Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

Sovereign Healthcare of Port Orange, LLC

Sovereign Healthcare of Port Orange, LLC was paid $1.20M by Medicaid between Jan 2018 and Feb 2023, across 9 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 48% of everything it billed.

33Billing provider infoSOVEREIGN HEALTHCARE OF PORT ORANGE, LLC
PORT ORANGE, FL 32127
33aNPI1710974423assigned 09/29/2005
33bProvider typeSkilled Nursing Facility
28Total paid$1.20M
24GClaims41,881
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers

Next to other Skilled Nursing Facility providers in Florida

Rank by total paid#112 of 685
Median peer was paid$160K
This provider vs. median7.5×

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.

Entity ProliferationAuthorized official CRONQUIST, R. controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
20181,716$92K
20195,829$94K
202013,327$598K
202110,026$180K
20229,153$210K
20231,830$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97530 Therapeutic activities, direct patient contact, each 15 minutes 48% 19,284 1,138 $577K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 30% 11,864 934 $364K
97535 Self-care/home management training, each 15 minutes 11% 6,226 598 $134K
97116 9.9% 4,052 322 $118K
97161 <1% 44 26 $1K
G0515 Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes <1% 111 12 $367.08
97129 <1% 141 13 $119.14
Q3014 Telehealth originating site facility fee <1% 20 13 $26.65
97130 0% 139 13 $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 officialCRONQUIST, R. (MANAGER)
Same official

Other billing entities under CRONQUIST, R.

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.