Physician
Sacred Heart Health System, INC.
Sacred Heart Health System, INC. was paid $12.31M by Medicaid between Jan 2018 and Dec 2024, across 177 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoSACRED HEART HEALTH SYSTEM, INC.
PENSACOLA, FL 32504
PENSACOLA, FL 32504
33aNPI1144271586assigned 05/12/2006
33bProvider typeInternal Medicine Physician
28Total paid$12.31M
24GClaims441,125
24DCodes billed177
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#4 of 1,247
Median peer was paid$9K
This provider vs. median1,403×
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 | 3,842 | $19K | |
| 2019 | 49,888 | $1.81M | |
| 2020 | 52,306 | $2.06M | |
| 2021 | 58,838 | $2.01M | |
| 2022 | 154,449 | $2.44M | |
| 2023 | 80,868 | $2.64M | |
| 2024incomplete | 40,934 | $1.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 71,914 | 56,220 | $1.98M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15% | 52,320 | 41,368 | $1.85M |
| H1000 | Prenatal care, at-risk assessment | 12% | 37,941 | 24,122 | $1.45M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 11,388 | 8,540 | $704K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.4% | 9,344 | 7,197 | $666K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.5% | 12,780 | 8,416 | $550K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 8,050 | 6,258 | $486K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 3.5% | 6,096 | 4,509 | $431K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.3% | 9,349 | 7,179 | $410K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.3% | 4,558 | 3,792 | $405K |
| 76819 | Fetal biophysical profile; without non-stress testing | 3.1% | 15,849 | 8,555 | $379K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 2.6% | 3,274 | 2,635 | $315K |
165 more codes
| 99203 | Doctor's office visit, new patient (routine) | 2.1% | 4,432 | $261K |
| 99243 | 1.8% | 4,337 | $219K | |
| 99232 | Hospital visit by a doctor, follow-up day | 1.7% | 5,772 | $212K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.6% | 2,388 | $191K |
| 95720 | <1% | 1,081 | $111K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,002 | $107K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 1,110 | $106K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 15,781 | $102K |
| 99205 | Prolong outpt/office vis | <1% | 776 | $80K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,101 | $79K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 752 | $72K |
| 54150 | <1% | 731 | $59K | |
| 95782 | <1% | 596 | $58K | |
| 93325 | <1% | 5,938 | $57K | |
| 99242 | <1% | 1,234 | $49K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 3,261 | $39K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 9,990 | $38K |
| 59430 | <1% | 570 | $35K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 3,241 | $34K |
| 93320 | <1% | 3,221 | $34K | |
| 93000 | <1% | 5,444 | $29K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 384 | $29K |
| 20611 | <1% | 1,145 | $29K | |
| 99245 | <1% | 181 | $29K | |
| 76820 | <1% | 9,826 | $28K | |
| 42830 | <1% | 281 | $25K | |
| 76818 | <1% | 1,025 | $25K | |
| 54161 | <1% | 267 | $25K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 703 | $24K |
| 76825 | <1% | 340 | $24K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 319 | $22K |
| 92579 | <1% | 860 | $22K | |
| 94060 | <1% | 1,197 | $21K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 346 | $20K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,143 | $16K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 166 | $16K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 534 | $15K |
| 99460 | <1% | 346 | $14K | |
| 0012A | <1% | 1,019 | $14K | |
| 73630 | <1% | 3,014 | $14K | |
| 59410 | <1% | 14 | $14K | |
| 99381 | <1% | 242 | $13K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,175 | $13K |
| 92567 | <1% | 3,861 | $13K | |
| 31231 | <1% | 74 | $11K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 119 | $11K |
| 95718 | <1% | 232 | $10K | |
| 0011A | <1% | 1,084 | $10K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 292 | $10K |
| 54300 | <1% | 18 | $10K | |
| 92060 | <1% | 1,395 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 568 | $9K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 48 | $8K |
| 73610 | <1% | 1,563 | $7K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 29 | $7K |
