Exhibit_K_–_Medical_Claims_Pricing_File_(3_TABS_TO_COMPLETE,_DO_NOT_SUBMIT)_FINAL.xlsx

XLSX spreadsheet 10 MB Posted Jun 30, 2025

Attached to: 25-P-115TF Self-Funded Group Health Plan Administrative Services
Solicitation number: 25-P-115TF
Issued by: Volusia County, Florida

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File	Type	Posted
25-P-115TF_Self-Funded_Group_Health_Plan_Administrative_Services_(Addendum_#6_Revision).pdf	PDF	Aug 6, 2025
25-P-115TF_Self-Funded_Group_Health_Plan_Administrative_Services.pdf	PDF	Jul 1, 2025
Exhibit_D_-_Insurance_Requirements_(For_DRAFT_Contract)_FINAL_.pdf	PDF	Jun 30, 2025
25-P-115TF_Self-Funded_Group_Health_Plan_Admin_Srvs_Agreement_FINAL_DRAFT.pdf	PDF	Jun 30, 2025
Exhibit_M_-_Pharmacy_Claims_Pricing_File_(1_TAB_TO_COMPLETE,_DO_NOT_SUBMIT)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_L_-_Medical_Discount_Pricing_File_(3_TABS_TO_COMPLETE,_DO_NOT_SUBMIT)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_K_–_Medical_Claims_Pricing_File_(3_TABS_TO_COMPLETE,_DO_NOT_SUBMIT)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_J_-_Large_Claims_2022-2024_(3_TABS_to_VIEW)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_I_-_Census_(3_TABS_to_VIEW)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_H_-_Claims_Experience_(2_TABS_to_VIEW)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_G_-_County_Computing_Security_Procedures_FINAL.pdf	PDF	Jun 30, 2025
Exhibit_F_-_HIPPA_Business_Associate_Agreement_FINAL.pdf	PDF	Jun 30, 2025
Exhibit_E_-_Human_Trafficking_Affidavit_FINAL.pdf	PDF	Jun 30, 2025
Exhibit_C_-_Summary_Plan_Document_(2025)_FINAL.pdf	PDF	Jun 30, 2025
Attachment_B.1_Pharmacy_Pricing_Guarantees_(1_TAB_TO_COMPLETE)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_B_-_Fees_and_Performance_Guarantees_FINAL.docx	DOCX document	Jun 30, 2025
Exhibit_A.4_-_Onsite_Job_Descriptions_FINAL.pdf	PDF	Jun 30, 2025
Exhibit_A.3_-_Claims_Reporting_Fields_FINAL.pdf	PDF	Jun 30, 2025
Attachment_A.2_-_Network_and_Formulary_Disruption_(4_TABS_TO_COMPLETE)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Attachment_A.1_-_Worksheet_Health_Plan_Administrative_Services_FINAL.docx	DOCX document	Jun 30, 2025
Exhibit_A_-_Scope_of_Services_FINAL.pdf	PDF	Jun 30, 2025

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Facility Health Plan Administrative Services

Information for Pricing Question Exhibit B - Fees and Performance Guarantees, Section 8, Item 2, Medical Discounts and Trend

INSTRUCTIONS: On Exhibit B - Fees and Performance Guarantees, Section 8, Item 2, provide the aggregate allowable amount for the Facility claims listed based on your current contracted agreement with the applicable providers. All billed amounts are for covered services and eligible for payment. Do not reduce payment for patient out of pocket expenses such as deductibles, co-payments and co-insurance. Price all claims listed.

