Medicaid Provider Spending

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

SOVEREIGN HEALTHCARE OF ORANGE CITY, LLC

NPI: 1285621987 · DEBARY, FL 32713 · 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

$1.21M
Total Medicaid Paid
39,836
Total Claims
3,150
Beneficiaries
16
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 METRO WEST, LLC ORLANDO FL $2.75M
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 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 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

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 17,712 1,122 $555K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 15,077 1,088 $471K
97116 3,356 233 $127K
97535 Self-care/home management training, each 15 minutes 1,543 150 $46K
97129 1,016 86 $9K
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 183 96 $4K
G8990 Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals 96 64 $1K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 20 12 $617.56
97130 370 37 $575.85
Q3014 Telehealth originating site facility fee 208 99 $346.45
97165 22 14 $127.89
G0008 Administration of influenza virus vaccine 60 45 $0.00
90688 19 16 $0.00
G0009 Administration of pneumococcal vaccine 79 39 $0.00
90677 31 20 $0.00
90686 44 29 $0.00