Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Adventist Health System-Sunbelt, INC

Adventist Health System-Sunbelt, INC was paid $28.27M by Medicaid between Apr 2022 and Dec 2024, across 195 billing codes. Its largest line is 99283, emergency room visit (moderate) — 38% of everything it billed.

33Billing provider infoADVENTIST HEALTH SYSTEM-SUNBELT, INC
ORLANDO, FL 32803
33aNPI1801569728assigned 07/27/2021
33bProvider typeClinical Medical Laboratory
28Total paid$28.27M
24GClaims637,664
24DCodes billed195
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Florida

Rank by total paid#7 of 225
Median peer was paid$74K
This provider vs. median384×

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
202274,425$2.20M
2023375,382$17.71M
2024incomplete187,857$8.36M
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 38% 100,119 83,928 $10.83M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 31% 73,293 62,170 $8.81M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.6% 24,022 20,546 $2.43M
01999 3.3% 2,391 2,183 $941K
96361 Intravenous infusion, hydration; each additional hour 3.0% 15,607 13,713 $848K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.3% 5,343 1,488 $664K
D2930 Prefabricated stainless steel crown - primary tooth 2.1% 1,232 655 $596K
90935 Hemodialysis procedure with single evaluation by a physician 1.6% 3,223 246 $455K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1.5% 13,046 11,942 $429K
G0378 Hospital observation service, per hour 1.5% 2,800 2,348 $427K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 2,276 2,094 $255K
92587 <1% 4,681 4,328 $217K
183 more codes
D7140 Extraction, erupted tooth or exposed root <1% 704 $165K
54161 <1% 143 $164K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 9,152 $129K
59025 Fetal non-stress test <1% 1,309 $95K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 318 $77K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 242 $72K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 12,033 $71K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 5,682 $64K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,111 $56K
D2932 <1% 92 $51K
97161 <1% 556 $48K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units <1% 1,593 $37K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 52 $32K
D1120 Dental cleaning, child <1% 959 $25K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 274 $25K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 67 $22K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 425 $15K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,724 $14K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 28,014 $13K
70450 Computed tomography, head or brain; without contrast material <1% 137 $13K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units <1% 1,493 $12K
D2740 Crown - porcelain/ceramic <1% 30 $11K
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg <1% 648 $11K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 166 $10K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 524 $10K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 15 $10K
97164 <1% 86 $9K
96375 Therapeutic injection; each additional sequential IV push <1% 14,309 $8K
80053 Comprehensive metabolic panel <1% 65,570 $8K
D0272 Bitewings - two radiographic images <1% 73 $7K
97602 <1% 60 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 72,293 $6K
83970 <1% 611 $6K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,628 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 12,177 $6K
92650 <1% 97 $4K
97116 <1% 365 $4K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 2,140 $3K
96367 <1% 70 $3K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 479 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 13 $3K
71045 Radiologic examination, chest; single view <1% 7,897 $3K
D2940 <1% 400 $2K
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 932 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 46 $1K
41899 Unlisted procedure, dentoalveolar structures <1% 30 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 8,578 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 573 $1K
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,999 $926.08
D1330 <1% 633 $862.23
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,318 $830.97
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,731 $822.70
71046 Radiologic examination, chest; 2 views <1% 810 $812.34
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,171 $756.58
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,700 $635.47
