Exhibit_D_-_Institution_Inpatient_Paid_Claims.xlsx
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- 4115RC
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- Florida
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| CLAIM_TYPE_DE | BILLING_PVDR_NPI_ID | BILLING_PVDR_TAX_ID | BILLING_PVDR_NM | BILLING_PVDR_ADDR_STREET_NM | BILLING_PVDR_ADDR_CITY_NM | BILLING_PVDR_ADDR_STATE_CD | BILLING_PVDR_ADDR_ZIP_CD | BILLING_PVDR_PAR_STATUS_IND | RENDERING_PVDR_NPI_ID | RENDERING_PVDR_TAX_ID | RENDERING_PVDR_NM | RENDERING_PVDR_ADDR_STREET_NM | RENDERING_PVDR_ADDR_CITY_NM | RENDERING_PVDR_ADDR_STATE_CD | RENDERING_PVDR_ADDR_ZIP_CD | RENDERING_PVDR_TYPE_CD | RENDERING_PVDR_TYPE_DE | RENDERING_PVDR_SPECIALTY_CD | RENDERING_PVDR_SPECIALTY_DE | LOB_DE | GROUP_NB | LOCATION_OF_SERVICE_CD | DRG_CD | ADMITTING_DIAGNOSIS_CD | HEADER_DIAGNOSIS_1_CD | HEADER_DIAGNOSIS_1_DE | HEADER_DIAGNOSIS_1_PRINC_TYPE_DE | HEADER_DIAGNOSIS_1_CHAPTER_DE | HEADER_DIAGNOSIS_2_CD | HEADER_DIAGNOSIS_3_CD | HEADER_DIAGNOSIS_4_CD | HEADER_DIAGNOSIS_5_CD | LINE_DIAGNOSIS_1_CD | PROCEDURE_CD_TYPE_DE | PROCEDURE_CD | REVENUE_CD | SURGICAL_PROCEDURE_1_CD | SURGICAL_PROCEDURE_2_CD | SURGICAL_PROCEDURE_3_CD | SURGICAL_PROCEDURE_4_CD | SURGICAL_PROCEDURE_5_CD | UNIT_CT | PATIENT_DISCHARGE_STATUS_CD | BILL_TYPE_CD | LINE_SERVICE_BEG_DT | LINE_SERVICE_END_DT | RECEIVED_DT | POST_DT | LINE_BILLED_AMT |
| INSTITUTIONAL - INPATIENT | 1699874248 | 591943502 | SHANDS TEACHING HOSPITAL AND CLINICS INC | PO BOX 100005 | ATLANTA | GA | 30384 | YES | 1376623603 | 591943502 | SHANDS AND UNIVERSITY OF FLORIDA HEALTH | 1600 SW ARCHER RD | GAINESVILLE | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 786 | O321XX0 | O321XX0 | MATERNAL CARE FOR BREECH PRESENTATION, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR MALPRESENTATION OF FETUS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | K831 | O26643 | Z3A37 | Z370 | O321XX0 | REVENUE | 120 | 120 | 10D00Z1 | 2 | 01 | 111 | 4/11/24 | 4/13/24 | 4/18/24 | 4/19/24 | 8,130.00 | |||||
| INSTITUTIONAL - INPATIENT | 1699874248 | 591943502 | SHANDS TEACHING HOSPITAL AND CLINICS INC | PO BOX 100005 | ATLANTA | GA | 30384 | YES | 1376623603 | 591943502 | SHANDS AND UNIVERSITY OF FLORIDA HEALTH | 1600 SW ARCHER RD | GAINESVILLE | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 786 | O321XX0 | O321XX0 | MATERNAL CARE FOR BREECH PRESENTATION, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR MALPRESENTATION OF FETUS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | K831 | O26643 | Z3A37 | Z370 | O321XX0 | REVENUE | 250 | 250 | 10D00Z1 | 62 | 01 | 111 | 4/11/24 | 4/13/24 | 4/18/24 | 4/19/24 | 523.78 | |||||
| INSTITUTIONAL - INPATIENT | 1699874248 | 591943502 | SHANDS TEACHING HOSPITAL AND CLINICS INC | PO BOX 100005 | ATLANTA | GA | 30384 | YES | 1376623603 | 591943502 | SHANDS AND UNIVERSITY OF FLORIDA HEALTH | 1600 SW ARCHER RD | GAINESVILLE | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 786 | O321XX0 | O321XX0 | MATERNAL CARE FOR BREECH PRESENTATION, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR MALPRESENTATION OF FETUS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | K831 | O26643 | Z3A37 | Z370 | O321XX0 | REVENUE | 271 | 271 | 10D00Z1 | 1 | 01 | 111 | 4/11/24 | 4/13/24 | 4/18/24 | 4/19/24 | 130.00 | |||||
| INSTITUTIONAL - INPATIENT | 1699874248 | 591943502 | SHANDS TEACHING HOSPITAL AND CLINICS INC | PO BOX 100005 | ATLANTA | GA | 30384 | YES | 1376623603 | 591943502 | SHANDS AND UNIVERSITY OF FLORIDA HEALTH | 1600 SW ARCHER RD | GAINESVILLE | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 786 | O321XX0 | O321XX0 | MATERNAL CARE FOR BREECH PRESENTATION, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR MALPRESENTATION OF FETUS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | K831 | O26643 | Z3A37 | Z370 | O321XX0 | REVENUE | 300 | 300 | 10D00Z1 | 5 | 01 | 111 | 4/11/24 | 4/13/24 | 4/18/24 | 4/19/24 | 820.00 | |||||
