Sovereign Healthcare of Medicana, LLC
Sovereign Healthcare of Medicana, LLC was paid $3.31M by Medicaid between Jan 2018 and Mar 2023, across 18 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 34% of everything it billed.
LAKE WORTH, FL 33460
Next to other Skilled Nursing Facility providers in Florida
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 34% | 25,927 | 1,401 | $1.12M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 32% | 24,812 | 1,355 | $1.05M |
| 97535 | Self-care/home management training, each 15 minutes | 15% | 11,175 | 949 | $503K |
| 97116 | 14% | 7,741 | 552 | $476K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 3.5% | 3,593 | 610 | $115K |
| 97166 | <1% | 145 | 92 | $15K | |
| 97162 | <1% | 237 | 142 | $14K | |
| 92526 | <1% | 428 | 27 | $10K | |
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 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 | <1% | 207 | 100 | $2K |
| G8981 | Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 19 | 12 | $1K |
| Q3014 | Telehealth originating site facility fee | <1% | 198 | 93 | $905.89 |
6 more codes
| G8982 | Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 31 | $308.28 |
| 90686 | 0% | 63 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 113 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 78 | $0.00 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 50 | $0.00 |
| G8989 | Self care functional limitation, discharge status, at discharge from therapy or to end reporting | 0% | 15 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.