Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Halifax Hospital Medical Center

Halifax Hospital Medical Center was paid $26.97M by Medicaid between Jan 2018 and Dec 2024, across 265 billing codes. Its largest line is 99283, emergency room visit (moderate) — 17% of everything it billed.

33Billing provider infoHALIFAX HOSPITAL MEDICAL CENTER
DAYTONA BEACH, FL 32114
33aNPI1811991227assigned 06/13/2005
33bProvider typeCase Management Agency
28Total paid$26.97M
24GClaims796,644
24DCodes billed265
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Management Agency providers in Florida

Rank by total paid#5 of 357
Median peer was paid$839K
This provider vs. median32×

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$250K$500K$750K2018201920202021202220232024
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
201878,168$1.70M
2019168,490$5.48M
2020154,285$4.79M
2021174,695$5.45M
2022153,553$5.35M
202349,590$2.71M
2024incomplete17,863$1.49M
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 17% 61,392 55,333 $4.63M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 7.9% 16,971 5,707 $2.14M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 7.4% 29,163 24,904 $1.99M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.5% 15,092 14,438 $1.49M
80053 Comprehensive metabolic panel 5.4% 35,471 26,829 $1.46M
96361 Intravenous infusion, hydration; each additional hour 4.7% 15,495 10,618 $1.26M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4.2% 8,193 5,875 $1.12M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.6% 11,847 10,181 $974K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.2% 4,618 4,079 $864K
70450 Computed tomography, head or brain; without contrast material 2.5% 7,505 6,218 $672K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.4% 9,418 3,190 $661K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2.4% 16,786 5,849 $659K
253 more codes
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2.2% 2,770 $593K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.6% 2,436 $426K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 6,297 $391K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.3% 4,201 $363K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.3% 3,497 $352K
80048 Basic metabolic panel (calcium, ionized) 1.2% 9,866 $330K
71275 Computed tomographic angiography, chest, with contrast material 1.1% 1,747 $290K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1.1% 1,633 $284K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1.0% 4,997 $275K
96367 <1% 2,620 $250K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 3,611 $189K
J7050 Infusion, normal saline solution, 250 cc <1% 6,318 $181K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,972 $181K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 591 $179K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 6,404 $154K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 3,931 $154K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 45,535 $142K
76818 <1% 2,063 $141K
84703 <1% 13,494 $136K
G0378 Hospital observation service, per hour <1% 10,716 $133K
92523 <1% 1,006 $133K
96415 <1% 330 $118K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 11,224 $116K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,534 $110K
96375 Therapeutic injection; each additional sequential IV push <1% 13,020 $105K
87081 <1% 3,548 $105K
86850 <1% 3,503 $104K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 6,437 $104K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,950 $98K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 7,932 $90K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 13,861 $80K
41899 Unlisted procedure, dentoalveolar structures <1% 133 $78K
81001 <1% 23,617 $73K
59025 Fetal non-stress test <1% 2,543 $71K
94664 <1% 3,445 $71K
J1644 Injection, heparin sodium, per 1000 units <1% 4,289 $66K
12011 <1% 481 $65K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 920 $63K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 511 $61K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 6,455 $60K
84702 <1% 3,503 $59K
12001 <1% 539 $58K
97597 <1% 524 $57K
82948 <1% 8,781 $56K
36415 Collection of venous blood by venipuncture <1% 4,403 $56K
71046 Radiologic examination, chest; 2 views <1% 3,883 $55K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 8,509 $54K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 16,713 $53K
J7030 Infusion, normal saline solution , 1000 cc <1% 17,670 $49K
71045 Radiologic examination, chest; single view <1% 12,178 $48K
97162 <1% 1,324 $45K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 293 $44K
36591 <1% 1,981 $44K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 13,407 $39K
87086 Culture, bacterial; quantitative colony count, urine <1% 7,347 $38K
72125 Computed tomography, cervical spine; without contrast material <1% 2,582 $37K
J1626 Injection, granisetron hydrochloride, 100 mcg <1% 1,457 $36K
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 <1% 467 $32K
86900 <1% 4,021 $32K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 594 $31K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 647 $31K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 3,150 $29K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,909 $29K
10060 <1% 192 $28K
94060 <1% 312 $27K
97161 <1% 315 $27K
82805 <1% 740 $26K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,652 $25K
85610 <1% 8,972 $25K
97167 <1% 258 $25K
70486 <1% 438 $25K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,950 $24K
J2270 Injection, morphine sulfate, up to 10 mg <1% 7,167 $23K
96523 <1% 943 $22K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 857 $22K
96376 <1% 4,897 $21K
84484 <1% 11,680 $21K
84112 <1% 113 $21K
83735 <1% 9,628 $20K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 359 $19K
86901 <1% 3,978 $19K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 11,082 $18K
86403 <1% 1,097 $18K
73630 <1% 1,235 $18K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,934 $16K
74018 <1% 1,092 $16K
73610 <1% 947 $16K
87210 <1% 2,605 $15K
73564 <1% 1,124 $15K
J7120 Ringers lactate infusion, up to 1000 cc <1% 3,836 $15K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 254 $15K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 4,456 $14K