MEDICAL CLAIMS RE-PRICING - CONFIDENTIAL - DO NOT SUBMIT THIS INFORMATION WITH YOUR PROPOSAL

FACILITY PRICING

Claim Number	Sample Type	Provider Name	Provider NPI	Provider City	Provider ZIP Code	Service Location	Hospital DRG	Primary Diagnosis	Diagnosis Description	Revenue/Procedure Code	Modifier	Number of Services	First_Date of Service	Last Date of Service	Billed Amount	Allowed
1119345	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DALLAS	75373	23		R112	Nausea with vomiting, unspecified	0636		1	20JUL2024	20JUL2024	$30
1119345	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DALLAS	75373	23		R112	Nausea with vomiting, unspecified	0305	91	1	20JUL2024	20JUL2024	$70
1119345	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DALLAS	75373	23		R112	Nausea with vomiting, unspecified	0300		1	20JUL2024	20JUL2024	$291
1119345	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DALLAS	75373	23		R112	Nausea with vomiting, unspecified	0301	91	1	20JUL2024	20JUL2024	$383
1119345	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DALLAS	75373	23		R112	Nausea with vomiting, unspecified	0306		2	20JUL2024	20JUL2024	$498
1119345	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DALLAS	75373	23		R112	Nausea with vomiting, unspecified	0324		1	20JUL2024	20JUL2024	$733
1119345	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DALLAS	75373	23		R112	Nausea with vomiting, unspecified	0305		1	20JUL2024	20JUL2024	$963
1119345	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DALLAS	75373	23		R112	Nausea with vomiting, unspecified	0301		1	20JUL2024	20JUL2024	$1,931
1119345	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DALLAS	75373	23		R112	Nausea with vomiting, unspecified	0450	25	1	20JUL2024	20JUL2024	$3,818
1119345	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DALLAS	75373	23		R112	Nausea with vomiting, unspecified	0352		1	20JUL2024	20JUL2024	$6,040
1120781	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S43002A	Unspecified subluxation of left shoulder joint, initial encounter	0259		1	29MAY2024	29MAY2024	$4
1120781	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S43002A	Unspecified subluxation of left shoulder joint, initial encounter	0730		1	20JUL2024	20JUL2024	$596
1120781	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S43002A	Unspecified subluxation of left shoulder joint, initial encounter	0301		1	29MAY2024	29MAY2024	$1,050
1120781	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S43002A	Unspecified subluxation of left shoulder joint, initial encounter	0921	LT	1	20JUL2024	20JUL2024	$2,052
1133970	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0307		1	29MAY2024	29MAY2024	$157
1133970	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0301		1	06SEP2024	06SEP2024	$337
1133970	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0730		1	29MAY2024	29MAY2024	$579
1133970	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0305		1	29MAY2024	29MAY2024	$590
1133970	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0450		1	06SEP2024	06SEP2024	$1,401
1133970	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0450	25	1	29MAY2024	29MAY2024	$3,717
1133970	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0351		1	29MAY2024	29MAY2024	$3,922
1133970	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0320	LT	1	29MAY2024	29MAY2024	$4,738
1133970	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0352		1	29MAY2024	29MAY2024	$26,494
1136384	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S61411A	Laceration without foreign body of right hand, initial encounter	0259		1	17JUN2024	17JUN2024	$5
1136384	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S61411A	Laceration without foreign body of right hand, initial encounter	0300		1	17JUN2024	17JUN2024	$28
1136384	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S61411A	Laceration without foreign body of right hand, initial encounter	0250		1	17JUN2024	17JUN2024	$56
1136384	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S61411A	Laceration without foreign body of right hand, initial encounter	0324		1	13NOV2024	13NOV2024	$733
1136384	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S61411A	Laceration without foreign body of right hand, initial encounter	0450	25	1	13NOV2024	13NOV2024	$2,062
1137040	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		N390	Urinary tract infection, site not specified	0636		1	17JUN2024	17JUN2024	$33
1137040	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		N390	Urinary tract infection, site not specified	0307		1	17JUN2024	17JUN2024	$148
1137040	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		N390	Urinary tract infection, site not specified	0730		1	17JUN2024	17JUN2024	$267
1137040	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		N390	Urinary tract infection, site not specified	0305		1	17JUN2024	17JUN2024	$338
1137040	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		N390	Urinary tract infection, site not specified	0320		1	17JUN2024	17JUN2024	$523
