Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Clermont › NPI 1336221019
Hospital

South Lake Hospital, INC.

South Lake Hospital, INC. was paid $16.88M by Medicaid between Jan 2018 and Dec 2024, across 187 billing codes. Its largest line is 99283, emergency room visit (moderate) — 34% of everything it billed.

33Billing provider infoSOUTH LAKE HOSPITAL, INC.
CLERMONT, FL 34711
33aNPI1336221019assigned 10/20/2006
28Total paid$16.88M
24GClaims534,019
24DCodes billed187
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Florida

Rank by total paid#26 of 163
Median peer was paid$4.77M
This provider vs. median3.5×

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.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201834,033$712K
201988,119$1.91M
202076,037$1.35M
2021129,919$3.79M
2022122,028$4.46M
202361,051$3.30M
2024incomplete22,832$1.36M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 34% 57,428 52,507 $5.78M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 38,538 32,852 $3.71M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.9% 9,296 7,971 $827K
96361 Intravenous infusion, hydration; each additional hour 4.6% 11,060 9,200 $772K
74177 Computed tomography, abdomen and pelvis; with contrast material 4.2% 3,948 3,485 $702K
80053 Comprehensive metabolic panel 3.6% 28,852 23,887 $605K
74176 Computed tomography, abdomen and pelvis; without contrast material 2.9% 2,352 2,085 $484K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.1% 4,311 4,000 $361K
71275 Computed tomographic angiography, chest, with contrast material 1.4% 1,607 1,417 $230K
70450 Computed tomography, head or brain; without contrast material 1.2% 4,329 3,756 $199K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.2% 2,854 2,590 $198K
36415 Collection of venous blood by venipuncture 1.1% 28,554 22,604 $181K
175 more codes
0202U Oncology (prostate), multianalyte, gene expression profiling 1.0% 1,902 $170K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,150 $153K
87631 <1% 5,084 $146K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,650 $144K
87081 <1% 2,720 $140K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 3,813 $132K
80048 Basic metabolic panel (calcium, ionized) <1% 5,563 $108K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 440 $95K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,382 $84K
59025 Fetal non-stress test <1% 1,352 $79K
84703 <1% 7,033 $77K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,946 $67K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 218 $64K
71046 Radiologic examination, chest; 2 views <1% 5,167 $59K
76830 Ultrasound, transvaginal <1% 1,454 $58K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 14,526 $58K
G0378 Hospital observation service, per hour <1% 7,117 $57K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,284 $56K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 739 $55K
81003 <1% 8,663 $54K
87420 <1% 860 $52K
82962 <1% 4,468 $49K
81001 <1% 16,568 $47K
71045 Radiologic examination, chest; single view <1% 11,177 $42K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,509 $40K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 564 $32K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,779 $31K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,536 $31K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 10,607 $30K
84702 <1% 2,137 $28K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,682 $27K
73610 <1% 1,099 $24K
73562 <1% 1,306 $23K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,096 $22K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 849 $22K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 11,621 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 22,371 $20K
85027 <1% 11,814 $20K
86850 <1% 1,237 $19K
73630 <1% 1,218 $18K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 82 $18K
96375 Therapeutic injection; each additional sequential IV push <1% 9,989 $16K
84484 <1% 9,538 $16K
83735 <1% 17,081 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 545 $14K
73130 <1% 757 $13K
87480 <1% 2,003 $12K
73110 <1% 627 $12K
73030 <1% 744 $12K
12001 <1% 217 $12K
12011 <1% 170 $11K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 155 $9K
74018 <1% 761 $9K
76801 <1% 1,196 $8K
72125 Computed tomography, cervical spine; without contrast material <1% 1,220 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,103 $8K
93971 <1% 650 $8K
86900 <1% 2,153 $8K
85610 <1% 2,305 $8K
87486 <1% 746 $7K
87077 <1% 769 $7K
70491 <1% 14 $7K
96376 <1% 2,775 $6K
83880 <1% 2,545 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 4,748 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 254 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,355 $5K
73140 <1% 237 $5K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 206 $5K
84443 Thyroid stimulating hormone (TSH) <1% 3,620 $5K
