SOVEREIGN HEALTHCARE OF MEDICANA, LLC
NPI: 1609863307
· LAKE WORTH, FL 33460
· 314000000X
$3.31M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
25,927 |
1,401 |
$1.12M |
| 97530 |
|
24,812 |
1,355 |
$1.05M |
| 97535 |
|
11,175 |
949 |
$503K |
| 97116 |
|
7,741 |
552 |
$476K |
| 97112 |
|
3,593 |
610 |
$115K |
| 97166 |
|
145 |
92 |
$15K |
| 97162 |
|
237 |
142 |
$14K |
| 92526 |
|
428 |
27 |
$10K |
| G8987 |
Self care current status |
166 |
88 |
$3K |
| G8988 |
Self care goal status |
207 |
100 |
$2K |
| G8981 |
Body pos current status |
19 |
12 |
$1K |
| Q3014 |
Telehealth facility fee |
198 |
93 |
$905.89 |
| G8982 |
Body pos goal status |
31 |
14 |
$308.28 |
| 90686 |
|
63 |
41 |
$0.00 |
| G0008 |
Admin influenza virus vac |
113 |
80 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
78 |
48 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
50 |
39 |
$0.00 |
| G8989 |
Self care d/c status |
15 |
12 |
$0.00 |