Nursing facility
Sovereign Healthcare of Inverness, LLC
Sovereign Healthcare of Inverness, LLC was paid $1.10M by Medicaid between Jan 2018 and Feb 2023, across 27 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 40% of everything it billed.
33Billing provider infoSOVEREIGN HEALTHCARE OF INVERNESS, LLC
INVERNESS, FL 34453
INVERNESS, FL 34453
33aNPI1760479380assigned 09/29/2005
33bProvider typeSkilled Nursing Facility
28Total paid$1.10M
24GClaims38,549
24DCodes billed27
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Skilled Nursing Facility providers in Florida
Rank by total paid#121 of 685
Median peer was paid$160K
This provider vs. median6.9×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,921 | $168K | |
| 2019 | 7,242 | $255K | |
| 2020 | 10,255 | $235K | |
| 2021 | 5,606 | $167K | |
| 2022 | 10,581 | $253K | |
| 2023 | 944 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 40% | 14,595 | 1,090 | $439K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 28% | 10,586 | 936 | $308K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 13% | 5,717 | 562 | $145K |
| 97535 | Self-care/home management training, each 15 minutes | 9.6% | 4,049 | 561 | $105K |
| G0515 | Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes | 5.1% | 768 | 81 | $56K |
| 92526 | 2.0% | 623 | 73 | $22K | |
| 97116 | <1% | 799 | 93 | $10K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 169 | 29 | $5K |
| 97166 | <1% | 107 | 80 | $2K | |
| 97162 | <1% | 62 | 42 | $2K | |
| G8988 | Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 73 | 55 | $920.70 |
| 97165 | <1% | 18 | 12 | $548.05 |
15 more codes
| G8997 | Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 76 | $516.65 |
| G8996 | Swallowing functional limitation, current status at therapy episode outset and at reporting intervals | <1% | 57 | $378.49 |
| Q3014 | Telehealth originating site facility fee | <1% | 345 | $298.48 |
| 92523 | <1% | 16 | $275.15 | |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 16 | $220.24 |
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 13 | $31.18 |
| 90686 | 0% | 88 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 143 | $0.00 |
| G8980 | Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting | 0% | 15 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 17 | $0.00 |
| 90688 | 0% | 30 | $0.00 | |
| 90674 | 0% | 27 | $0.00 | |
| 97542 | 0% | 94 | $0.00 | |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 27 | $0.00 |
| 92610 | 0% | 19 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.