1137040	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		N390	Urinary tract infection, site not specified	0301		1	17JUN2024	17JUN2024	$701
1137040	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		N390	Urinary tract infection, site not specified	0351		1	17JUN2024	17JUN2024	$1,838
1137040	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		N390	Urinary tract infection, site not specified	0352		1	17JUN2024	17JUN2024	$2,455
1137040	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		N390	Urinary tract infection, site not specified	0450	25	1	17JUN2024	17JUN2024	$4,899
1140832	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S43014A	Anterior dislocation of right humerus, initial encounter	0307	XU	1	05SEP2024	05SEP2024	$201
1140832	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S43014A	Anterior dislocation of right humerus, initial encounter	0305		1	05SEP2024	05SEP2024	$338
1140832	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S43014A	Anterior dislocation of right humerus, initial encounter	0730	77	1	05SEP2024	05SEP2024	$581
1140832	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S43014A	Anterior dislocation of right humerus, initial encounter	0301		1	05SEP2024	05SEP2024	$2,625
1140832	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S43014A	Anterior dislocation of right humerus, initial encounter	0450	25	1	05SEP2024	05SEP2024	$3,256
1141535	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R0789	OTHER CHEST PAIN	0250		1	29JAN2024	29JAN2024	$68
1141535	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R0789	OTHER CHEST PAIN	0305		1	29JAN2024	29JAN2024	$338
1141535	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R0789	OTHER CHEST PAIN	0730		1	05SEP2024	05SEP2024	$581
1141535	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R0789	OTHER CHEST PAIN	0301		1	29JAN2024	29JAN2024	$727
1145354	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N50811	Right testicular pain	0259		1	07MAR2024	07MAR2024	$11
1145354	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N50811	Right testicular pain	0259		1	03MAY2024	03MAY2024	$16
1145354	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N50811	Right testicular pain	0636		1	29JAN2024	29JAN2024	$66
1145354	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N50811	Right testicular pain	0307		1	29JAN2024	29JAN2024	$182
1145354	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N50811	Right testicular pain	0324		1	07MAR2024	07MAR2024	$1,404
1145354	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N50811	Right testicular pain	0450	25	1	07MAR2024	07MAR2024	$2,127
1145354	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N50811	Right testicular pain	0450	25	1	29JAN2024	29JAN2024	$3,936
1145354	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N50811	Right testicular pain	0352		1	29JAN2024	29JAN2024	$8,450
1146012	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M79641	Pain in right hand	0300		1	03MAY2024	03MAY2024	$33
1146012	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M79641	Pain in right hand	0305		1	03MAY2024	03MAY2024	$322
1146012	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M79641	Pain in right hand	0301		1	03MAY2024	03MAY2024	$713
1146562	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R079	Chest pain, unspecified	0300		1	02DEC2024	02DEC2024	$33
1146562	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R079	Chest pain, unspecified	0434	GO	1	03MAY2024	03MAY2024	$531
1146562	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R079	Chest pain, unspecified	0444	GN	1	03MAY2024	03MAY2024	$785
1146562	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R079	Chest pain, unspecified	0306		1	14JUN2024	14JUN2024	$1,173
1146562	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R079	Chest pain, unspecified	0450		1	14JUN2024	14JUN2024	$1,564
1153988	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0301	91	1	02DEC2024	02DEC2024	$89
1153988	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0302		1	02DEC2024	02DEC2024	$147
1153988	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0306		2	02DEC2024	02DEC2024	$477
1153988	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0305		1	02DEC2024	02DEC2024	$502
1153988	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0320	LT	1	02DEC2024	02DEC2024	$568
1153988	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N132	Hydronephrosis with renal and ureteral calculous obstruction	0301		1	02DEC2024	02DEC2024	$571
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0259		1	17JUN2024	17JUN2024	$25
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0636		1	17JUN2024	17JUN2024	$40
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0250		1	01JAN2024	01JAN2024	$46
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0260		1	17JUN2024	17JUN2024	$105
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0636		1	15DEC2024	15DEC2024	$159