| INSTITUTIONAL - INPATIENT | 1699874248 | 591943502 | SHANDS TEACHING HOSPITAL AND CLINICS INC | PO BOX 100005 | ATLANTA | GA | 30384 | YES | 1376623603 | 591943502 | SHANDS AND UNIVERSITY OF FLORIDA HEALTH | 1600 SW ARCHER RD | GAINESVILLE | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 786 | O321XX0 | O321XX0 | MATERNAL CARE FOR BREECH PRESENTATION, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR MALPRESENTATION OF FETUS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | K831 | O26643 | Z3A37 | Z370 | O321XX0 | REVENUE | 305 | 305 | 10D00Z1 | 4 | 01 | 111 | 4/11/24 | 4/13/24 | 4/18/24 | 4/19/24 | 179.00 | |||||
| INSTITUTIONAL - INPATIENT | 1699874248 | 591943502 | SHANDS TEACHING HOSPITAL AND CLINICS INC | PO BOX 100005 | ATLANTA | GA | 30384 | YES | 1376623603 | 591943502 | SHANDS AND UNIVERSITY OF FLORIDA HEALTH | 1600 SW ARCHER RD | GAINESVILLE | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 786 | O321XX0 | O321XX0 | MATERNAL CARE FOR BREECH PRESENTATION, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR MALPRESENTATION OF FETUS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | K831 | O26643 | Z3A37 | Z370 | O321XX0 | REVENUE | 360 | 360 | 10D00Z1 | 1 | 01 | 111 | 4/11/24 | 4/13/24 | 4/18/24 | 4/19/24 | 13,313.00 | |||||
| INSTITUTIONAL - INPATIENT | 1699874248 | 591943502 | SHANDS TEACHING HOSPITAL AND CLINICS INC | PO BOX 100005 | ATLANTA | GA | 30384 | YES | 1376623603 | 591943502 | SHANDS AND UNIVERSITY OF FLORIDA HEALTH | 1600 SW ARCHER RD | GAINESVILLE | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 786 | O321XX0 | O321XX0 | MATERNAL CARE FOR BREECH PRESENTATION, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR MALPRESENTATION OF FETUS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | K831 | O26643 | Z3A37 | Z370 | O321XX0 | REVENUE | 370 | 370 | 10D00Z1 | 43 | 01 | 111 | 4/11/24 | 4/13/24 | 4/18/24 | 4/19/24 | 2,297.00 | |||||
| INSTITUTIONAL - INPATIENT | 1699874248 | 591943502 | SHANDS TEACHING HOSPITAL AND CLINICS INC | PO BOX 100005 | ATLANTA | GA | 30384 | YES | 1376623603 | 591943502 | SHANDS AND UNIVERSITY OF FLORIDA HEALTH | 1600 SW ARCHER RD | GAINESVILLE | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 786 | O321XX0 | O321XX0 | MATERNAL CARE FOR BREECH PRESENTATION, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR MALPRESENTATION OF FETUS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | K831 | O26643 | Z3A37 | Z370 | O321XX0 | REVENUE | 710 | 710 | 10D00Z1 | 2 | 01 | 111 | 4/11/24 | 4/13/24 | 4/18/24 | 4/19/24 | 2,994.00 | |||||
| INSTITUTIONAL - INPATIENT | 1699874248 | 591943502 | SHANDS TEACHING HOSPITAL AND CLINICS INC | PO BOX 100005 | ATLANTA | GA | 30384 | YES | 1376623603 | 591943502 | SHANDS AND UNIVERSITY OF FLORIDA HEALTH | 1600 SW ARCHER RD | GAINESVILLE | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 786 | O321XX0 | O321XX0 | MATERNAL CARE FOR BREECH PRESENTATION, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR MALPRESENTATION OF FETUS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | K831 | O26643 | Z3A37 | Z370 | O321XX0 | REVENUE | 722 | 722 | 10D00Z1 | 1 | 01 | 111 | 4/11/24 | 4/13/24 | 4/18/24 | 4/19/24 | 654.00 | |||||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 121 | 121 | 0GTG0ZZ | 4A1184G | 5A09357 | 1 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 2,204.35 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 307 | 307 | 0GTG0ZZ | 4A1184G | 5A09357 | 2 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 847.26 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 312 | 312 | 0GTG0ZZ | 4A1184G | 5A09357 | 1 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 466.96 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 324 | 324 | 0GTG0ZZ | 4A1184G | 5A09357 | 1 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 416.00 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 360 | 360 | 0GTG0ZZ | 4A1184G | 5A09357 | 1 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 51,815.75 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 370 | 370 | 0GTG0ZZ | 4A1184G | 5A09357 | 244 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 21,913.09 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 402 | 402 | 0GTG0ZZ | 4A1184G | 5A09357 | 1 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 1,061.25 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 410 | 410 | 0GTG0ZZ | 4A1184G | 5A09357 | 3 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 2,415.60 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 