81025 <1% 5,727 $5K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 79 $4K
72131 <1% 572 $4K
73080 <1% 139 $4K
83690 <1% 8,734 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 2,395 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,717 $3K
G0475 Hiv antigen/antibody, combination assay, screening <1% 288 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 2,332 $3K
01999 <1% 547 $3K
80061 Lipid panel <1% 2,523 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 32 $2K
77067 Screening mammography, bilateral, including computer-aided detection <1% 91 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,175 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 723 $2K
87507 <1% 29 $2K
73590 <1% 112 $2K
93017 <1% 100 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,785 $2K
82550 <1% 803 $2K
85730 <1% 1,645 $2K
86901 <1% 2,156 $2K
87040 <1% 1,041 $2K
97162 <1% 29 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 28 $2K
72100 <1% 227 $1K
83605 <1% 1,471 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 464 $1K
87186 <1% 1,859 $1K
29125 <1% 108 $1K
85379 <1% 1,504 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,415 $1K
73090 <1% 50 $965.52
87510 <1% 1,983 $929.88
73660 <1% 13 $888.78
00730 <1% 15 $842.14
83036 Hemoglobin; glycosylated (A1C) <1% 1,986 $816.90
72040 <1% 12 $814.89
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 12 $808.92
76641 <1% 59 $801.58
76770 <1% 28 $756.69
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 109 $714.52
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,802 $643.73
77066 Tomosynthesis, mammo <1% 17 $641.10
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 868 $638.32
87581 <1% 744 $595.92
87660 <1% 1,986 $517.36
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 27 $514.47
90715 <1% 540 $472.32
J2704 Injection, propofol, 10 mg <1% 913 $417.94
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,227 $414.39
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 429 $372.12
77063 Screening digital breast tomosynthesis, bilateral <1% 91 $357.90
85652 <1% 811 $347.50
86140 <1% 686 $298.55
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 103 $264.42
87340 <1% 302 $260.13
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 517 $259.13
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 405 $243.40
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,649 $239.96
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 404 $228.73
J0561 Injection, penicillin g benzathine, 100,000 units <1% 87 $222.11
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 171 $199.81
84439 <1% 709 $195.07
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 28 $193.00
J8540 Dexamethasone, oral, 0.25 mg <1% 775 $185.94
71250 <1% 14 $171.69
J0690 Injection, cefazolin sodium, 500 mg <1% 459 $165.25
86780 <1% 44 $149.78
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,315 $148.60
72128 <1% 114 $141.76
86803 <1% 137 $118.89
82565 <1% 29 $106.44
77062 <1% 14 $94.11
86592 <1% 293 $89.38
84156 <1% 111 $53.70
82607 <1% 258 $53.62
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) <1% 15 $45.22
82746 <1% 64 $19.38
J2060 Injection, lorazepam, 2 mg <1% 323 $17.21
87205 <1% 74 $12.92
82728 <1% 29 $6.75
87210 <1% 101 $5.18
82570 <1% 137 $4.93
86308 <1% 97 $3.16
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 809 $0.60
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 282 $0.04
J3475 Injection, magnesium sulfate, per 500 mg 0% 234 $0.00
83540 0% 20 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 660 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 493 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 131 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 120 $0.00
J7510 Prednisolone oral, per 5 mg 0% 153 $0.00
96367 0% 13 $0.00
99219 0% 49 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 0% 14 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 34 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 380 $0.00
73502 0% 55 $0.00
J1815 Injection, insulin, per 5 units 0% 15 $0.00
86762 0% 24 $0.00
82043 0% 44 $0.00
83550 0% 19 $0.00
87147 0% 39 $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.

From NPPES

Who's on the registration

Authorized officialNAPIER, MICHELE (CHIEF REVENUE OFFICER)
Same official

Other billing entities under NAPIER, MICHELE

Full network →
ProviderLocationPaid
Orlando Health, INC.Orlando, FL$105.45M
Orlando Health Medical Group INCOrlando, FL$57.49M
Orlando Physicians Network INCOrlando, FL$9.44M
Baptist Health Centers LLCTalladega, AL$6.99M
Baptist Health Centers, LLCWinfield, AL$2.15M
Baptist Health Centers LLCTalladega, AL$2.00M
Ohi West Medical Group, LLCSt Petersburg, FL$1.28M
Orlando Regional HealthcareOrlando, FL$1.01M
Baptist Health Centers, LLCLincoln, AL$988K
BW Physician Practices, LLCBirmingham, AL$967K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.