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0307		1	15DEC2024	15DEC2024	$201
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0306		1	15DEC2024	15DEC2024	$263
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0305		1	15DEC2024	15DEC2024	$338
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0410		1	17JUN2024	17JUN2024	$544
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0320	RT	1	15AUG2024	15AUG2024	$577
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0730		1	17JUN2024	17JUN2024	$581
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0324		1	17JUN2024	17JUN2024	$725
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0301		1	15DEC2024	15DEC2024	$727
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0450	25	1	15AUG2024	15AUG2024	$1,401
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0450	25	1	02DEC2024	02DEC2024	$1,869
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0450	25	1	15DEC2024	15DEC2024	$3,061
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0450	25	1	17JUN2024	17JUN2024	$3,256
1154211	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		J939	Pneumothorax, unspecified	0352		1	15DEC2024	15DEC2024	$8,066
1156788	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0636		1	01JAN2024	01JAN2024	$29
1156788	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0307		1	01JAN2024	01JAN2024	$201
1156788	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0306		1	01JAN2024	01JAN2024	$452
1156788	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0730		1	01JAN2024	01JAN2024	$581
1156788	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0305		1	01JAN2024	01JAN2024	$618
1156788	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0301		1	12JUL2024	12JUL2024	$621
1156788	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0324		1	01JAN2024	01JAN2024	$725
1156788	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0301		1	01JAN2024	01JAN2024	$1,067
1156788	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0351		1	01JAN2024	01JAN2024	$3,578
1156788	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0450	25	1	01JAN2024	01JAN2024	$3,749
1159246	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DAYTONA BEACH	32114	23		I82442	Acute embolism and thrombosis of left tibial vein	0250		1	24NOV2024	24NOV2024	$20
1159246	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DAYTONA BEACH	32114	23		I82442	Acute embolism and thrombosis of left tibial vein	0250		1	25NOV2024	25NOV2024	$20
1159246	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DAYTONA BEACH	32114	23		I82442	Acute embolism and thrombosis of left tibial vein	0636		1	12JUL2024	12JUL2024	$30
1159246	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DAYTONA BEACH	32114	23		I82442	Acute embolism and thrombosis of left tibial vein	0305		1	12JUL2024	12JUL2024	$338
1159246	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DAYTONA BEACH	32114	23		I82442	Acute embolism and thrombosis of left tibial vein	0730		1	12JUL2024	12JUL2024	$596
1159246	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DAYTONA BEACH	32114	23		I82442	Acute embolism and thrombosis of left tibial vein	0324		1	12JUL2024	12JUL2024	$733
1159246	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DAYTONA BEACH	32114	23		I82442	Acute embolism and thrombosis of left tibial vein	0450	25	1	12JUL2024	12JUL2024	$3,097
1159770	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S060X1A	Concussion with loss of consciousness of 30 minutes or less, initial encounter	0259		1	25NOV2024	25NOV2024	$14
1159770	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S060X1A	Concussion with loss of consciousness of 30 minutes or less, initial encounter	0300		1	24NOV2024	24NOV2024	$29
1159770	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S060X1A	Concussion with loss of consciousness of 30 minutes or less, initial encounter	0300		1	25NOV2024	25NOV2024	$29
1159770	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S060X1A	Concussion with loss of consciousness of 30 minutes or less, initial encounter	0259		1	24NOV2024	24NOV2024	$34
1159770	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S060X1A	Concussion with loss of consciousness of 30 minutes or less, initial encounter	0301	91	2	24NOV2024	24NOV2024	$177
1159770	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S060X1A	Concussion with loss of consciousness of 30 minutes or less, initial encounter	0301	91	2	25NOV2024	25NOV2024	$177
1159770	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S060X1A	Concussion with loss of consciousness of 30 minutes or less, initial encounter	0301	AY	1	24NOV2024	24NOV2024	$512
1159770	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S060X1A	Concussion with loss of consciousness of 30 minutes or less, initial encounter	0301	AY	1	25NOV2024	25NOV2024	$512
1159770	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S060X1A	Concussion with loss of consciousness of 30 minutes or less, initial encounter	0278	CI	1	25NOV2024	25NOV2024	$1,021
