Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH MIAMI HOSPITAL INC

NPI: 1982688230 · SOUTH MIAMI, FL 33143 · General Acute Care Hospital · NPI assigned 11/30/2005

$9.33M
Total Medicaid Paid
556,896
Total Claims
447,988
Beneficiaries
206
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUQUETTE, WILLIAM (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date11/30/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47,448 $555K
2019 99,380 $1.84M
2020 82,951 $1.05M
2021 125,115 $1.87M
2022 127,383 $2.48M
2023 57,784 $1.19M
2024 16,835 $358K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 16,788 14,530 $1.53M
99283 Emergency department visit for the evaluation and management, moderate severity 6,940 6,166 $606K
36415 Collection of venous blood by venipuncture 23,584 14,948 $585K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,816 8,025 $515K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 27,045 24,018 $475K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,066 23,211 $406K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,966 687 $397K
G0378 Hospital observation service, per hour 8,252 5,463 $322K
70450 Computed tomography, head or brain; without contrast material 3,402 2,824 $314K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,853 1,620 $300K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,330 1,989 $261K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 18,794 15,901 $231K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,921 360 $173K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 10,091 9,510 $168K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,344 900 $159K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 18,387 16,734 $153K
96361 Intravenous infusion, hydration; each additional hour 5,771 4,440 $141K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,341 10,572 $136K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 978 811 $130K
86850 4,558 4,016 $124K
80048 Basic metabolic panel (calcium, ionized) 19,081 12,990 $109K
86900 4,682 4,124 $102K
86901 4,379 3,846 $87K
71046 Radiologic examination, chest; 2 views 8,217 6,826 $87K
80076 6,576 5,437 $71K
82962 3,542 2,006 $60K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,844 2,072 $57K
87081 12,452 11,484 $56K
84112 368 347 $53K
76819 Fetal biophysical profile; without non-stress testing 2,200 1,760 $52K
87428 3,513 3,343 $49K
81003 6,397 5,752 $45K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 21,219 19,341 $45K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,041 1,836 $41K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,161 1,906 $41K
73630 2,001 1,772 $40K
99282 Emergency department visit for the evaluation and management, low to moderate severity 501 465 $40K
87088 6,901 5,911 $39K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,711 1,630 $39K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,018 937 $35K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,671 2,502 $34K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 790 742 $29K
A9270 Non-covered item or service 7,445 2,967 $28K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,119 2,010 $28K
73610 1,487 1,328 $27K
73562 1,550 1,255 $26K
87430 12,933 11,942 $24K
85610 9,295 6,069 $23K
73130 1,376 1,222 $23K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6,485 3,230 $22K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 1,821 1,537 $21K
80047 1,586 1,396 $21K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 380 336 $20K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,523 1,312 $19K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 10,803 8,536 $18K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 230 188 $17K
76801 983 822 $17K
81001 9,586 8,259 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,570 5,167 $16K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,136 925 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,490 16,742 $16K
87186 3,397 2,865 $16K
11043 533 228 $15K
85027 3,974 3,094 $15K
71275 Computed tomographic angiography, chest, with contrast material 67 56 $15K
81025 5,543 5,125 $14K
J3010 Injection, fentanyl citrate, 0.1 mg 1,080 891 $14K
J7030 Infusion, normal saline solution , 1000 cc 4,612 3,451 $14K
97162 683 521 $13K
72100 770 682 $13K
82947 4,320 3,094 $13K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,634 2,130 $13K
73110 894 790 $13K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,278 616 $12K
J7120 Ringers lactate infusion, up to 1000 cc 1,651 1,206 $12K
73030 935 780 $12K
87807 2,185 2,068 $12K
82731 52 50 $11K
C1769 Guide wire 633 495 $11K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,392 1,863 $10K
