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

Adventist Health System-Sunbelt INC

Adventist Health System-Sunbelt INC was paid $2.25M by Medicaid between Jan 2023 and Dec 2024, across 46 billing codes. Its largest line is 99284, emergency room visit (serious) — 39% of everything it billed.

33Billing provider infoADVENTIST HEALTH SYSTEM-SUNBELT INC
SEBRING, FL 33872
33aNPI1083692594assigned 01/04/2006
28Total paid$2.25M
24GClaims46,317
24DCodes billed46
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Florida

Rank by total paid#115 of 163
Median peer was paid$4.77M
This provider vs. median0.5×

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$100K$200K2018201920202021202220232024
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
202328,552$1.24M
2024incomplete17,765$1.01M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 39% 7,731 7,055 $869K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 29% 7,169 6,747 $645K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.3% 1,941 1,710 $164K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 7.2% 1,715 1,336 $161K
59025 Fetal non-stress test 7.0% 1,888 1,249 $159K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 4.2% 2,105 1,987 $94K
96361 Intravenous infusion, hydration; each additional hour 2.3% 655 600 $52K
92587 1.7% 857 810 $37K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 187 177 $20K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 357 314 $17K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 48 42 $12K
70450 Computed tomography, head or brain; without contrast material <1% 56 51 $8K
34 more codes
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 2,410 $2K
97597 <1% 43 $2K
80053 Comprehensive metabolic panel <1% 5,089 $2K
71045 Radiologic examination, chest; single view <1% 845 $2K
87081 <1% 348 $1K
01999 <1% 59 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 5,602 $873.63
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 719 $779.83
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 846 $546.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 430 $500.02
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 903 $336.68
80048 Basic metabolic panel (calcium, ionized) <1% 59 $328.59
96375 Therapeutic injection; each additional sequential IV push <1% 752 $87.00
81001 <1% 1,301 $83.84
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 93 $66.77
71046 Radiologic examination, chest; 2 views <1% 142 $66.77
87086 Culture, bacterial; quantitative colony count, urine <1% 161 $45.61
84703 <1% 400 $40.61
82274 <1% 18 $37.68
J7510 Prednisolone oral, per 5 mg <1% 26 $31.98
83690 <1% 264 $22.44
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 164 $6.23
81003 <1% 404 $5.20
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 0% 139 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 14 $0.00
76819 Fetal biophysical profile; without non-stress testing 0% 15 $0.00
J2704 Injection, propofol, 10 mg 0% 32 $0.00
84484 0% 102 $0.00
J0690 Injection, cefazolin sodium, 500 mg 0% 30 $0.00
83735 0% 29 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 13 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 19 $0.00
84702 0% 14 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 0% 123 $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 officialTHOMASON, NATHAN (CFO)
Same official

Other billing entities under THOMASON, NATHAN

Full network →
ProviderLocationPaid
Adventist Health System-Sunbelt INCWauchula, FL$949K
Adventist Health System-Sunbelt INCSebring, FL$933K

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