Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Winter Springs › NPI 1346237963
Nursing facility

Sovereign Healthcare of Tuskawilla, LLC

Sovereign Healthcare of Tuskawilla, LLC was paid $1.07M by Medicaid between Jan 2018 and Mar 2023, across 23 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 43% of everything it billed.

33Billing provider infoSOVEREIGN HEALTHCARE OF TUSKAWILLA, LLC
WINTER SPRINGS, FL 32708
33aNPI1346237963assigned 09/29/2005
33bProvider typeSkilled Nursing Facility
28Total paid$1.07M
24GClaims40,271
24DCodes billed23
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Skilled Nursing Facility providers in Florida

Rank by total paid#126 of 685
Median peer was paid$160K
This provider vs. median6.7×

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.

Entity ProliferationAuthorized official CRONQUIST, R. controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
20184,105$24K
20199,262$437K
202011,416$488K
20215,883$37K
20227,849$67K
20231,756$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 43% 17,087 1,057 $456K
97530 Therapeutic activities, direct patient contact, each 15 minutes 39% 17,095 1,119 $414K
97535 Self-care/home management training, each 15 minutes 6.8% 1,670 227 $73K
97116 4.0% 726 54 $43K
97129 3.5% 1,220 83 $37K
97130 3.5% 1,225 83 $37K
97166 <1% 183 121 $4K
97162 <1% 85 48 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 85 14 $952.22
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 38 25 $878.33
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 51 26 $374.66
G0515 Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes <1% 348 24 $266.19
11 more codes
Q3014 Telehealth originating site facility fee <1% 65 $255.84
90688 0% 28 $0.00
G8983 Changing & maintaining body position functional limitation, discharge status, at discharge from therapy or to end reporting 0% 14 $0.00
G0008 Administration of influenza virus vaccine 0% 92 $0.00
90686 0% 39 $0.00
G0009 Administration of pneumococcal vaccine 0% 85 $0.00
90732 0% 35 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 19 $0.00
90677 0% 50 $0.00
90674 0% 14 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 0% 17 $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 officialCRONQUIST, R. (MANAGER)
Same official

Other billing entities under CRONQUIST, R.

Full network →

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