Physician
ST Vincents Ambulatory Care INC
ST Vincents Ambulatory Care INC was paid $10.43M by Medicaid between Jan 2018 and Dec 2024, across 163 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoST VINCENTS AMBULATORY CARE INC
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
33aNPI1417987124assigned 07/05/2006
33bProvider typeInternal Medicine Physician
28Total paid$10.43M
24GClaims960,372
24DCodes billed163
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#5 of 1,247
Median peer was paid$9K
This provider vs. median1,189×
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 HEMM, MIRANDA controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,494 | $41K | |
| 2019 | 56,794 | $1.46M | |
| 2020 | 61,660 | $1.13M | |
| 2021 | 138,632 | $1.83M | |
| 2022 | 279,039 | $2.12M | |
| 2023 | 299,875 | $2.62M | |
| 2024incomplete | 117,878 | $1.22M |
Box 24 · Service lines
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 | 43% | 132,342 | 108,725 | $4.53M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 49,849 | 41,548 | $1.60M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 10,500 | 9,079 | $800K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 7,909 | 7,207 | $719K |
| H1000 | Prenatal care, at-risk assessment | 4.6% | 13,042 | 10,208 | $483K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 3.6% | 369 | 187 | $378K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.5% | 13,841 | 11,008 | $360K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.1% | 18,936 | 16,935 | $328K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 4,348 | 3,728 | $303K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 5,222 | 1,781 | $71K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,952 | 910 | $70K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,073 | 887 | $67K |
151 more codes
| 99205 | Prolong outpt/office vis | <1% | 516 | $46K |
| 90837 | Psychotherapy session, about an hour | <1% | 881 | $46K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 541 | $45K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 884 | $42K |
| 76830 | Ultrasound, transvaginal | <1% | 635 | $41K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 489 | $37K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,413 | $35K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 478 | $30K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 463 | $27K |
| 76801 | <1% | 319 | $22K | |
| 93297 | <1% | 4,231 | $19K | |
| 59410 | <1% | 25 | $19K | |
| 93296 | <1% | 4,683 | $17K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 6,377 | $17K |
| 95816 | <1% | 943 | $16K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 390 | $13K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 157 | $13K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 246 | $12K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 22 | $11K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 226 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,209 | $10K |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 4,303 | $10K |
| 99307 | <1% | 1,303 | $9K | |
| 99221 | <1% | 177 | $8K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 84 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 437 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 175 | $8K |
| 92587 | <1% | 980 | $7K | |
| 93295 | <1% | 529 | $7K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 253 | $7K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 101 | $6K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 104 | $6K |
| 93000 | <1% | 1,443 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 378 | $5K |
| 93294 | <1% | 1,018 | $5K | |
| 99381 | <1% | 95 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 41 | $4K |
| 0001A | <1% | 181 | $4K | |
| 0002A | <1% | 166 | $4K | |
| 80305 | <1% | 955 | $4K | |
| 59430 | <1% | 121 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 62 | $3K |
| 1036F | <1% | 112,027 | $3K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,070 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 88 | $3K |
| 99384 | <1% | 13 | $2K | |
| 90461 | <1% | 530 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,135 | $2K |
| 99383 | <1% | 30 | $2K | |
| 99443 | <1% | 78 | $2K | |
| 0012A | <1% | 205 | $2K | |
