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SOVEREIGN HEALTHCARE OF ORANGE CITY, LLC
SOVEREIGN HEALTHCARE OF ORANGE CITY, LLC
NPI: 1285621987
· DEBARY, FL 32713
· 314000000X
$1.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,218 |
$116K |
| 2019 |
7,258 |
$214K |
| 2020 |
10,033 |
$412K |
| 2021 |
8,786 |
$147K |
| 2022 |
7,464 |
$228K |
| 2023 |
2,077 |
$96K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
|
17,712 |
1,122 |
$555K |
| 97110 |
|
15,077 |
1,088 |
$471K |
| 97116 |
|
3,356 |
233 |
$127K |
| 97535 |
|
1,543 |
150 |
$46K |
| 97129 |
|
1,016 |
86 |
$9K |
| G8991 |
Other pt/ot goal status |
183 |
96 |
$4K |
| G8990 |
Other pt/ot current status |
96 |
64 |
$1K |
| G8979 |
Mobility goal status |
20 |
12 |
$617.56 |
| 97130 |
|
370 |
37 |
$575.85 |
| Q3014 |
Telehealth facility fee |
208 |
99 |
$346.45 |
| 97165 |
|
22 |
14 |
$127.89 |
| G0008 |
Admin influenza virus vac |
60 |
45 |
$0.00 |
| 90688 |
|
19 |
16 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
79 |
39 |
$0.00 |
| 90677 |
|
31 |
20 |
$0.00 |
| 90686 |
|
44 |
29 |
$0.00 |