Sovereign Healthcare of Jacksonville, LLC
Sovereign Healthcare of Jacksonville, LLC was paid $2.89M by Medicaid between Jan 2018 and Mar 2023, across 32 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 32% of everything it billed.
JACKSONVILLE, FL 32218
Next to other Skilled Nursing Facility providers in Florida
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 18,288 | $521K | |
| 2019 | 31,848 | $833K | |
| 2020 | 29,283 | $674K | |
| 2021 | 19,613 | $448K | |
| 2022 | 25,090 | $294K | |
| 2023 | 5,387 | $122K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 32% | 37,016 | 2,621 | $923K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 26% | 29,113 | 2,481 | $743K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 11% | 15,756 | 2,070 | $318K |
| 97116 | 7.8% | 13,572 | 1,279 | $225K | |
| 97535 | Self-care/home management training, each 15 minutes | 7.7% | 10,859 | 1,368 | $223K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 5.5% | 6,486 | 836 | $159K |
| 92526 | 2.8% | 3,065 | 254 | $81K | |
| 97542 | 2.6% | 5,743 | 977 | $74K | |
| 97763 | 1.7% | 2,992 | 324 | $48K | |
| 97162 | <1% | 989 | 586 | $20K | |
| G0515 | Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes | <1% | 789 | 95 | $18K |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 421 | 249 | $17K |
20 more codes
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 568 | $14K |
| G8997 | Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 180 | $6K |
| G8996 | Swallowing functional limitation, current status at therapy episode outset and at reporting intervals | <1% | 85 | $5K |
| 97165 | <1% | 278 | $4K | |
| 97166 | <1% | 266 | $4K | |
| G8988 | Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 189 | $2K |
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 123 | $1K |
| 97161 | <1% | 117 | $1K | |
| 92523 | <1% | 51 | $1K | |
| 97129 | <1% | 73 | $1K | |
| Q3014 | Telehealth originating site facility fee | <1% | 218 | $906.10 |
| G8980 | Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting | <1% | 80 | $866.04 |
| G8989 | Self care functional limitation, discharge status, at discharge from therapy or to end reporting | <1% | 40 | $397.48 |
| G8981 | Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 15 | $0.00 |
| 90686 | 0% | 101 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 16 | $0.00 |
| G8982 | Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 44 | $0.00 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 70 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 144 | $0.00 |
| 97167 | 0% | 50 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.