Behavioral
Adventist Health System-Sunbelt INC
Adventist Health System-Sunbelt INC was paid $933K by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoADVENTIST HEALTH SYSTEM-SUNBELT INC
SEBRING, FL 33872
SEBRING, FL 33872
33aNPI1164698809assigned 05/02/2008
33bProvider typeClinical Social Worker
28Total paid$933K
24GClaims61,788
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Florida
Rank by total paid#13 of 190
Median peer was paid$11K
This provider vs. median82×
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
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 | 1,042 | $2K | |
| 2019 | 1,064 | $2K | |
| 2020 | 306 | $678.02 | |
| 2021 | 1,129 | $8K | |
| 2022 | 13,567 | $173K | |
| 2023 | 27,396 | $471K | |
| 2024incomplete | 17,284 | $276K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 8,665 | 7,234 | $267K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 8,390 | 6,902 | $210K |
| H1000 | Prenatal care, at-risk assessment | 13% | 2,149 | 1,636 | $124K |
| 99223 | Prolong inpt eval add15 m | 13% | 1,557 | 1,277 | $122K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.9% | 1,352 | 1,104 | $55K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.7% | 2,576 | 902 | $53K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 472 | 421 | $25K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.7% | 418 | 196 | $15K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.5% | 465 | 346 | $14K |
| 99234 | <1% | 181 | 61 | $7K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,187 | 823 | $6K |
| 59025 | Fetal non-stress test | <1% | 222 | 159 | $5K |
45 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 69 | $4K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 43 | $3K |
| 59430 | <1% | 59 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 44 | $2K |
| 81025 | <1% | 581 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 196 | $2K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 102 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 343 | $1K |
| 93000 | <1% | 326 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 35 | $922.86 |
| 94726 | <1% | 81 | $829.31 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 131 | $768.13 |
| 81003 | <1% | 878 | $708.90 | |
| 97597 | <1% | 17 | $624.33 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 37 | $532.71 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 12 | $510.16 |
| 94060 | <1% | 82 | $498.23 | |
| 51798 | <1% | 297 | $468.00 | |
| 99254 | <1% | 18 | $456.57 | |
| 94010 | <1% | 38 | $387.08 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | $370.86 |
| 94664 | <1% | 63 | $350.15 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 16 | $348.97 |
| 99152 | <1% | 37 | $331.62 | |
| 3074F | <1% | 3,675 | $275.00 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 267 | $270.71 |
| 99336 | <1% | 83 | $177.17 | |
| 94729 | <1% | 21 | $158.76 | |
| 81002 | <1% | 64 | $66.82 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | $10.20 |
| 3078F | 0% | 3,415 | $0.00 | |
| 3725F | 0% | 4,901 | $0.00 | |
| 3288F | 0% | 1,240 | $0.00 | |
| 3077F | 0% | 166 | $0.00 | |
| 1100F | 0% | 21 | $0.00 | |
| 1036F | 0% | 8,184 | $0.00 | |
| 1126F | 0% | 3,755 | $0.00 | |
| 1125F | 0% | 1,231 | $0.00 | |
| 3079F | 0% | 940 | $0.00 | |
| 1101F | 0% | 1,700 | $0.00 | |
| 99335 | 0% | 29 | $0.00 | |
| 3075F | 0% | 152 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 618 | $0.00 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 0% | 14 | $0.00 |
| 3080F | 0% | 121 | $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)
Parent organizationADVENTIST HEALTH SYSTEM-SUNBELT INC
| Provider | Location | Paid |
|---|---|---|
| Adventist Health System-Sunbelt INC | Sebring, FL | $2.25M |
| Adventist Health System-Sunbelt INC | Wauchula, FL | $949K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.