Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Winter Haven › NPI 1477599975
Agency

Winter Haven Hospital INC

Winter Haven Hospital INC was paid $26.30M by Medicaid between Jan 2018 and Dec 2024, across 294 billing codes. Its largest line is 99283, emergency room visit (moderate) — 14% of everything it billed.

33Billing provider infoWINTER HAVEN HOSPITAL INC
WINTER HAVEN, FL 33881
33aNPI1477599975assigned 06/22/2006
33bProvider typeCase Management Agency
28Total paid$26.30M
24GClaims1,088,606
24DCodes billed294
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Management Agency providers in Florida

Rank by total paid#6 of 357
Median peer was paid$839K
This provider vs. median31×

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
201873,363$656K
2019225,170$4.66M
2020204,986$4.42M
2021205,625$4.69M
2022191,554$5.45M
2023126,047$4.01M
2024incomplete61,861$2.41M
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 14% 41,606 36,397 $3.75M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.3% 37,454 32,223 $2.44M
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 7.3% 41,853 30,083 $1.93M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 7.3% 39,718 31,708 $1.91M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.3% 21,363 17,118 $1.40M
80053 Comprehensive metabolic panel 5.2% 55,409 41,923 $1.36M
H0032 Mental health service plan development by non-physician 3.3% 20,494 16,641 $858K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.2% 9,760 8,345 $832K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.7% 5,289 4,653 $718K
76819 Fetal biophysical profile; without non-stress testing 2.5% 16,752 10,729 $670K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 2.3% 10,614 2,158 $595K
59899 2.0% 5,988 3,860 $536K
282 more codes
70450 Computed tomography, head or brain; without contrast material 2.0% 7,524 $527K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.9% 13,283 $508K
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 1.8% 7,850 $460K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 1.7% 2,123 $443K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1.5% 5,313 $387K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1.5% 8,548 $385K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.4% 2,935 $371K
H0031 Mental health assessment, by non-physician 1.4% 9,507 $363K
H2000 Comprehensive multidisciplinary evaluation 1.2% 2,206 $326K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.0% 3,447 $273K
99214 Doctor's office visit, returning patient (more involved) <1% 6,318 $260K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 5,038 $251K
59410 <1% 291 $235K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 4,965 $210K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 10,210 $204K
G0378 Hospital observation service, per hour <1% 19,790 $189K
81003 <1% 36,700 $175K
36415 Collection of venous blood by venipuncture <1% 64,339 $169K
80048 Basic metabolic panel (calcium, ionized) <1% 15,210 $160K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,384 $157K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 8,162 $150K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 791 $143K
84112 <1% 643 $130K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 5,109 $118K
81025 <1% 12,488 $117K
87631 <1% 2,434 $113K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,051 $107K
99215 Doctor's office visit, returning patient (complex) <1% 1,921 $100K
82948 <1% 21,915 $97K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 269 $75K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 7,069 $70K
72125 Computed tomography, cervical spine; without contrast material <1% 2,164 $65K
96367 <1% 999 $65K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 4,918 $62K
71045 Radiologic examination, chest; single view <1% 23,445 $58K
87086 Culture, bacterial; quantitative colony count, urine <1% 8,801 $55K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,577 $53K
99213 Doctor's office visit, returning patient (routine) <1% 2,925 $53K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 4,020 $51K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 282 $51K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 66,331 $50K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 927 $49K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,589 $49K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 3,726 $47K
