Physician
Adventist Health System-Sunbelt INC
Adventist Health System-Sunbelt INC was paid $949K by Medicaid between Sep 2018 and Nov 2024, across 47 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 23% of everything it billed.
33Billing provider infoADVENTIST HEALTH SYSTEM-SUNBELT INC
WAUCHULA, FL 33873
WAUCHULA, FL 33873
33aNPI1578725941assigned 06/27/2008
33bProvider typeCardiovascular Disease Physician
28Total paid$949K
24GClaims41,830
24DCodes billed47
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Florida
Rank by total paid#7 of 378
Median peer was paid$12K
This provider vs. median82×
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
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 | 47 | $1K | |
| 2019 | 7,186 | $284K | |
| 2020 | 9,783 | $221K | |
| 2021 | 15,824 | $295K | |
| 2022 | 6,499 | $122K | |
| 2023 | 1,829 | $20K | |
| 2024incomplete | 662 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 23% | 3,064 | 2,113 | $223K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 6,007 | 4,886 | $187K |
| 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 | 16% | 3,856 | 3,290 | $148K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.5% | 2,895 | 968 | $62K |
| 99223 | Prolong inpt eval add15 m | 5.2% | 735 | 585 | $50K |
| 99460 | 4.6% | 502 | 471 | $43K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.2% | 1,260 | 392 | $40K |
| 59025 | Fetal non-stress test | 4.0% | 1,217 | 757 | $38K |
| 59410 | 3.5% | 30 | 30 | $33K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 516 | 416 | $29K |
| 99462 | 2.6% | 894 | 567 | $24K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.1% | 436 | 361 | $20K |
35 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 343 | $14K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.4% | 138 | $13K |
| 59430 | 1.1% | 53 | $10K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 42 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 52 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 22 | $2K |
| 87428 | <1% | 69 | $1K | |
| 93458 | <1% | 25 | $1K | |
| 81025 | <1% | 536 | $878.53 | |
| 99220 | <1% | 19 | $739.29 | |
| 94060 | <1% | 69 | $713.04 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 48 | $586.21 |
| 93000 | <1% | 187 | $533.82 | |
| 94726 | <1% | 81 | $499.25 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 89 | $421.88 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 169 | $346.01 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 23 | $292.65 |
| 99442 | <1% | 21 | $278.03 | |
| 99152 | <1% | 71 | $188.18 | |
| 94729 | <1% | 67 | $136.32 | |
| 99441 | <1% | 15 | $109.09 | |
| 81003 | <1% | 87 | $70.70 | |
| 3725F | 0% | 399 | $0.00 | |
| 3078F | 0% | 6,417 | $0.00 | |
| 3288F | 0% | 261 | $0.00 | |
| 3077F | 0% | 116 | $0.00 | |
| 3079F | 0% | 1,483 | $0.00 | |
| 3074F | 0% | 7,289 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 486 | $0.00 |
| 3080F | 0% | 67 | $0.00 | |
| 1101F | 0% | 365 | $0.00 | |
| 1126F | 0% | 213 | $0.00 | |
| 1036F | 0% | 786 | $0.00 | |
| 3075F | 0% | 217 | $0.00 | |
| 1125F | 0% | 93 | $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 officialTHOMASON, NATHAN (CFO)
Parent organizationADVENTIST HEALTH SYSTEM-SUNBELT INC
| Provider | Location | Paid |
|---|---|---|
| Adventist Health System-Sunbelt INC | Sebring, FL | $2.25M |
| Adventist Health System-Sunbelt INC | Sebring, FL | $933K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.