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 116 $597.91
96409 <1% 14 $555.26
84443 Thyroid stimulating hormone (TSH) <1% 1,968 $500.46
D1310 <1% 618 $490.51
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,089 $490.07
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,025 $460.45
87070 <1% 267 $432.25
81513 <1% 16 $380.16
81001 <1% 20,301 $303.73
80061 Lipid panel <1% 2,650 $296.99
D0220 Intraoral - periapical first radiographic image <1% 66 $276.27
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,212 $276.27
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 790 $276.27
D1208 Topical application of fluoride, excluding varnish <1% 372 $268.24
84466 <1% 1,472 $265.88
84484 <1% 4,326 $264.02
87086 Culture, bacterial; quantitative colony count, urine <1% 2,255 $263.29
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 945 $254.69
82728 <1% 1,471 $240.29
86850 <1% 274 $237.45
83735 <1% 3,674 $236.43
83880 <1% 544 $235.01
82607 <1% 999 $233.57
83036 Hemoglobin; glycosylated (A1C) <1% 1,989 $217.05
86901 <1% 495 $207.60
83615 <1% 420 $206.96
84703 <1% 3,002 $196.90
86900 <1% 492 $191.36
86592 <1% 718 $191.09
86803 <1% 689 $185.33
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 96 $184.18
86300 <1% 167 $178.87
85027 <1% 2,181 $176.52
81025 <1% 12,959 $159.04
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 283 $156.46
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 928 $154.65
D1206 Topical application of fluoride varnish <1% 344 $152.64
87481 <1% 16 $152.24
87340 <1% 630 $142.24
80048 Basic metabolic panel (calcium, ionized) <1% 2,368 $135.23
83540 <1% 1,584 $133.77
82746 <1% 572 $132.64
83020 <1% 82 $131.91
84100 <1% 1,911 $129.72
84439 <1% 1,179 $128.11
80197 <1% 636 $127.83
82784 <1% 432 $115.49
J2704 Injection, propofol, 10 mg <1% 1,794 $100.69
87186 <1% 471 $98.33
74018 <1% 115 $92.09
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 297 $92.09
87077 <1% 573 $83.99
82570 <1% 836 $66.32
85610 <1% 1,679 $65.78
83690 <1% 5,602 $63.58
86140 <1% 1,188 $57.60
84481 <1% 292 $55.14
83525 <1% 253 $45.42
A0425 Ground mileage, per statute mile <1% 57 $44.93
84403 <1% 125 $44.46
82977 <1% 18 $37.38
86762 <1% 27 $28.65
81003 <1% 2,003 $25.68
84270 <1% 51 $25.17
85007 <1% 493 $25.05
36415 Collection of venous blood by venipuncture <1% 921 $22.78
85652 <1% 684 $22.60
86706 <1% 84 $19.46
84156 <1% 238 $18.60
86038 <1% 88 $16.46
82043 <1% 366 $16.20
86376 <1% 43 $15.78
82378 <1% 18 $15.75
84550 <1% 71 $15.41
84146 <1% 49 $12.85
82950 <1% 85 $8.19
82248 <1% 597 $7.08
82947 <1% 1,126 $6.26
82550 <1% 329 $5.25
85730 <1% 600 $4.73
87210 <1% 268 $3.15
J3010 Injection, fentanyl citrate, 0.1 mg <1% 678 $0.97
J2501 Injection, paricalcitol, 1 mcg 0% 1,671 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 2,390 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 291 $0.00
J1790 Injection, droperidol, up to 5 mg 0% 68 $0.00
85018 0% 116 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 308 $0.00
A0427 Emergency ambulance ride, advanced life support 0% 42 $0.00
97010 0% 27 $0.00
84153 0% 54 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 0% 33 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 181 $0.00
85379 0% 40 $0.00
96376 0% 68 $0.00
83002 0% 12 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 0% 46 $0.00
83001 0% 64 $0.00
76801 0% 18 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 59 $0.00
87205 0% 15 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 0% 15 $0.00
87040 0% 14 $0.00
86364 0% 26 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 0% 19 $0.00
82657 0% 12 $0.00
99406 0% 17 $0.00
76819 Fetal biophysical profile; without non-stress testing 0% 17 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 0% 309 $0.00
84702 0% 290 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 0% 291 $0.00
87497 0% 98 $0.00
86787 0% 15 $0.00
J1756 Injection, iron sucrose, 1 mg 0% 382 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 0% 36 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 2,182 $0.00
82010 0% 27 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 61 $0.00
85014 0% 16 $0.00
87799 0% 40 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 87 $0.00
76705 Ultrasound, abdominal, real time with image documentation; limited 0% 26 $0.00
84520 0% 41 $0.00
82108 0% 35 $0.00
Q0511 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period 0% 14 $0.00
84145 0% 18 $0.00
80074 0% 17 $0.00
86003 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 officialHILLIARD, DOUGLAS (CFO)
Parent organizationADVENTIST HEALTH SYSTEM-SUNBELT, INC