Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOVEREIGN HEALTHCARE OF METRO WEST, LLC

NPI: 1235126855 · ORLANDO, FL 32835 · Skilled Nursing Facility · NPI assigned 09/29/2005

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

Authorized official CRONQUIST, R. controls 20+ related entities in our dataset. Read more

$2.75M
Total Medicaid Paid
76,633
Total Claims
6,634
Beneficiaries
23
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialCRONQUIST, R. (MANAGER)
NPI Enumeration Date09/29/2005

Related Entities

Other providers sharing the same authorized official: CRONQUIST, R.

ProviderCityStateTotal Paid
BLOUNTSTOWN REHABILITATION CENTER, LLC BLOUNTSTOWN FL $3.52M
SOVEREIGN HEALTHCARE OF MEDICANA, LLC LAKE WORTH FL $3.31M
SOVEREIGN HEALTHCARE OF BONIFAY, LLC BONIFAY FL $2.98M
SOVEREIGN HEALTHCARE OF JACKSONVILLE, LLC JACKSONVILLE FL $2.89M
SOVEREIGN HEALTHCARE OF WEST PALM BEACH, LLC BOYNTON BEACH FL $2.82M
SOVEREIGN HEALTHCARE OF BOYNTON BEACH, LLC BOYNTON BEACH FL $2.43M
SOVEREIGN HEALTHCARE OF PORT ST. LUCIE, LLC PORT ST LUCIE FL $2.01M
SOVEREIGN HEALTHCARE OF MACCLENNY, LLC MACCLENNY FL $2.00M
BRADEN RIVER REHABILITATION CENTER, LLC BRADENTON FL $1.87M
SOVEREIGN HEALTHCARE OF TITUSVILLE, LLC TITUSVILLE FL $1.74M
SOVEREIGN HEALTHCARE OF ST. AUGUSTINE, LLC ST AUGUSTINE FL $1.67M
CRESTVIEW REHABILITATION CENTER, LLC CRESTVIEW FL $1.64M
SOVEREIGN HEALTHCARE OF ORLANDO, LLC ORLANDO FL $1.58M
SOVEREIGN HEALTHCARE OF ATLANTIC SHORES, LLC MELBOURNE FL $1.56M
SOVEREIGN HEALTHCARE OF PALM CITY, LLC PALM CITY FL $1.36M
SOVEREIGN HEALTHCARE OF TAMPA, LLC TAMPA FL $1.30M
SOVEREIGN HEALTHCARE OF PALMETTO, LLC PALMETTO FL $1.23M
SOVEREIGN HEALTHCARE OF ORANGE CITY, LLC DEBARY FL $1.21M
SOVEREIGN HEALTHCARE OF PORT ORANGE, LLC PORT ORANGE FL $1.20M
SOVEREIGN HEALTHCARE OF INVERNESS, LLC INVERNESS FL $1.10M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 23,735 1,639 $917K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 24,518 1,644 $911K
97535 Self-care/home management training, each 15 minutes 10,789 1,040 $397K
97116 3,477 349 $116K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,633 169 $101K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,127 412 $99K
97129 3,464 269 $76K
97130 2,288 195 $37K
97542 458 88 $20K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 803 110 $17K
97162 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 72 40 $8K
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 62 38 $8K
92526 1,260 108 $8K
97166 286 146 $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 111 54 $7K
92523 65 38 $5K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 82 51 $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 25 13 $0.00
G0008 Administration of influenza virus vaccine 62 48 $0.00
90674 21 20 $0.00
90686 42 29 $0.00
G8990 Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals 19 13 $0.00