sulfate, up to 10 mg 0% 152 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 95 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 67 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 282 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 47 $0.00
85027 0% 16 $0.00
82550 0% 50 $0.00
82553 0% 16 $0.00
76801 0% 13 $0.00
J2060 Injection, lorazepam, 2 mg 0% 18 $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 officialHENGESBACH, ALAN (CFO)
Same official

Other billing entities under HENGESBACH, ALAN

Full network →
ProviderLocationPaid
Adventhealth Polk North INCDavenport, FL$15.43M
Adventhealth Polk South INCLake Wales, FL$7.13M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.