Sovereign Healthcare of Metro West, LLC
Sovereign Healthcare of Metro West, LLC was paid $2.75M by Medicaid between Jan 2018 and Feb 2023, across 23 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 33% of everything it billed.
ORLANDO, FL 32835
Next to other Skilled Nursing Facility providers in Florida
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,122 | $306K | |
| 2019 | 20,509 | $891K | |
| 2020 | 18,543 | $1.01M | |
| 2021 | 15,280 | $233K | |
| 2022 | 13,540 | $265K | |
| 2023 | 1,639 | $42K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 33% | 23,735 | 1,639 | $917K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 33% | 24,518 | 1,644 | $911K |
| 97535 | Self-care/home management training, each 15 minutes | 14% | 10,789 | 1,040 | $397K |
| 97116 | 4.2% | 3,477 | 349 | $116K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 3.7% | 2,633 | 169 | $101K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 3.6% | 2,127 | 412 | $99K |
| 97129 | 2.8% | 3,464 | 269 | $76K | |
| 97130 | 1.4% | 2,288 | 195 | $37K | |
| 97542 | <1% | 458 | 88 | $20K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 803 | 110 | $17K |
| 97162 | <1% | 234 | 121 | $9K | |
| G8988 | Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 72 | 40 | $8K |
11 more codes
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 62 | $8K |
| 92526 | <1% | 1,260 | $8K | |
| 97166 | <1% | 286 | $7K | |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 111 | $7K |
| 92523 | <1% | 65 | $5K | |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 82 | $5K |
| G8991 | Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 25 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 62 | $0.00 |
| 90674 | 0% | 21 | $0.00 | |
| 90686 | 0% | 42 | $0.00 | |
| G8990 | Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 19 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.