636 | 636 | 0GTG0ZZ | 4A1184G | 5A09357 | 455 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 11,288.24 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 710 | 710 | 0GTG0ZZ | 4A1184G | 5A09357 | 52 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 8,303.61 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 730 | 730 | 0GTG0ZZ | 4A1184G | 5A09357 | 1 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 300.48 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 200 | 200 | 0GTG0ZZ | 4A1184G | 5A09357 | 2 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 7,472.30 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 250 | 250 | 0GTG0ZZ | 4A1184G | 5A09357 | 14 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 3,990.24 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 259 | 259 | 0GTG0ZZ | 4A1184G | 5A09357 | 33 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 1,123.52 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 272 | 272 | 0GTG0ZZ | 4A1184G | 5A09357 | 4 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 14,863.86 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 300 | 300 | 0GTG0ZZ | 4A1184G | 5A09357 | 3 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 845.39 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 301 | 301 | 0GTG0ZZ | 4A1184G | 5A09357 | 57 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 18,383.73 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 305 | 305 | 0GTG0ZZ | 4A1184G | 5A09357 | 11 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 3,053.10 | |||
| INSTITUTIONAL - INPATIENT | 1740772268 | 824372339 | FLORIDA HOSPITAL OCALA, INC. | PO BOX 947696 | ATLANTA | GA | 30394 | YES | 1902289127 | 824372339 | ADVENTHEALTH OCALA | 1500 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 626 | E041 | E041 | NONTOXIC SINGLE THYROID NODULE | OTHER NONTOXIC GOITER | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | Z6842 | K760 | E8351 | E1165 | E041 | REVENUE | 306 | 306 | 0GTG0ZZ | 4A1184G | 5A09357 | 1 | 01 | 111 | 5/29/24 | 6/1/24 | 6/6/24 | 6/7/24 | 499.43 | |||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 122 | 122 | 10903ZU | 2 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 10,948.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 402 | 402 | 10903ZU | 1 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 850.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 450 | 450 | 10903ZU | 2 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 6,671.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 614 | 614 | 10903ZU | 1 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 5,502.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 920 | 920 | 10903ZU | 2 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 2,360.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 250 | 250 | 10903ZU | 2 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 50.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 300 | 300 | 10903ZU | 3 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 516.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 301 | 301 | 10903ZU | 3 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 608.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 302 | 302 | 10903ZU | 4 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 719.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 305 | 305 | 10903ZU | 1 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 196.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 306 | 306 | 10903ZU | 2 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 390.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 307 | 307 | 10903ZU | 1 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 193.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1669442893 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 833 | O80 | O403XX0 | POLYHYDRAMNIOS, THIRD TRIMESTER, NOT APPLICABLE OR UNSPECIFIED | POLYHYDRAMNIOS | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | O365930 | O99334 | F17210 | O99214 | O403XX0 | REVENUE | 361 | 361 | 10903ZU | 1 | 01 | 111 | 1/9/24 | 1/11/24 | 1/17/24 | 1/18/24 | 7,116.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 121 | 121 | 10D00Z1 | 3 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 16,422.