1161000	EMERGENCY ROOM	MED CTR OF DELTONA INC	842569909	DALLAS	75373	23		O200	THREATENED ABORTION	0305	AY	1	25NOV2024	25NOV2024	$133
1161000	EMERGENCY ROOM	MED CTR OF DELTONA INC	842569909	DALLAS	75373	23		O200	THREATENED ABORTION	0301		1	24NOV2024	24NOV2024	$178
1161000	EMERGENCY ROOM	MED CTR OF DELTONA INC	842569909	DALLAS	75373	23		O200	THREATENED ABORTION	0301		1	25NOV2024	25NOV2024	$217
1161000	EMERGENCY ROOM	MED CTR OF DELTONA INC	842569909	DALLAS	75373	23		O200	THREATENED ABORTION	0305		1	24NOV2024	24NOV2024	$280
1161000	EMERGENCY ROOM	MED CTR OF DELTONA INC	842569909	DALLAS	75373	23		O200	THREATENED ABORTION	0305	AY	1	24NOV2024	24NOV2024	$338
1170268	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S61211A	Laceration without foreign body of left index finger without damage to nail, initial encounter	0306	AY	1	24NOV2024	24NOV2024	$61
1170268	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S61211A	Laceration without foreign body of left index finger without damage to nail, initial encounter	0370	CI	1	25NOV2024	25NOV2024	$327
1170268	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S61211A	Laceration without foreign body of left index finger without damage to nail, initial encounter	0320	CI	1	25NOV2024	25NOV2024	$814
1170268	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S61211A	Laceration without foreign body of left index finger without damage to nail, initial encounter	0402	CI	1	25NOV2024	25NOV2024	$849
1170268	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S61211A	Laceration without foreign body of left index finger without damage to nail, initial encounter	0361	CI	1	25NOV2024	25NOV2024	$5,716
1173051	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0636		1	24NOV2024	24NOV2024	$15
1173051	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0636		1	25NOV2024	25NOV2024	$156
1173051	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0305		1	11APR2024	11APR2024	$168
1173051	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0301		3	11APR2024	11APR2024	$917
1173051	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0921		1	24NOV2024	24NOV2024	$1,335
1173051	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0829		1	25NOV2024	25NOV2024	$2,192
1173051	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0762		1	24NOV2024	24NOV2024	$3,130
1173051	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0450	25	1	24NOV2024	24NOV2024	$3,256
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0250		1	02JUL2024	02JUL2024	$49
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0636		1	02JUL2024	02JUL2024	$89
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0306		1	28JUN2024	28JUN2024	$145
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0307		1	02JUL2024	02JUL2024	$157
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0305		1	02JUL2024	02JUL2024	$322
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0306		2	02JUL2024	02JUL2024	$477
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0320	59	1	28JUN2024	28JUN2024	$538
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0730		1	02JUL2024	02JUL2024	$579
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0730	59	1	11APR2024	11APR2024	$610
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0730		1	11APR2024	11APR2024	$610
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0301	91	1	02JUL2024	02JUL2024	$636
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0320		1	28JUN2024	28JUN2024	$644
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0324		1	02JUL2024	02JUL2024	$702
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0450		1	11APR2024	11APR2024	$1,480
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0301		1	02JUL2024	02JUL2024	$1,717
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0402		1	28JUN2024	28JUN2024	$1,832
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0450		1	28JUN2024	28JUN2024	$4,515
1178167	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		M5117	Intervertebral disc disorders with radiculopathy, lumbosacral region	0450	25	1	02JUL2024	02JUL2024	$5,376
1185395	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0250		1	13JAN2024	13JAN2024	$7
1185395	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0250		1	08DEC2024	08DEC2024	$22
1185395	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0637		1	28JUN2024	28JUN2024	$42
1185395	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0259		1	08DEC2024	08DEC2024	$63
1185395	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0305		1	08DEC2024	08DEC2024	$338
1185395	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0450		1	08JUL2024	08JUL2024	$820
1185395	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0301		1	08DEC2024	08DEC2024	$1,282
1185395	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R112	Nausea with vomiting, unspecified	0450		1	13JAN2024	13JAN2024	$1,480