71046 Radiologic examination, chest; 2 views <1% 4,969 $44K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 660 $44K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,848 $44K
59025 Fetal non-stress test <1% 1,549 $39K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 771 $38K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 964 $38K
96361 Intravenous infusion, hydration; each additional hour <1% 876 $35K
99443 <1% 1,020 $35K
87480 <1% 2,356 $34K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,934 $30K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 4,442 $24K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,504 $23K
84443 Thyroid stimulating hormone (TSH) <1% 7,430 $22K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 15,121 $22K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 615 $21K
A9270 Non-covered item or service <1% 4,787 $20K
97161 <1% 522 $20K
84702 <1% 4,296 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 26,051 $19K
99204 Doctor's office visit, new patient (more involved) <1% 197 $19K
99442 <1% 1,065 $19K
76821 <1% 3,491 $19K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,751 $17K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,887 $16K
85610 <1% 12,889 $15K
84484 <1% 22,685 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,407 $15K
73610 <1% 983 $14K
76801 <1% 2,474 $14K
J2270 Injection, morphine sulfate, up to 10 mg <1% 8,060 $14K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,170 $14K
93971 <1% 1,257 $14K
73630 <1% 1,137 $13K
73130 <1% 880 $13K
96375 Therapeutic injection; each additional sequential IV push <1% 3,190 $13K
83735 <1% 10,987 $13K
70551 Magnetic resonance imaging, brain; without contrast material <1% 180 $12K
73030 <1% 1,411 $12K
74022 <1% 782 $12K
74018 <1% 834 $12K
C1769 Guide wire <1% 970 $11K
76820 <1% 2,948 $11K
80061 Lipid panel <1% 6,168 $11K
86850 <1% 2,740 $11K
90791 Psychiatric diagnostic evaluation <1% 1,203 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,862 $10K
J1650 Injection, enoxaparin sodium, 10 mg <1% 4,743 $10K
59515 <1% 14 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 4,099 $9K
83880 <1% 7,271 $9K
J1644 Injection, heparin sodium, per 1000 units <1% 1,599 $9K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 524 $9K
72100 <1% 1,671 $9K
93017 <1% 466 $8K
36591 <1% 963 $8K
87070 <1% 706 $8K
J7050 Infusion, normal saline solution, 250 cc <1% 1,943 $8K
97162 <1% 115 $8K
86900 <1% 4,385 $8K
97035 <1% 1,501 $7K
72131 <1% 126 $7K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 4,240 $7K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 2,338 $7K
J0690 Injection, cefazolin sodium, 500 mg <1% 1,134 $7K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,475 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 351 $6K
93970 <1% 460 $6K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) <1% 266 $6K
85027 <1% 7,785 $6K
85730 <1% 6,059 $6K
J3490 Unclassified drugs <1% 1,019 $6K
73562 <1% 455 $6K
J0360 Injection, hydralazine hcl, up to 20 mg <1% 1,323 $6K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 88 $5K
84156 <1% 882 $5K
76830 Ultrasound, transvaginal <1% 1,156 $5K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,858 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 4,044 $5K
84481 <1% 264 $5K
86780 <1% 1,041 $4K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 122 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 4,555 $4K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 295 $4K
73110 <1% 459 $4K
87340 <1% 1,669 $4K
0100U <1% 115 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 11,174 $4K
87077 <1% 3,547 $3K
84100 <1% 1,824 $3K
0352U <1% 136 $3K
84703 <1% 4,290 $3K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,946 $3K
83690 <1% 11,351 $3K
87040 <1% 1,719 $3K
54150 <1% 45 $3K
70486 <1% 77 $3K
96156 <1% 1,030 $3K
82550 <1% 3,732 $3K
83605 <1% 3,015 $2K
70491 <1% 15 $2K
87186 <1% 2,862 $2K
73502 <1% 364 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 109 $2K
12001 <1% 209 $2K
96376 <1% 245 $2K
J1815 Injection, insulin, per 5 units <1% 3,557 $2K
84145 <1% 2,178 $2K
97602 <1% 18 $2K
11043 <1% 68 $2K
76770 <1% 64 $2K
85380 <1% 2,606 $2K
J3475 Injection, magnesium sulfate, per 500 mg <1% 920 $2K
86901 <1% 4,339 $2K
73564 <1% 140 $2K
C9113 Injection, pantoprazole sodium, per vial <1% 373 $2K
81001 <1% 1,103 $2K
82728 <1% 1,435 $2K
J2060 Injection, lorazepam, 2 mg <1% 2,206 $2K
80074 <1% 150 $2K
82607 <1% 1,051 $2K
86803 <1% 632 $2K
87641 <1% 292 $2K
84550 <1% 297 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 161 $1K
36416 <1% 295 $1K
87205 <1% 926 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,452 $974.06
85018 <1% 1,591 $955.69
J0692 Injection, cefepime hydrochloride, 500 mg <1% 1,283 $952.83
73590 <1% 81 $889.18
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,434 $814.87
93880 <1% 137 $804.56
82805 <1% 158 $784.87
82950 <1% 284 $774.94
J0456 Injection, azithromycin, 500 mg <1% 82 $759.03
82247 <1% 406 $755.27
H2010 Comprehensive medication services, per 15 minutes <1% 49 $750.13
84439 <1% 1,754 $739.66
94760 <1% 417 $729.65
P9016 Red blood cells, leukocytes reduced, each unit <1% 21 $716.51
86592 <1% 343 $690.61
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 169 $682.33
83655 <1% 167 $617.92
73560 <1% 155 $604.02
90834 Psychotherapy session, about 45 minutes <1% 284 $593.39
99205 Prolong outpt/office vis <1% 30 $590.54
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 743 $562.20
90714 <1% 661 $545.11
12011 <1% 71 $539.52
12002 <1% 69 $531.26
73090 <1% 46 $510.72
82140 <1% 186 $489.41
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 37 $467.00
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 2,322 $454.01
85652 <1% 1,592 $428.30
87660 <1% 2,416 $427.66
72040 <1% 89 $420.36
86140 <1% 2,138 $375.97
83540 <1% 945 $318.64
87510 <1% 2,354 $318.07
87081 <1% 201 $312.36
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 288 $290.27
77067 Screening mammography, bilateral, including computer-aided detection <1% 13 $288.72
86762 <1% 657 $255.98
29125 <1% 98 $226.18
82746 <1% 489 $224.73
97032 <1% 258 $201.09
83550 <1% 640 $194.18
93976 <1% 14 $191.29
99203 Doctor's office visit, new patient (routine) <1% 16 $167.16
84436 <1% 219 $163.64
J1940 Injection, furosemide, up to 20 mg <1% 37 $153.01
84144 <1% 34 $150.99
83020 <1% 247 $149.40
83021 <1% 247 $117.28
87075 <1% 106 $115.81
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg <1% 22 $111.56
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 131 $104.09
82248 <1% 605 $101.53
87581 <1% 114 $90.05
87486 <1% 114 $90.05
82947 <1% 380 $84.56
84450 <1% 272 $80.20
80164 <1% 50 $79.57
83615 <1% 808 $78.44
0240U <1% 164 $74.46
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled <1% 1,628 $69.27
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 17 $69.00
86787 <1% 261 $67.36
84460 <1% 273 $65.63
85045 <1% 41 $63.32
J3360 Injection, diazepam, up to 5 mg <1% 17 $56.05
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) <1% 1,377 $52.82
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 135 $46.18
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 368 $37.27
90686 <1% 58 $32.31
82570 <1% 853 $29.18
87640 <1% 44 $27.81
82043 <1% 252 $23.55
87430 <1% 69 $23.49
82150 <1% 91 $22.89
J8540 Dexamethasone, oral, 0.25 mg <1% 933 $18.85
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 738 $16.53
J7510 Prednisolone oral, per 5 mg <1% 617 $11.02
82077 <1% 1,025 $7.78
85014 <1% 68 $5.68
84480 <1% 16 $4.57
84132 <1% 34 $3.10
72170 0% 83 $0.00
71101 0% 29 $0.00
96150 0% 24 $0.00
0399T 0% 104 $0.00
96151 0% 113 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 102 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 194 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 17 $0.00
85379 0% 70 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 14 $0.00
96415 0% 17 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 46 $0.00
86376 0% 31 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 20 $0.00
73552 0% 13 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 96 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 33 $0.00
82010 0% 423 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 0% 31 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 227 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 108 $0.00
J3105 Injection, terbutaline sulfate, up to 1 mg 0% 18 $0.00
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 0% 17 $0.00
86003 0% 21 $0.00
76376 0% 181 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 36 $0.00
J3486 Injection, ziprasidone mesylate, 10 mg 0% 14 $0.00
0353U 0% 84 $0.00
93356 0% 83 $0.00
82465 0% 12 $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 officialCUBERO, TAMBLYN (MANAGER, CBO FINANCE)
Same official

Other billing entities under CUBERO, TAMBLYN

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