Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Jacksonville › NPI 1700553856
Hospital

Southern Baptist Hospital of Florida, INC

Southern Baptist Hospital of Florida, INC was paid $29.13M by Medicaid between Oct 2021 and Dec 2024, across 165 billing codes. Its largest line is 99283, emergency room visit (moderate) — 25% of everything it billed.

33Billing provider infoSOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
JACKSONVILLE, FL 32207
33aNPI1700553856assigned 08/26/2021
33bProvider typeChildren's Hospital
28Total paid$29.13M
24GClaims117,914
24DCodes billed165
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Children's Hospital providers in Florida

Rank by total paid#3 of 6
Median peer was paid$668K
This provider vs. median44×

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

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
202110,772$1.51M
20224,472$150K
202362,165$15.63M
2024incomplete40,505$11.84M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 25% 19,397 18,441 $7.32M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 15% 7,435 6,883 $4.26M
54161 8.7% 961 902 $2.55M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.7% 3,198 2,713 $2.25M
42820 Tonsillectomy and adenoidectomy; younger than age 12 6.2% 636 600 $1.80M
G0378 Hospital observation service, per hour 6.2% 6,256 3,904 $1.80M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 4.8% 775 723 $1.41M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4.2% 1,794 1,669 $1.22M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4.0% 3,140 1,067 $1.17M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 4.0% 1,950 1,809 $1.17M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.5% 1,604 1,544 $439K
0202U Oncology (prostate), multianalyte, gene expression profiling 1.4% 1,948 1,840 $415K
153 more codes
93320 1.4% 1,900 $406K
41899 Unlisted procedure, dentoalveolar structures 1.2% 176 $351K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1.1% 5,054 $311K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 5,120 $263K
93325 <1% 2,116 $174K
42830 <1% 47 $152K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 61 $97K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,840 $86K
70551 Magnetic resonance imaging, brain; without contrast material <1% 214 $83K
97162 <1% 229 $80K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 75 $75K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,514 $67K
87631 <1% 458 $67K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 82 $66K
J2704 Injection, propofol, 10 mg <1% 3,915 $62K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,496 $56K
00920 <1% 1,310 $54K
92526 <1% 289 $53K
69610 <1% 12 $51K
71046 Radiologic examination, chest; 2 views <1% 2,847 $46K
00170 Anesthesia for intraoral procedures, including biopsy <1% 1,727 $42K
80053 Comprehensive metabolic panel <1% 2,949 $40K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 209 $36K
93304 <1% 43 $35K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 990 $34K
96361 Intravenous infusion, hydration; each additional hour <1% 375 $34K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 193 $33K
36415 Collection of venous blood by venipuncture <1% 2,232 $31K
86900 <1% 15 $27K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 4,584 $25K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 25 $24K
97161 <1% 86 $22K
92523 <1% 90 $20K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 356 $18K
76770 <1% 112 $18K
87430 <1% 1,647 $17K
97166 <1% 49 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,974 $16K
92610 <1% 46 $15K
93321 <1% 64 $14K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 991 $14K
49452 <1% 17 $12K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 32 $12K
00635 <1% 13 $11K
93975 <1% 23 $8K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 187 $8K
87040 <1% 352 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 32 $7K
87088 <1% 845 $7K
74240 <1% 47 $7K
74019 <1% 510 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 463 $6K
97165 <1% 23 $6K
87070 <1% 356 $6K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 212 $5K
70450 Computed tomography, head or brain; without contrast material <1% 162 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,018 $5K
97755 <1% 13 $4K
86140 <1% 541 $4K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 417 $4K
81001 <1% 704 $4K
97542 <1% 58 $4K
84145 <1% 169 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 240 $3K
85027 <1% 321 $2K
00126 <1% 218 $2K
81002 <1% 247 $2K
74018 <1% 143 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 379 $2K
84443 Thyroid stimulating hormone (TSH) <1% 74 $2K
87081 <1% 603 $2K
96409 <1% 21 $2K
72141 <1% 25 $1K
74230 <1% 30 $1K
C1889 Implantable/insertable device, not otherwise classified <1% 42 $1K
82248 <1% 37 $1K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 27 $1K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 118 $908.04
96375 Therapeutic injection; each additional sequential IV push <1% 210 $859.99
J0690 Injection, cefazolin sodium, 500 mg <1% 257 $809.56
96376 <1% 46 $697.71
00300 <1% 14 $627.02
73560 <1% 18 $620.82
81003 <1% 142 $539.91
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 123 $520.28
80048 Basic metabolic panel (calcium, ionized) <1% 148 $497.09
92587 <1% 19 $475.26
76010 <1% 14 $396.33
85652 <1% 327 $363.82
A9573 Injection, gadopiclenol, 1 ml <1% 15 $281.92
73130 <1% 27 $273.42
85730 <1% 117 $267.14
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 278 $241.15
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing <1% 55 $213.40
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 14 $146.75
85007 <1% 312 $144.69
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 60 $144.69
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 102 $101.28
84100 <1% 143 $96.46
81025 <1% 189 $96.46
85610 <1% 119 $96.46
83735 <1% 133 $96.46
87077 <1% 82 $96.46
73590 <1% 14 $86.39
80305 <1% 92 $48.23
87186 <1% 74 $48.23
76937 <1% 13 $48.23
71045 Radiologic examination, chest; single view <1% 279 $48.23
82962 <1% 130 $48.23
82550 <1% 30 $48.23
82150 <1% 78 $48.23
83690 <1% 173 $48.23
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 117 $48.23
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 24 $48.23
89051 0% 18 $0.00
J7510 Prednisolone oral, per 5 mg 0% 93 $0.00
85046 0% 64 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 121 $0.00
87045 0% 67 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 55 $0.00
82247 0% 13 $0.00
00840 0% 13 $0.00
L8613 Ossicula implant 0% 59 $0.00
00731 0% 20 $0.00
69210 0% 13 $0.00
84439 0% 32 $0.00
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 0% 122 $0.00
73610 0% 14 $0.00
76376 0% 20 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 28 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 15 $0.00
93308 0% 14 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 0% 14 $0.00
J9370 Vincristine sulfate, 1 mg 0% 19 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 199 $0.00
J0561 Injection, penicillin g benzathine, 100,000 units 0% 40 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 0% 14 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 115 $0.00
95700 0% 61 $0.00
01922 0% 19 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 0% 32 $0.00
C1769 Guide wire 0% 39 $0.00
74022 0% 56 $0.00
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 0% 18 $0.00
86850 0% 12 $0.00
73090 0% 54 $0.00
84484 0% 18 $0.00
88108 0% 14 $0.00
87205 0% 41 $0.00
83605 0% 13 $0.00
00120 0% 15 $0.00
83880 0% 12 $0.00
86901 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.

From NPPES

Who's on the registration

Authorized officialHIGGINBOTHAM, SUSAN (DIRECTOR REVENUE CYCLE)
Parent organizationSOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC