Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOVEREIGN HEALTHCARE OF MEDICANA, LLC

NPI: 1609863307 · LAKE WORTH, FL 33460 · Skilled Nursing Facility · NPI assigned 09/29/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CRONQUIST, R. controls 20+ related entities in our dataset. Read more

$3.31M
Total Medicaid Paid
74,998
Total Claims
5,655
Beneficiaries
18
Codes Billed
2018-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialCRONQUIST, R. (MANAGER)
NPI Enumeration Date09/29/2005

Related Entities

Other providers sharing the same authorized official: CRONQUIST, R.

ProviderCityStateTotal Paid
BLOUNTSTOWN REHABILITATION CENTER, LLC BLOUNTSTOWN FL $3.52M
SOVEREIGN HEALTHCARE OF BONIFAY, LLC BONIFAY FL $2.98M
SOVEREIGN HEALTHCARE OF JACKSONVILLE, LLC JACKSONVILLE FL $2.89M
SOVEREIGN HEALTHCARE OF WEST PALM BEACH, LLC BOYNTON BEACH FL $2.82M
SOVEREIGN HEALTHCARE OF METRO WEST, LLC ORLANDO FL $2.75M
SOVEREIGN HEALTHCARE OF BOYNTON BEACH, LLC BOYNTON BEACH FL $2.43M
SOVEREIGN HEALTHCARE OF PORT ST. LUCIE, LLC PORT ST LUCIE FL $2.01M
SOVEREIGN HEALTHCARE OF MACCLENNY, LLC MACCLENNY FL $2.00M
BRADEN RIVER REHABILITATION CENTER, LLC BRADENTON FL $1.87M
SOVEREIGN HEALTHCARE OF TITUSVILLE, LLC TITUSVILLE FL $1.74M
SOVEREIGN HEALTHCARE OF ST. AUGUSTINE, LLC ST AUGUSTINE FL $1.67M
CRESTVIEW REHABILITATION CENTER, LLC CRESTVIEW FL $1.64M
SOVEREIGN HEALTHCARE OF ORLANDO, LLC ORLANDO FL $1.58M
SOVEREIGN HEALTHCARE OF ATLANTIC SHORES, LLC MELBOURNE FL $1.56M
SOVEREIGN HEALTHCARE OF PALM CITY, LLC PALM CITY FL $1.36M
SOVEREIGN HEALTHCARE OF TAMPA, LLC TAMPA FL $1.30M
SOVEREIGN HEALTHCARE OF PALMETTO, LLC PALMETTO FL $1.23M
SOVEREIGN HEALTHCARE OF ORANGE CITY, LLC DEBARY FL $1.21M
SOVEREIGN HEALTHCARE OF PORT ORANGE, LLC PORT ORANGE FL $1.20M
SOVEREIGN HEALTHCARE OF INVERNESS, LLC INVERNESS FL $1.10M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,352 $83K
2019 21,056 $857K
2020 12,769 $916K
2021 13,412 $606K
2022 16,026 $749K
2023 4,383 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 25,927 1,401 $1.12M
97530 Therapeutic activities, direct patient contact, each 15 minutes 24,812 1,355 $1.05M
97535 Self-care/home management training, each 15 minutes 11,175 949 $503K
97116 7,741 552 $476K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,593 610 $115K
97166 145 92 $15K
97162 237 142 $14K
92526 428 27 $10K
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 166 88 $3K
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 207 100 $2K
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 19 12 $1K
Q3014 Telehealth originating site facility fee 198 93 $905.89
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 31 14 $308.28
90686 63 41 $0.00
G0008 Administration of influenza virus vaccine 113 80 $0.00
G0009 Administration of pneumococcal vaccine 78 48 $0.00
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 50 39 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 15 12 $0.00