| 95816 | <1% | 260 | $7K | |
| 0002A | <1% | 302 | $7K | |
| 59025 | Fetal non-stress test | <1% | 1,408 | $6K |
| 92587 | <1% | 1,063 | $6K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 54 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 748 | $6K |
| 93304 | <1% | 239 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 178 | $5K |
| 0001A | <1% | 379 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 86 | $5K |
| 73090 | <1% | 421 | $4K | |
| 73110 | <1% | 233 | $4K | |
| 92002 | <1% | 51 | $4K | |
| 91300 | <1% | 430 | $4K | |
| 51784 | <1% | 119 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,488 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 452 | $4K |
| 76827 | <1% | 341 | $4K | |
| 93297 | <1% | 877 | $3K | |
| 95819 | <1% | 157 | $3K | |
| 94010 | <1% | 221 | $3K | |
| 99253 | <1% | 86 | $3K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 205 | $3K |
| 92582 | <1% | 71 | $3K | |
| 76830 | Ultrasound, transvaginal | <1% | 44 | $3K |
| 93295 | <1% | 178 | $3K | |
| 99490 | Ccm add 20min | <1% | 181 | $2K |
| 99254 | <1% | 27 | $2K | |
| 90686 | <1% | 1,771 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,165 | $2K |
| 92015 | Determination of refractive state | <1% | 2,204 | $2K |
| 95886 | <1% | 314 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,033 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 823 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 53 | $1K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 85 | $1K |
| 92555 | <1% | 252 | $1K | |
| 90670 | <1% | 5,207 | $1K | |
| 95911 | <1% | 13 | $1K | |
| 93321 | <1% | 470 | $1K | |
| 93970 | <1% | 81 | $1K | |
| 99307 | <1% | 216 | $1K | |
| 99188 | <1% | 259 | $944.00 | |
| 73130 | <1% | 117 | $891.00 | |
| 31237 | <1% | 24 | $742.76 | |
| 73564 | <1% | 242 | $714.78 | |
| 93971 | <1% | 81 | $700.61 | |
| 92557 | <1% | 25 | $698.89 | |
| 99462 | <1% | 19 | $631.09 | |
| 20610 | <1% | 64 | $575.60 | |
| 73070 | <1% | 32 | $489.44 | |
| 94664 | <1% | 102 | $468.89 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 80 | $455.30 |
| 92552 | <1% | 16 | $434.36 | |
| 81002 | <1% | 851 | $416.19 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 194 | $349.56 |
| 93296 | <1% | 250 | $326.16 | |
| 90710 | <1% | 102 | $284.00 | |
| 93298 | <1% | 47 | $271.65 | |
| 77080 | <1% | 24 | $263.54 | |
| 99443 | <1% | 16 | $250.26 | |
| 93308 | <1% | 37 | $221.41 | |
| 69210 | <1% | 32 | $217.98 | |
| 73080 | <1% | 21 | $213.09 | |
| 99201 | <1% | 93 | $202.88 | |
| 90723 | <1% | 3,498 | $195.50 | |
| 90633 | <1% | 1,878 | $169.52 | |
| 95251 | <1% | 184 | $148.96 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 33 | $136.92 |
| 87807 | <1% | 34 | $128.30 | |
| 82962 | <1% | 298 | $108.60 | |
| 90661 | <1% | 13 | $79.81 | |
| 93225 | <1% | 34 | $64.19 | |
| 1036F | <1% | 8,042 | $35.88 | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 644 | $20.00 |
| 90648 | <1% | 374 | $10.00 | |
| 11721 | <1% | 15 | $9.02 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 82 | $8.04 |
| 96160 | <1% | 26 | $5.28 | |
| 99152 | <1% | 17 | $5.20 | |
| 93793 | <1% | 31 | $3.12 | |
| 90677 | <1% | 460 | $0.11 | |
| 90674 | <1% | 41 | $0.10 | |
| 90656 | <1% | 36 | $0.02 | |
| 3008F | <1% | 7,023 | $0.01 | |
| 90681 | 0% | 955 | $0.00 | |
| 90707 | 0% | 120 | $0.00 | |
| 1159F | 0% | 7,844 | $0.00 | |
| 1160F | 0% | 8,108 | $0.00 | |
| 3078F | 0% | 3,715 | $0.00 | |
| 99173 | 0% | 577 | $0.00 | |
| 90700 | 0% | 131 | $0.00 | |
| 99177 | 0% | 32 | $0.00 | |
| 3725F | 0% | 88 | $0.00 | |
| 3046F | 0% | 32 | $0.00 | |
| 90680 | 0% | 797 | $0.00 | |
| 90647 | 0% | 3,161 | $0.00 | |
| 3074F | 0% | 3,686 | $0.00 | |
| 99024 | 0% | 7,746 | $0.00 | |
| 1126F | 0% | 2,285 | $0.00 | |
| 90716 | 0% | 120 | $0.00 | |
| 92551 | 0% | 575 | $0.00 | |
| 90698 | 0% | 216 | $0.00 | |
| 91301 | 0% | 790 | $0.00 | |
| 3044F | 0% | 17 | $0.00 | |
| 90697 | 0% | 42 | $0.00 | |
| 2010F | 0% | 103 | $0.00 | |
| 90688 | 0% | 12 | $0.00 | |
| 1125F | 0% | 47 | $0.00 | |
| 3079F | 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 officialHEMM, MIRANDA (ENROLLMENT MANAGER)
| Provider | Location | Paid |
|---|---|---|
| ST Vincents Ambulatory Care INC | Jacksonville, FL | $10.43M |
| Sacred Heart Health System, INC. | Pensacola, FL | $869K |
| 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.