1194528	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0301		1	21JUL2024	21JUL2024	$21
1194528	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0250		1	21JUL2024	21JUL2024	$29
1194528	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0636		1	08DEC2024	08DEC2024	$37
1194528	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0730		1	08DEC2024	08DEC2024	$581
1194528	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0324		1	08DEC2024	08DEC2024	$725
1194528	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0301		1	20JUL2024	20JUL2024	$733
1194528	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0305		1	20JUL2024	20JUL2024	$820
1194528	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0402		1	08DEC2024	08DEC2024	$1,913
1194528	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0450	25	1	08DEC2024	08DEC2024	$3,629
1205033	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		O210	MILD HYPEREMESIS GRAVIDARUM	0636		1	21JUL2024	21JUL2024	$30
1205033	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		O210	MILD HYPEREMESIS GRAVIDARUM	0324		1	20JUL2024	20JUL2024	$351
1205033	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		O210	MILD HYPEREMESIS GRAVIDARUM	0324		1	21JUL2024	21JUL2024	$351
1205033	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		O210	MILD HYPEREMESIS GRAVIDARUM	0450		1	21JUL2024	21JUL2024	$445
1205033	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		O210	MILD HYPEREMESIS GRAVIDARUM	0305		3	21JUL2024	21JUL2024	$600
1205033	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		O210	MILD HYPEREMESIS GRAVIDARUM	0450	25	1	20JUL2024	20JUL2024	$9,392
1205033	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		O210	MILD HYPEREMESIS GRAVIDARUM	0352		1	20JUL2024	20JUL2024	$25,335
1209814	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R030	Elevated blood-pressure reading, without diagnosis of hypertension	0250		1	12FEB2024	12FEB2024	$91
1209814	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R030	Elevated blood-pressure reading, without diagnosis of hypertension	0305		1	12FEB2024	12FEB2024	$338
1209814	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R030	Elevated blood-pressure reading, without diagnosis of hypertension	0324		1	12FEB2024	12FEB2024	$381
1209814	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R030	Elevated blood-pressure reading, without diagnosis of hypertension	0301	91	1	12FEB2024	12FEB2024	$395
1209814	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R030	Elevated blood-pressure reading, without diagnosis of hypertension	0301		1	12FEB2024	12FEB2024	$1,345
1209814	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R030	Elevated blood-pressure reading, without diagnosis of hypertension	0730		1	20JUL2024	20JUL2024	$1,370
1209814	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R030	Elevated blood-pressure reading, without diagnosis of hypertension	0762		1	21JUL2024	21JUL2024	$1,935
1209814	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R030	Elevated blood-pressure reading, without diagnosis of hypertension	0450	25	1	12FEB2024	12FEB2024	$4,899
1213063	EMERGENCY ROOM	HALIFAX MED CTR	596001217	DALLAS	75373	23		R45851	Suicidal ideations	0730		1	12FEB2024	12FEB2024	$267
1213228	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		J069	Acute upper respiratory infection, unspecified	0259		1	08JUN2024	08JUN2024	$6
1213228	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		J069	Acute upper respiratory infection, unspecified	0320	LT	1	08JUN2024	08JUN2024	$808
1213228	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		J069	Acute upper respiratory infection, unspecified	0324	LT	1	08JUN2024	08JUN2024	$1,096
1213228	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		J069	Acute upper respiratory infection, unspecified	0351		1	08JUN2024	08JUN2024	$3,578
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0259		1	05AUG2024	05AUG2024	$12
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0259		1	28NOV2024	28NOV2024	$15
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0636		1	05AUG2024	05AUG2024	$25
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0250		1	05AUG2024	05AUG2024	$46
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0305		1	05AUG2024	05AUG2024	$338
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0301	91	1	05AUG2024	05AUG2024	$395
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0730		1	05AUG2024	05AUG2024	$581
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0324		1	05AUG2024	05AUG2024	$725
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0301		1	05AUG2024	05AUG2024	$1,067
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0450		1	28NOV2024	28NOV2024	$1,226
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0320	RT	1	04OCT2024	04OCT2024	$1,458
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0450	25	1	08JUN2024	08JUN2024	$2,127
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0450	25	1	05AUG2024	05AUG2024	$3,749
