500 SOUTH HOSPITAL DRIVE OPERATIONS LLC
NPI: 1689943458
· CRESTVIEW, FL 32539
· 314000000X
$936K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,125 |
$25K |
| 2019 |
7,184 |
$61K |
| 2020 |
16,088 |
$169K |
| 2021 |
15,098 |
$352K |
| 2022 |
17,620 |
$294K |
| 2023 |
3,382 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
16,875 |
1,090 |
$266K |
| 97110 |
|
13,410 |
1,001 |
$264K |
| 97150 |
|
8,793 |
692 |
$153K |
| 97112 |
|
10,267 |
834 |
$129K |
| 97535 |
|
5,515 |
401 |
$80K |
| 97116 |
|
3,821 |
353 |
$39K |
| 97750 |
|
692 |
228 |
$4K |
| 92507 |
|
364 |
24 |
$621.67 |
| 90662 |
|
296 |
205 |
$0.00 |
| 90670 |
|
32 |
22 |
$0.00 |
| G0008 |
Admin influenza virus vac |
298 |
209 |
$0.00 |
| 90732 |
|
23 |
16 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
68 |
51 |
$0.00 |
| 91305 |
|
43 |
28 |
$0.00 |