Sacred Heart Health System, INC.
Sacred Heart Health System, INC. was paid $437K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
PENSACOLA, FL 32504
Next to other Medical Oncology Physician 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 | 606 | $7K | |
| 2019 | 3,866 | $85K | |
| 2020 | 3,078 | $68K | |
| 2021 | 3,204 | $82K | |
| 2022 | 2,965 | $66K | |
| 2023 | 2,948 | $79K | |
| 2024incomplete | 1,779 | $50K |
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 | 77% | 12,894 | 9,331 | $338K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 4,741 | 3,749 | $71K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 344 | 247 | $13K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.9% | 221 | 71 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.4% | 246 | 112 | $6K |
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
| Provider | Location | Paid |
|---|---|---|
| Sacred Heart Health System, INC. | Pensacola, FL | $12.31M |
| ST Vincents Ambulatory Care INC | Jacksonville, FL | $10.43M |
| Sacred Heart Health System, INC. | Pensacola, FL | $869K |
| Sacred Heart Health System, INC. | Pensacola, FL | $744K |
| Ascension Sacred Heart Gulf | Pensacola, FL | $480K |
| Ascension Sacred Heart Gulf | Apalachicola, FL | $109K |
| Sacred Heart Health System, INC. | Pensacola, FL | $108K |
| Sacred Heart Health System, INC. | Pensacola, FL | $21K |
| Saint Thomas Medical Partners | Nashville, TN | $10K |
| Sacred Heart Health System, INC. | Foley, AL | $1K |
| Ascension Sacred Heart Gulf | Port St Joe, FL | $493.53 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.