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 312 | 312 | 10D00Z1 | 1 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 1,051.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 360 | 360 | 10D00Z1 | 97 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 45,198.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 370 | 370 | 10D00Z1 | 97 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 10,920.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 710 | 710 | 10D00Z1 | 76 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 14,682.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 250 | 250 | 10D00Z1 | 212 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 5,870.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 271 | 271 | 10D00Z1 | 1 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 178.98 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 272 | 272 | 10D00Z1 | 14 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 3,082.19 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 300 | 300 | 10D00Z1 | 6 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 1,529.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 301 | 301 | 10D00Z1 | 2 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 1,136.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 302 | 302 | 10D00Z1 | 6 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 809.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 305 | 305 | 10D00Z1 | 2 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 270.00 | |||||
| INSTITUTIONAL - INPATIENT | 1184709057 | 591726273 | ORLANDO HEALTH INC | PO BOX 919741 | ORLANDO | FL | 32891 | YES | 1376993048 | 591726273 | ORLANDO HEALTH | 52 W UNDERWOOD ST | ORLANDO | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 787 | O358XX0 | O35AXX0 | MATERNAL CARE FOR OTHER (SUSPECTED) FETAL ABNORMALITY AND DAMAGE, FETAL FACIAL ANOMALIES, NOT APPLICABLE OR UNSPECIFIED | MATERNAL CARE FOR KNOWN OR SUSPECTED FETAL ABNORMALITY AND DAMAGE | PREGNANCY, CHILDBIRTH AND THE PUERPERIUM | D62 | O9882 | O9822 | Z3A37 | O35AXX0 | REVENUE | 306 | 306 | 10D00Z1 | 3 | 01 | 111 | 1/30/24 | 2/2/24 | 2/8/24 | 2/9/24 | 697.00 | |||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 121 | 121 | 0DTG0ZZ | 0WQF0ZZ | 3 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 6,167.25 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 310 | 310 | 0DTG0ZZ | 0WQF0ZZ | 1 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 5,102.46 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 320 | 320 | 0DTG0ZZ | 0WQF0ZZ | 2 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 4,020.50 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 352 | 352 | 0DTG0ZZ | 0WQF0ZZ | 3 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 36,850.14 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 360 | 360 | 0DTG0ZZ | 0WQF0ZZ | 1 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 111,011.60 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 370 | 370 | 0DTG0ZZ | 0WQF0ZZ | 1 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 56,709.60 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 420 | 420 | 0DTG0ZZ | 0WQF0ZZ | 2 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 717.39 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 424 | 424 | 0DTG0ZZ | 0WQF0ZZ | 1 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 1,233.36 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 450 | 450 | 0DTG0ZZ | 0WQF0ZZ | 9 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 13,307.25 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 636 | 636 | 0DTG0ZZ | 0WQF0ZZ | 926 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 14,950.69 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 710 | 710 | 0DTG0ZZ | 0WQF0ZZ | 128 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 22,334.73 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 201 | 201 | 0DTG0ZZ | 0WQF0ZZ | 3 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 16,817.25 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 250 | 250 | 0DTG0ZZ | 0WQF0ZZ | 11 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 454.26 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 