SOVEREIGN HEALTHCARE OF PORT ST. LUCIE, LLC
NPI: 1548257165
· PORT ST LUCIE, FL 34952
· 314000000X
$2.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,594 |
$183K |
| 2019 |
10,338 |
$263K |
| 2020 |
13,219 |
$961K |
| 2021 |
11,986 |
$205K |
| 2022 |
17,566 |
$329K |
| 2023 |
4,173 |
$71K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
22,616 |
1,195 |
$783K |
| 97110 |
|
14,618 |
942 |
$510K |
| 92507 |
|
9,824 |
661 |
$240K |
| 97116 |
|
6,943 |
365 |
$146K |
| 97535 |
|
1,228 |
133 |
$71K |
| 92526 |
|
1,740 |
111 |
$66K |
| 97112 |
|
1,493 |
125 |
$55K |
| 92523 |
|
546 |
250 |
$51K |
| 97542 |
|
245 |
24 |
$26K |
| 97162 |
|
751 |
380 |
$23K |
| 97166 |
|
936 |
456 |
$20K |
| G8978 |
Mobility current status |
144 |
96 |
$8K |
| G8979 |
Mobility goal status |
232 |
138 |
$7K |
| G8988 |
Self care goal status |
87 |
65 |
$3K |
| 92610 |
|
88 |
41 |
$2K |
| G8987 |
Self care current status |
28 |
24 |
$211.78 |
| G8989 |
Self care d/c status |
28 |
24 |
$192.88 |
| G8980 |
Mobility d/c status |
25 |
25 |
$125.15 |
| G0008 |
Admin influenza virus vac |
101 |
82 |
$0.00 |
| 90686 |
|
64 |
54 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
17 |
15 |
$0.00 |
| 90674 |
|
60 |
50 |
$0.00 |
| 90688 |
|
37 |
28 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
25 |
24 |
$0.00 |