1217069	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		R531	Weakness	0352		1	08JUN2024	08JUN2024	$4,570
1221527	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		Z041	Encounter for examination and observation following transport accident	0259		1	07JUL2024	07JUL2024	$4
1221527	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		Z041	Encounter for examination and observation following transport accident	0250		1	06JUN2024	06JUN2024	$68
1221527	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		Z041	Encounter for examination and observation following transport accident	0771		1	07JUL2024	07JUL2024	$101
1221527	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		Z041	Encounter for examination and observation following transport accident	0636		1	07JUL2024	07JUL2024	$226
1221527	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		Z041	Encounter for examination and observation following transport accident	0450		1	07JUL2024	07JUL2024	$578
1221527	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		Z041	Encounter for examination and observation following transport accident	0320	LT	1	07JUL2024	07JUL2024	$817
1221527	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		Z041	Encounter for examination and observation following transport accident	0301		1	06JUN2024	06JUN2024	$905
1221527	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		Z041	Encounter for examination and observation following transport accident	0450	25	1	04OCT2024	04OCT2024	$1,401
1221527	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		Z041	Encounter for examination and observation following transport accident	0450		1	06JUL2024	06JUL2024	$1,869
1229496	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		O039	Complete or unspecified spontaneous abortion without complication	0305		1	06JUN2024	06JUN2024	$338
1229496	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		O039	Complete or unspecified spontaneous abortion without complication	0306		1	06JUN2024	06JUN2024	$507
1230048	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		J209	Acute bronchitis, unspecified	0307		1	06JUN2024	06JUN2024	$201
1230048	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		J209	Acute bronchitis, unspecified	0352		1	06JUN2024	06JUN2024	$8,482
1230260	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0259		1	04JUN2024	04JUN2024	$19
1230260	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0250		1	22SEP2024	22SEP2024	$35
1230260	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0636		1	22SEP2024	22SEP2024	$42
1230260	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0636		1	06JUN2024	06JUN2024	$108
1230260	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0307		1	22SEP2024	22SEP2024	$171
1230260	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0305		1	22SEP2024	22SEP2024	$322
1230260	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0301		1	22SEP2024	22SEP2024	$461
1230260	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0450		1	03JAN2024	03JAN2024	$1,226
1230260	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0402		1	06JUN2024	06JUN2024	$2,126
1230260	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0450	25	1	22SEP2024	22SEP2024	$2,446
1230260	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0450	25	1	06JUN2024	06JUN2024	$4,975
1230260	EMERGENCY ROOM	ADVENTHEALTH NEW SMYRNA	473793197	ATLANTA	30394	23		S0990XA	Unspecified injury of head, initial encounter	0352		1	22SEP2024	22SEP2024	$9,218
1238070	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T39312A	Poisoning by propionic acid derivatives, intentional self-harm, initial encounter	0636		1	04JUN2024	04JUN2024	$81
1238070	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T39312A	Poisoning by propionic acid derivatives, intentional self-harm, initial encounter	0260		1	04JUN2024	04JUN2024	$265
1238070	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T39312A	Poisoning by propionic acid derivatives, intentional self-harm, initial encounter	0305		1	08APR2024	08APR2024	$338
1238070	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T39312A	Poisoning by propionic acid derivatives, intentional self-harm, initial encounter	0307		1	04JUN2024	04JUN2024	$519
1238070	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T39312A	Poisoning by propionic acid derivatives, intentional self-harm, initial encounter	0301		1	08APR2024	08APR2024	$621
1238070	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T39312A	Poisoning by propionic acid derivatives, intentional self-harm, initial encounter	0320		1	04JUN2024	04JUN2024	$1,008
1238070	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T39312A	Poisoning by propionic acid derivatives, intentional self-harm, initial encounter	0450	25	1	04JUN2024	04JUN2024	$3,230
1243454	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		K529	Noninfective gastroenteritis and colitis, unspecified	0250		1	16JAN2024	16JAN2024	$85
