SOVEREIGN HEALTHCARE OF BONIFAY, LLC
NPI: 1477540037
· BONIFAY, FL 32425
· 314000000X
$2.98M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,316 |
$278K |
| 2019 |
20,387 |
$617K |
| 2020 |
21,989 |
$1.00M |
| 2021 |
20,500 |
$496K |
| 2022 |
22,122 |
$524K |
| 2023 |
3,224 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
37,663 |
2,318 |
$1.34M |
| 97110 |
|
33,023 |
2,244 |
$1.02M |
| 97116 |
|
15,431 |
1,378 |
$382K |
| 97535 |
|
3,687 |
594 |
$132K |
| 97112 |
|
2,292 |
682 |
$51K |
| 92526 |
|
763 |
62 |
$18K |
| 97162 |
|
480 |
304 |
$11K |
| G8978 |
Mobility current status |
162 |
86 |
$9K |
| G8979 |
Mobility goal status |
307 |
156 |
$9K |
| G8988 |
Self care goal status |
73 |
42 |
$3K |
| 92610 |
|
20 |
12 |
$2K |
| 97129 |
|
150 |
12 |
$856.55 |
| Q3014 |
Telehealth facility fee |
127 |
72 |
$707.00 |
| 97166 |
|
49 |
29 |
$702.84 |
| 99308 |
|
15 |
15 |
$666.15 |
| G8987 |
Self care current status |
29 |
18 |
$517.34 |
| 97542 |
|
76 |
12 |
$330.96 |
| 92507 |
|
64 |
12 |
$211.33 |
| G0009 |
Admin pneumococcal vaccine |
306 |
235 |
$0.00 |
| 90686 |
|
108 |
82 |
$0.00 |
| 90677 |
|
74 |
57 |
$0.00 |
| 90688 |
|
191 |
146 |
$0.00 |
| G0008 |
Admin influenza virus vac |
346 |
275 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
49 |
48 |
$0.00 |
| 90732 |
|
53 |
39 |
$0.00 |