SOVEREIGN HEALTHCARE OF PORT ORANGE, LLC
NPI: 1710974423
· PORT ORANGE, FL 32127
· 314000000X
$1.20M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,716 |
$92K |
| 2019 |
5,829 |
$94K |
| 2020 |
13,327 |
$598K |
| 2021 |
10,026 |
$180K |
| 2022 |
9,153 |
$210K |
| 2023 |
1,830 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
19,284 |
1,138 |
$577K |
| 97110 |
|
11,864 |
934 |
$364K |
| 97535 |
|
6,226 |
598 |
$134K |
| 97116 |
|
4,052 |
322 |
$118K |
| 97161 |
|
44 |
26 |
$1K |
| G0515 |
Cognitive skills development |
111 |
12 |
$367.08 |
| 97129 |
|
141 |
13 |
$119.14 |
| Q3014 |
Telehealth facility fee |
20 |
13 |
$26.65 |
| 97130 |
|
139 |
13 |
$0.00 |