SOVEREIGN HEALTHCARE OF ST. AUGUSTINE, LLC
NPI: 1538156195
· ST AUGUSTINE, FL 32086
· 314000000X
$1.67M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,913 |
$106K |
| 2019 |
12,332 |
$311K |
| 2020 |
25,554 |
$954K |
| 2021 |
16,513 |
$137K |
| 2022 |
12,154 |
$137K |
| 2023 |
2,689 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
24,146 |
1,583 |
$511K |
| 97110 |
|
21,121 |
1,512 |
$479K |
| 97112 |
|
9,393 |
992 |
$210K |
| 97535 |
|
9,735 |
983 |
$196K |
| 97116 |
|
4,410 |
430 |
$152K |
| 92526 |
|
1,839 |
270 |
$57K |
| 97542 |
|
3,334 |
567 |
$47K |
| 97162 |
|
269 |
147 |
$9K |
| G8979 |
Mobility goal status |
262 |
178 |
$3K |
| G8978 |
Mobility current status |
130 |
96 |
$2K |
| G8988 |
Self care goal status |
37 |
28 |
$889.19 |
| 92610 |
|
212 |
106 |
$432.44 |
| Q3014 |
Telehealth facility fee |
138 |
52 |
$229.19 |
| 97129 |
|
32 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
31 |
31 |
$0.00 |
| 92523 |
|
22 |
13 |
$0.00 |
| 90674 |
|
31 |
31 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
13 |
13 |
$0.00 |