272 | 272 | 0DTG0ZZ | 0WQF0ZZ | 24 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 23,644.00 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 278 | 278 | 0DTG0ZZ | 0WQF0ZZ | 2 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 1,282.00 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 301 | 301 | 0DTG0ZZ | 0WQF0ZZ | 29 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 44,070.04 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 302 | 302 | 0DTG0ZZ | 0WQF0ZZ | 3 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 155.53 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 305 | 305 | 0DTG0ZZ | 0WQF0ZZ | 11 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 6,955.47 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1518352715 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 330 | K529 | K56609 | UNSPECIFIED INTESTINAL OBSTRUCTION, UNSPECIFIED AS TO PARTIAL VERSUS COMPLETE OBSTRUCTION | PARALYTIC ILEUS AND INTESTINAL OBSTRUCTION WITHOUT HERNIA | DISEASES OF THE DIGESTIVE SYSTEM | E870 | K861 | K529 | N19 | K56609 | REVENUE | 307 | 307 | 0DTG0ZZ | 0WQF0ZZ | 1 | 01 | 111 | 6/13/24 | 6/20/24 | 6/27/24 | 6/28/24 | 490.32 | ||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1730568890 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 641 | I10 | E876 | HYPOKALEMIA | OTHER DISORDERS OF FLUID, ELECTROLYTE AND ACID-BASE BALANCE | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | G9340 | I10 | K5900 | Z90710 | E876 | REVENUE | 111 | 111 | 2 | 01 | 117 | 11/10/24 | 11/12/24 | 12/30/24 | 12/31/24 | 4,193.70 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1730568890 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 641 | I10 | E876 | HYPOKALEMIA | OTHER DISORDERS OF FLUID, ELECTROLYTE AND ACID-BASE BALANCE | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | G9340 | I10 | K5900 | Z90710 | E876 | REVENUE | 611 | 611 | 1 | 01 | 117 | 11/10/24 | 11/12/24 | 12/30/24 | 12/31/24 | 17,411.35 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1730568890 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 641 | I10 | E876 | HYPOKALEMIA | OTHER DISORDERS OF FLUID, ELECTROLYTE AND ACID-BASE BALANCE | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | G9340 | I10 | K5900 | Z90710 | E876 | REVENUE | 636 | 636 | 2 | 01 | 117 | 11/10/24 | 11/12/24 | 12/30/24 | 12/31/24 | 57.00 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1730568890 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 641 | I10 | E876 | HYPOKALEMIA | OTHER DISORDERS OF FLUID, ELECTROLYTE AND ACID-BASE BALANCE | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | G9340 | I10 | K5900 | Z90710 | E876 | REVENUE | 730 | 730 | 2 | 01 | 117 | 11/10/24 | 11/12/24 | 12/30/24 | 12/31/24 | 405.90 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1730568890 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 641 | I10 | E876 | HYPOKALEMIA | OTHER DISORDERS OF FLUID, ELECTROLYTE AND ACID-BASE BALANCE | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | G9340 | I10 | K5900 | Z90710 | E876 | REVENUE | 250 | 250 | 7 | 01 | 117 | 11/10/24 | 11/12/24 | 12/30/24 | 12/31/24 | 157.95 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1730568890 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 641 | I10 | E876 | HYPOKALEMIA | OTHER DISORDERS OF FLUID, ELECTROLYTE AND ACID-BASE BALANCE | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | G9340 | I10 | K5900 | Z90710 | E876 | REVENUE | 301 | 301 | 12 | 01 | 117 | 11/10/24 | 11/12/24 | 12/30/24 | 12/31/24 | 19,635.55 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1730568890 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 641 | I10 | E876 | HYPOKALEMIA | OTHER DISORDERS OF FLUID, ELECTROLYTE AND ACID-BASE BALANCE | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | G9340 | I10 | K5900 | Z90710 | E876 | REVENUE | 305 | 305 | 4 | 01 | 117 | 11/10/24 | 11/12/24 | 12/30/24 | 12/31/24 | 3,462.80 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1730568890 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 641 | I10 | E876 | HYPOKALEMIA | OTHER DISORDERS OF FLUID, ELECTROLYTE AND ACID-BASE BALANCE | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | G9340 | I10 | K5900 | Z90710 | E876 | REVENUE | 307 | 307 | 1 | 01 | 117 | 11/10/24 | 11/12/24 | 12/30/24 | 12/31/24 | 526.00 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1730568890 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 641 | I10 | E876 | HYPOKALEMIA | OTHER DISORDERS OF FLUID, ELECTROLYTE AND ACID-BASE BALANCE | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | G9340 | I10 | K5900 | Z90710 | E876 | REVENUE | 351 | 351 | 1 | 01 | 117 | 11/10/24 | 11/12/24 | 12/30/24 | 12/31/24 | 5,033.35 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1730568890 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 641 | I10 | E876 | HYPOKALEMIA | OTHER DISORDERS OF FLUID, ELECTROLYTE AND ACID-BASE BALANCE | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | G9340 | I10 | K5900 | Z90710 | E876 | REVENUE | 352 | 352 | 1 | 01 | 117 | 11/10/24 | 11/12/24 | 12/30/24 | 12/31/24 | 13,193.05 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1730568890 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 641 | I10 | E876 | HYPOKALEMIA | OTHER DISORDERS OF FLUID, ELECTROLYTE AND ACID-BASE BALANCE | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | G9340 | I10 | K5900 | Z90710 | E876 | REVENUE | 402 | 402 | 1 | 01 | 117 | 11/10/24 | 11/12/24 | 12/30/24 | 12/31/24 | 4,242.65 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1730568890 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW 1ST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 641 | I10 | E876 | HYPOKALEMIA | OTHER DISORDERS OF FLUID, ELECTROLYTE AND ACID-BASE BALANCE | ENDOCRINE, NUTRITIONAL AND METABOLIC DISEASES | G9340 | I10 | K5900 | Z90710 | E876 | REVENUE | 450 | 450 | 1 | 01 | 117 | 11/10/24 | 11/12/24 | 12/30/24 | 12/31/24 | 4,954.75 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1922104835 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 291 | I110 | I110 | HYPERTENSIVE HEART DISEASE WITH HEART FAILURE | HYPERTENSIVE HEART DISEASE | DISEASES OF THE CIRCULATORY SYSTEM | I5023 | I2489 | I160 | E876 | I110 | REVENUE | 110 | 110 | 1 | 01 | 111 | 2/25/24 | 2/26/24 | 3/7/24 | 3/8/24 | 2,055.75 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1922104835 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 291 | I110 | I110 | HYPERTENSIVE HEART DISEASE WITH HEART FAILURE | HYPERTENSIVE HEART DISEASE | DISEASES OF THE CIRCULATORY SYSTEM | I5023 | I2489 | I160 | E876 | I110 | REVENUE | 730 | 730 | 1 | 01 | 111 | 2/25/24 | 2/26/24 | 3/7/24 | 3/8/24 | 198.99 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1922104835 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 291 | I110 | I110 | HYPERTENSIVE HEART DISEASE WITH HEART FAILURE | HYPERTENSIVE HEART DISEASE | DISEASES OF THE CIRCULATORY SYSTEM | I5023 | I2489 | I160 | E876 | I110 | REVENUE | 250 | 250 | 1 | 01 | 111 | 2/25/24 | 2/26/24 | 3/7/24 | 3/8/24 | 7.00 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1922104835 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 291 | I110 | I110 | HYPERTENSIVE HEART DISEASE WITH HEART FAILURE | HYPERTENSIVE HEART DISEASE | DISEASES OF THE CIRCULATORY SYSTEM | I5023 | I2489 | I160 | E876 | I110 | REVENUE | 301 | 301 | 6 | 01 | 111 | 2/25/24 | 2/26/24 | 3/7/24 | 3/8/24 | 7,750.81 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1922104835 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 291 | I110 | I110 | HYPERTENSIVE HEART DISEASE WITH HEART FAILURE | HYPERTENSIVE HEART DISEASE | DISEASES OF THE CIRCULATORY SYSTEM | I5023 | I2489 | I160 | E876 | I110 | REVENUE | 305 | 305 | 2 | 01 | 111 | 2/25/24 | 2/26/24 | 3/7/24 | 3/8/24 | 1,862.46 | ||||||
| INSTITUTIONAL - INPATIENT | 1841237930 | 591479652 | MARION COMMUNITY HOSPITAL INC | P.O. BOX 406549 | ATLANTA | GA | 30384 | YES | 1922104835 | 591479652 | HCA FLORIDA OCALA HOSPITAL | 1431 SW FIRST AVE | OCALA | FL | 02 | ACUTE CARE HOSPITAL | FAC | INSTITUTIONAL FACILITIES | GROUP BLUE OPTIONS | 16153 | 21 | 291 | I110 | I110 | HYPERTENSIVE HEART DISEASE WITH HEART FAILURE | HYPERTENSIVE HEART DISEASE | DISEASES OF THE CIRCULATORY SYSTEM | I5023 | I2489 | I160 | E876 | I110 | REVENUE | 324 | 324 | 1 | 01 | 111 | 2/25/24 | 2/26/24 | 3/7/24 | 3/8/24 | 1,921.59 |
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