| 99442 | <1% | 349 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 364 | $2K |
| 94060 | <1% | 115 | $2K | |
| 95811 | <1% | 31 | $2K | |
| 1159F | <1% | 89,099 | $2K | |
| 93298 | <1% | 198 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 230 | $1K |
| 81025 | <1% | 754 | $1K | |
| 99382 | <1% | 13 | $1K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 35 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 201 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,649 | $1K |
| 90686 | <1% | 1,349 | $1K | |
| 92557 | <1% | 74 | $1K | |
| 93458 | <1% | 16 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 148 | $1K |
| 99188 | <1% | 184 | $992.59 | |
| 83655 | <1% | 394 | $909.50 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 12 | $900.43 |
| 54150 | <1% | 31 | $866.63 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 22 | $744.82 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 14 | $696.30 |
| 93016 | <1% | 219 | $690.45 | |
| 0011A | <1% | 202 | $644.37 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 128 | $644.14 |
| 76536 | <1% | 15 | $635.22 | |
| 99335 | <1% | 88 | $611.09 | |
| 1126F | <1% | 29,091 | $529.94 | |
| 82962 | <1% | 954 | $528.71 | |
| 99336 | <1% | 34 | $514.56 | |
| 92550 | <1% | 88 | $424.72 | |
| 97803 | <1% | 14 | $422.80 | |
| 91065 | <1% | 12 | $412.87 | |
| 92552 | <1% | 35 | $384.33 | |
| 90674 | <1% | 67 | $370.25 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 448 | $337.57 |
| 90670 | <1% | 3,398 | $315.46 | |
| 11730 | <1% | 21 | $304.86 | |
| 3074F | <1% | 73,483 | $300.00 | |
| 97802 | <1% | 20 | $289.44 | |
| 85018 | <1% | 649 | $275.49 | |
| 1160F | <1% | 96,832 | $274.96 | |
| 64615 | <1% | 17 | $272.76 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 16 | $269.92 |
| 94729 | <1% | 93 | $266.62 | |
| 94726 | <1% | 65 | $261.77 | |
| 90715 | <1% | 15 | $251.45 | |
| 20610 | <1% | 17 | $236.01 | |
| 96127 | <1% | 524 | $227.76 | |
| 93018 | <1% | 191 | $215.87 | |
| 3079F | <1% | 10,614 | $200.00 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 56 | $199.08 |
| 81003 | <1% | 397 | $186.17 | |
| 1125F | <1% | 8,446 | $185.78 | |
| 87428 | <1% | 16 | $177.18 | |
| 3078F | <1% | 63,816 | $175.00 | |
| 99173 | <1% | 1,724 | $105.28 | |
| 91301 | <1% | 70 | $102.11 | |
| 90698 | <1% | 55 | $96.02 | |
| 80053 | Comprehensive metabolic panel | <1% | 52 | $92.96 |
| 99406 | <1% | 16 | $90.72 | |
| 62369 | <1% | 105 | $74.44 | |
| 90647 | <1% | 584 | $74.25 | |
| 51798 | <1% | 52 | $69.72 | |
| 99337 | <1% | 19 | $60.12 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 20 | $47.89 |
| 96160 | <1% | 240 | $41.39 | |
| 3075F | <1% | 1,836 | $25.00 | |
| 99441 | <1% | 94 | $9.05 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 40 | $1.88 |
| 95251 | 0% | 376 | $0.00 | |
| 3725F | 0% | 15,357 | $0.00 | |
| 90648 | 0% | 751 | $0.00 | |
| 3077F | 0% | 1,359 | $0.00 | |
| 3288F | 0% | 720 | $0.00 | |
| 99177 | 0% | 596 | $0.00 | |
| 90662 | 0% | 47 | $0.00 | |
| 1158F | 0% | 309 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 79 | $0.00 |
| 1494F | 0% | 29 | $0.00 | |
| 99497 | 0% | 34 | $0.00 | |
| 90633 | 0% | 176 | $0.00 | |
| 91300 | 0% | 180 | $0.00 | |
| 90658 | 0% | 15 | $0.00 | |
| 90710 | 0% | 20 | $0.00 | |
| 3008F | 0% | 129,840 | $0.00 | |
| 3044F | 0% | 1,447 | $0.00 | |
| 90680 | 0% | 1,151 | $0.00 | |
| 90723 | 0% | 625 | $0.00 | |
| 1101F | 0% | 279 | $0.00 | |
| 3061F | 0% | 425 | $0.00 | |
| 1170F | 0% | 1,132 | $0.00 | |
| 3080F | 0% | 111 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 139 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $0.00 |
| 90677 | 0% | 153 | $0.00 | |
| 1157F | 0% | 16 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 62 | $0.00 |
| 1111F | 0% | 50 | $0.00 | |
| 99000 | 0% | 16 | $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 officialHEMM, MIRANDA (ENROLLMENT MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Sacred Heart Health System, INC. | Pensacola, FL | $12.31M |
| Sacred Heart Health System, INC. | Pensacola, FL | $869K |
| Sacred Heart Health System, INC. | Pensacola, FL | $744K |
| Ascension Sacred Heart Gulf | Pensacola, FL | $480K |
| Sacred Heart Health System, INC. | Pensacola, FL | $437K |
| 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.