Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › PENSACOLA › SACRED HEART HEALTH SYSTEM, INC.

SACRED HEART HEALTH SYSTEM, INC.

NPI: 1144271586 · PENSACOLA, FL 32504 · Internal Medicine Physician · NPI assigned 05/12/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HEMM, MIRANDA controls 11+ related entities in our dataset. Read more

$12.31M
Total Medicaid Paid
441,125
Total Claims
312,385
Beneficiaries
177
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHEMM, MIRANDA (ENROLLMENT MANAGER)
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: HEMM, MIRANDA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 40,934 $1.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 71,914 56,220 $1.98M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 52,320 41,368 $1.85M
H1000 Prenatal care, at-risk assessment 37,941 24,122 $1.45M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,388 8,540 $704K
99215 Prolong outpt/office vis 9,344 7,197 $666K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 12,780 8,416 $550K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,050 6,258 $486K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 6,096 4,509 $431K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,349 7,179 $410K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,558 3,792 $405K
76819 Fetal biophysical profile; without non-stress testing 15,849 8,555 $379K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 3,274 2,635 $315K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,432 3,626 $261K
99243 4,337 3,251 $219K
99232 Subsequent hospital care, per day, moderate complexity 5,772 1,965 $212K
99244 Office or other outpatient consultation, moderate to high complexity 2,388 1,820 $191K
95720 1,081 502 $111K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,002 1,693 $107K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,110 942 $106K
90460 Immunization administration through 18 years of age via any route, first or only component 15,781 11,337 $102K
99205 Prolong outpt/office vis 776 624 $80K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,101 829 $79K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 752 500 $72K
54150 731 503 $59K
95782 596 518 $58K
93325 5,938 4,652 $57K
99242 1,234 909 $49K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,261 1,015 $39K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,990 7,635 $38K
59430 570 488 $35K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,241 2,100 $34K
93320 3,221 2,588 $34K
93000 5,444 4,372 $29K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 384 319 $29K
20611 1,145 805 $29K
99245 181 171 $29K
76820 9,826 4,200 $28K
42830 281 185 $25K
76818 1,025 439 $25K
54161 267 215 $25K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 703 480 $24K
76825 340 244 $24K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 319 251 $22K
92579 860 676 $22K
94060 1,197 929 $21K
99222 Initial hospital care, per day, moderate complexity 346 284 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,143 782 $16K
H1001 Prenatal care, at-risk enhanced service; antepartum management 166 147 $16K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 534 385 $15K
99460 346 241 $14K
0012A 1,019 841 $14K
73630 3,014 1,777 $14K
59410 14 12 $14K
99381 242 202 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,175 1,013 $13K
92567 3,861 3,020 $13K
31231 74 61 $11K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 119 25 $11K
95718 232 189 $10K
0011A 1,084 905 $10K
99238 Hospital discharge day management, 30 minutes or less 292 228 $10K
54300 18 16 $10K
92060 1,395 1,072 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 568 460 $9K
J0585 Injection, onabotulinumtoxina, 1 unit 48 26 $8K
73610 1,563 895 $7K
42820 Tonsillectomy and adenoidectomy; younger than age 12 29 26 $7K
95816 260 187 $7K
0002A 302 273 $7K
59025 Fetal non-stress test 1,408 609 $6K
92587 1,063 853 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 54 40 $6K
90472 Immunization administration, each additional vaccine (list separately) 748 700 $6K
93304 239 217 $5K
99233 Prolong inpt eval add15 m 178 82 $5K
0001A 379 324 $5K
99223 Prolong inpt eval add15 m 86 66 $5K
73090 421 314 $4K
73110 233 189 $4K
92002 51 49 $4K
91300 430 359 $4K
51784 119 63 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,488 1,251 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 452 362 $4K
76827 341 245 $4K
93297 877 596 $3K
95819 157 111 $3K
94010 221 196 $3K
99253 86 65 $3K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 205 145 $3K
92582 71 52 $3K
76830 Ultrasound, transvaginal 44 39 $3K
93295 178 127 $3K
99490 Ccm add 20min 181 154 $2K
99254 27 25 $2K
90686 1,771 1,625 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,165 1,047 $2K
92015 Determination of refractive state 2,204 1,649 $2K
95886 314 199 $2K
83036 Hemoglobin; glycosylated (A1C) 1,033 840 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 823 617 $2K
90837 Psychotherapy, 53 minutes with patient 53 27 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 85 39 $1K
92555 252 207 $1K
90670 5,207 3,810 $1K
95911 13 13 $1K
93321 470 354 $1K
93970 81 67 $1K
99307 216 130 $1K
99188 259 138 $944.00
73130 117 77 $891.00
31237 24 15 $742.76
73564 242 141 $714.78
93971 81 70 $700.61
92557 25 25 $698.89
99462 19 18 $631.09
20610 64 51 $575.60
73070 32 24 $489.44
94664 102 100 $468.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 80 63 $455.30
92552 16 15 $434.36
81002 851 658 $416.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 194 165 $349.56
93296 250 168 $326.16
90710 102 65 $284.00
93298 47 39 $271.65
77080 24 24 $263.54
99443 16 13 $250.26
93308 37 25 $221.41
69210 32 15 $217.98
73080 21 14 $213.09
99201 93 78 $202.88
90723 3,498 2,599 $195.50
90633 1,878 1,196 $169.52
95251 184 140 $148.96
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 33 12 $136.92
87807 34 24 $128.30
82962 298 231 $108.60
90661 13 13 $79.81
93225 34 25 $64.19
1036F 8,042 4,408 $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 644 441 $20.00
90648 374 184 $10.00
11721 15 13 $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) 82 63 $8.04
96160 26 24 $5.28
99152 17 13 $5.20
93793 31 12 $3.12
90677 460 413 $0.11
90674 41 30 $0.10
90656 36 36 $0.02
3008F 7,023 3,890 $0.01
90681 955 710 $0.00
90707 120 82 $0.00
1159F 7,844 4,113 $0.00
1160F 8,108 4,318 $0.00
3078F 3,715 2,417 $0.00
99173 577 381 $0.00
90700 131 105 $0.00
99177 32 26 $0.00
3725F 88 34 $0.00
3046F 32 24 $0.00
90680 797 656 $0.00
90647 3,161 2,312 $0.00
3074F 3,686 2,587 $0.00
99024 7,746 5,578 $0.00
1126F 2,285 1,247 $0.00
90716 120 82 $0.00
92551 575 392 $0.00
90698 216 188 $0.00
91301 790 676 $0.00
3044F 17 13 $0.00
90697 42 27 $0.00
2010F 103 92 $0.00
90688 12 12 $0.00
1125F 47 35 $0.00
3079F 18 12 $0.00