J1756 Injection, iron sucrose, 1 mg 58 32 $10K
96375 Therapeutic injection; each additional sequential IV push 4,799 3,514 $10K
71045 Radiologic examination, chest; single view 5,386 4,296 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination 988 835 $9K
84132 1,769 1,506 $9K
82565 2,910 2,459 $9K
85730 3,854 3,188 $9K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 2,073 1,466 $9K
J2704 Injection, propofol, 10 mg 745 615 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 371 326 $8K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,920 4,589 $8K
J0561 Injection, penicillin g benzathine, 100,000 units 256 246 $8K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 893 834 $8K
J0690 Injection, cefazolin sodium, 500 mg 433 347 $8K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,159 2,644 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 161 98 $7K
87040 1,012 794 $7K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 66 52 $7K
88307 72 61 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,706 1,147 $7K
87077 3,825 3,233 $6K
0202U Oncology (prostate), multianalyte, gene expression profiling 410 371 $6K
84520 2,785 2,358 $6K
J7050 Infusion, normal saline solution, 250 cc 361 233 $6K
99215 Prolong outpt/office vis 337 327 $6K
87210 645 610 $5K
10060 41 39 $5K
72040 223 204 $5K
84145 547 454 $5K
93970 237 194 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 845 787 $4K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 81 53 $4K
82435 1,692 1,450 $4K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 421 358 $4K
80061 Lipid panel 1,217 986 $4K
76830 Ultrasound, transvaginal 477 441 $4K
72125 Computed tomography, cervical spine; without contrast material 64 55 $4K
80051 1,061 861 $4K
76641 113 82 $4K
82374 1,691 1,449 $4K
84295 1,729 1,472 $4K
76775 71 66 $3K
J1644 Injection, heparin sodium, per 1000 units 155 123 $3K
73080 206 186 $3K
82150 757 646 $3K
87486 305 264 $3K
86880 14 12 $3K
J2270 Injection, morphine sulfate, up to 10 mg 665 468 $3K
J3490 Unclassified drugs 585 445 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 305 264 $3K
72131 42 36 $2K
84450 612 538 $2K
97161 158 126 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 596 121 $2K
82977 319 274 $2K
82247 767 654 $2K
84075 555 484 $2K
71250 89 65 $2K
71101 93 80 $2K
84484 5,165 3,588 $2K
83880 1,145 879 $2K
87147 582 521 $2K
86308 506 472 $2K
83690 3,123 2,655 $2K
82040 873 731 $2K
73140 73 66 $2K
84443 Thyroid stimulating hormone (TSH) 1,489 1,223 $2K
96376 1,795 1,125 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 366 333 $2K
85379 449 390 $1K
84703 2,932 2,689 $1K
83605 2,096 1,681 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 744 648 $1K
84155 377 325 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 678 559 $1K
87581 83 74 $1K
87205 910 771 $1K
84460 597 525 $1K
90715 586 492 $1K
73502 119 101 $937.76
83735 2,239 1,712 $903.00
99205 Prolong outpt/office vis 72 70 $826.45
80053 Comprehensive metabolic panel 303 253 $762.68
J0696 Injection, ceftriaxone sodium, per 250 mg 1,393 1,091 $748.97
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 544 536 $713.50
87070 374 305 $661.42
83540 549 396 $633.85
84156 40 30 $445.22
97166 75 60 $426.47
J1200 Injection, diphenhydramine hcl, up to 50 mg 265 226 $371.82
J1170 Injection, hydromorphone, up to 4 mg 155 96 $370.26
88304 76 65 $356.59
83550 267 190 $353.01
74018 71 61 $334.86
93880 29 26 $321.88
88342 21 12 $311.10
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 27 21 $298.39
84702 1,045 862 $279.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg 298 214 $267.64
83036 Hemoglobin; glycosylated (A1C) 1,653 1,333 $225.83
J2360 Injection, orphenadrine citrate, up to 60 mg 378 340 $209.83
75574 19 15 $196.27
86140 193 153 $123.21
73590 15 12 $109.76
83615 78 62 $104.01
29125 43 40 $99.59
G0384 Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 202 99 $98.78
J1940 Injection, furosemide, up to 20 mg 19 12 $62.18
82728 381 298 $35.36
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 15 14 $21.71
82310 85 81 $0.00
99199 Unlisted special service, procedure or report 226 218 $0.00
84550 73 55 $0.00
82570 30 25 $0.00
69210 25 24 $0.00
J7510 Prednisolone oral, per 5 mg 30 29 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 89 43 $0.00
85384 28 24 $0.00
29515 13 12 $0.00
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 14 12 $0.00
87075 15 13 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 12 12 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 22 18 $0.00
82077 12 12 $0.00
82550 25 19 $0.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 20 19 $0.00