82550 <1% 5,449 $14K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,755 $14K
72131 <1% 271 $13K
73130 <1% 767 $13K
84443 Thyroid stimulating hormone (TSH) <1% 5,506 $13K
87077 <1% 2,596 $13K
P9016 Red blood cells, leukocytes reduced, each unit <1% 90 $12K
85730 <1% 7,285 $12K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,248 $12K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 203 $12K
36430 <1% 153 $12K
J3370 Injection, vancomycin hcl, 500 mg <1% 1,189 $11K
J0690 Injection, cefazolin sodium, 500 mg <1% 2,893 $11K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 94 $11K
87070 <1% 1,263 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 182 $11K
93971 <1% 718 $10K
93017 <1% 349 $10K
97168 <1% 77 $10K
73030 <1% 887 $10K
93975 <1% 563 $10K
84100 <1% 1,411 $9K
73110 <1% 541 $9K
J2060 Injection, lorazepam, 2 mg <1% 2,712 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,262 $9K
84550 <1% 1,116 $9K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,139 $9K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 12 $8K
77336 <1% 57 $8K
85027 <1% 1,651 $8K
C1769 Guide wire <1% 288 $8K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 13 $7K
99152 <1% 528 $7K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 34 $7K
86140 <1% 2,420 $6K
83605 <1% 2,651 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 165 $6K
83690 <1% 8,535 $6K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,111 $6K
87040 <1% 4,054 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,134 $6K
99153 Mod sedat endo service >5yrs <1% 232 $6K
80074 <1% 187 $5K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 943 $5K
99213 Doctor's office visit, returning patient (routine) <1% 62 $5K
87186 <1% 3,016 $5K
82077 <1% 2,482 $5K
J1815 Injection, insulin, per 5 units <1% 501 $5K
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals <1% 245 $4K
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 230 $4K
85379 <1% 2,151 $4K
83880 <1% 1,602 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,991 $4K
29125 <1% 64 $4K
82552 <1% 2,026 $4K
80061 Lipid panel <1% 1,449 $4K
93970 <1% 166 $3K
97116 <1% 286 $3K
80197 <1% 199 $3K
73502 <1% 133 $3K
85007 <1% 179 $3K
72170 <1% 442 $3K
73590 <1% 182 $2K
12002 <1% 30 $2K
90714 <1% 776 $2K
73140 <1% 61 $2K
87420 <1% 212 $2K
73090 <1% 127 $2K
87205 <1% 645 $2K
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 379 $2K
97166 <1% 61 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,207 $2K
76801 <1% 123 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 1,333 $2K
70491 <1% 13 $2K
73080 <1% 78 $2K
95819 <1% 33 $1K
90792 Psychiatric diagnostic evaluation with medical services <1% 381 $1K
74174 <1% 13 $1K
88312 <1% 192 $1K
80143 <1% 510 $1K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 32 $994.83
82728 <1% 406 $992.77
85652 <1% 866 $974.85
84439 <1% 420 $894.47
80179 <1% 456 $867.61
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 35 $859.72
J0780 Injection, prochlorperazine, up to 10 mg <1% 508 $733.69
72100 <1% 73 $697.52
T1015 A visit at a community health center or clinic (one all-in rate) <1% 16 $654.23
82247 <1% 145 $642.72
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,014 $603.59
71250 <1% 15 $514.62
J2785 Injection, regadenoson, 0.1 mg <1% 113 $489.04
83540 <1% 201 $481.06
83550 <1% 165 $468.33
74019 <1% 15 $459.28
82140 <1% 162 $428.95
72110 <1% 13 $419.52
J3480 Injection, potassium chloride, per 2 meq <1% 456 $401.14
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 150 $386.27
70551 Magnetic resonance imaging, brain; without contrast material <1% 36 $348.67
J1630 Injection, haloperidol, up to 5 mg <1% 364 $338.34
97535 Self-care/home management training, each 15 minutes <1% 172 $290.64
90791 Psychiatric diagnostic evaluation <1% 48 $237.07
76937 <1% 18 $224.56
C9113 Injection, pantoprazole sodium, per vial <1% 1,053 $208.33
76820 <1% 353 $194.04
J1756 Injection, iron sucrose, 1 mg <1% 96 $180.88
90715 <1% 103 $155.68
87807 <1% 3,487 $141.21
71101 <1% 14 $117.64
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 219 $114.76
82607 <1% 225 $104.62
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 43 $93.62
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 52 $82.80
84132 <1% 270 $75.23
94729 <1% 162 $74.87
86308 <1% 12 $74.66
94726 <1% 159 $72.21
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 26 $65.20
T1017 Case management, billed per 15 minutes <1% 26 $61.28
83615 <1% 315 $36.95
G0008 Administration of influenza virus vaccine <1% 29 $29.03
90686 <1% 35 $20.58
84145 <1% 16 $17.91
J1650 Injection, enoxaparin sodium, 10 mg <1% 183 $16.92
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 185 $13.19
82565 <1% 108 $11.80
J7060 5% dextrose/water (500 ml = 1 unit) <1% 27 $4.98
82248 <1% 31 $4.60
85044 <1% 38 $1.98
A9585 Injection, gadobutrol, 0.1 ml 0% 116 $0.00
86592 0% 62 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 13 $0.00
72128 0% 14 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 0% 15 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 14 $0.00
82435 0% 73 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 82 $0.00
96368 0% 148 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 0% 58 $0.00
82746 0% 19 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 0% 16 $0.00
76830 Ultrasound, transvaginal 0% 15 $0.00
82947 0% 90 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 17 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 62 $0.00
J7510 Prednisolone oral, per 5 mg 0% 424 $0.00
96417 0% 84 $0.00
84520 0% 73 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 72 $0.00
84295 0% 73 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 123 $0.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 0% 19 $0.00
36600 0% 22 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 0% 13 $0.00
00731 0% 12 $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% 12 $0.00
82010 0% 14 $0.00
94150 0% 25 $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 officialPEBURN, ERIC (CFO)
Same official

Other billing entities under PEBURN, ERIC

Full network →
ProviderLocationPaid
Medical Center of Deltona, INC.Deltona, FL$3.35M

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