Sacred Heart Asc, LLC

Sacred Heart Asc, LLC was paid $373K by Medicaid between May 2023 and Nov 2024, across 9 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 32% of everything it billed.

33Billing provider infoSACRED HEART ASC, LLC
PENSACOLA, FL 32503

33aNPI1891312815assigned 06/26/2020

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$373K

24GClaims4,280

24DCodes billed9

24AFirst – last monthMay 2023 – Nov 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Florida

Rank by total paid#33 of 165

Median peer was paid$41K

This provider vs. median9.1×

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

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
2023	1,592	$133K
2024incomplete	2,688	$240K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	32%	472	458	$119K
D7140	Extraction, erupted tooth or exposed root	30%	957	334	$111K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	20%	687	325	$74K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	14%	818	338	$52K
D2394		4.3%	250	125	$16K
D2330		<1%	18	12	$857.24
D1206	Topical application of fluoride varnish	<1%	470	456	$90.27
D1120	Dental cleaning, childProphylaxis - child	<1%	475	460	$45.14
D1351	Sealant - per tooth	0%	133	60	$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 officialWELLS, COY (MANAGER)