1243454	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		K529	Noninfective gastroenteritis and colitis, unspecified	0301		1	16JAN2024	16JAN2024	$434
1243454	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		K529	Noninfective gastroenteritis and colitis, unspecified	0305		1	16JAN2024	16JAN2024	$506
1243454	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		K529	Noninfective gastroenteritis and colitis, unspecified	0307		1	16JAN2024	16JAN2024	$573
1243454	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		K529	Noninfective gastroenteritis and colitis, unspecified	0730		1	08APR2024	08APR2024	$596
1243454	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		K529	Noninfective gastroenteritis and colitis, unspecified	0450	25	1	08APR2024	08APR2024	$2,062
1243454	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		K529	Noninfective gastroenteritis and colitis, unspecified	0450	25	1	16JAN2024	16JAN2024	$5,117
1243454	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		K529	Noninfective gastroenteritis and colitis, unspecified	0352		1	16JAN2024	16JAN2024	$9,369
1247962	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		J168	Pneumonia due to other specified infectious organisms	0250		1	14JUL2024	14JUL2024	$68
1247962	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		J168	Pneumonia due to other specified infectious organisms	0636		1	16JAN2024	16JAN2024	$364
1247962	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		J168	Pneumonia due to other specified infectious organisms	0301		1	14JUL2024	14JUL2024	$512
1254212	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		R200	Anesthesia of skin	0259		1	19MAR2024	19MAR2024	$33
1254212	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		R200	Anesthesia of skin	0250		1	19MAR2024	19MAR2024	$90
1254212	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		R200	Anesthesia of skin	0636		1	14JUL2024	14JUL2024	$94
1254212	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		R200	Anesthesia of skin	0305		1	14JUL2024	14JUL2024	$338
1254212	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		R200	Anesthesia of skin	0301		1	19MAR2024	19MAR2024	$461
1254212	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		R200	Anesthesia of skin	0730		1	14JUL2024	14JUL2024	$581
1254212	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		R200	Anesthesia of skin	0450	25	1	14JUL2024	14JUL2024	$2,994
1255600	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		J111	Influenza due to unidentified influenza virus with other respiratory manifestations	0302		1	19MAR2024	19MAR2024	$198
1255600	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		J111	Influenza due to unidentified influenza virus with other respiratory manifestations	0305		1	19MAR2024	19MAR2024	$338
1255912	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		S61251A	Open bite of left index finger without damage to nail, initial encounter	0259		1	14DEC2024	14DEC2024	$22
1255912	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		S61251A	Open bite of left index finger without damage to nail, initial encounter	0636		1	19MAR2024	19MAR2024	$30
1255912	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		S61251A	Open bite of left index finger without damage to nail, initial encounter	0250		1	04APR2024	04APR2024	$38
1255912	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		S61251A	Open bite of left index finger without damage to nail, initial encounter	0307		1	19MAR2024	19MAR2024	$148
1255912	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		S61251A	Open bite of left index finger without damage to nail, initial encounter	0450	25	1	04APR2024	04APR2024	$820
1255912	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		S61251A	Open bite of left index finger without damage to nail, initial encounter	0320		1	19MAR2024	19MAR2024	$881
1255912	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		S61251A	Open bite of left index finger without damage to nail, initial encounter	0450		1	14DEC2024	14DEC2024	$1,143
1255912	EMERGENCY ROOM	ADVENTHEALTH DELAND	593256803	DELAND	32720	23		S61251A	Open bite of left index finger without damage to nail, initial encounter	0450	25	1	19MAR2024	19MAR2024	$2,917
1259179	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N202	Calculus of kidney with calculus of ureter	0259		1	27JUL2024	27JUL2024	$3
1259179	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N202	Calculus of kidney with calculus of ureter	0301	59	1	27JUL2024	27JUL2024	$134
1259179	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N202	Calculus of kidney with calculus of ureter	0305		1	27JUL2024	27JUL2024	$338
1259179	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N202	Calculus of kidney with calculus of ureter	0450		1	04APR2024	04APR2024	$665
1259179	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N202	Calculus of kidney with calculus of ureter	0324		1	27JUL2024	27JUL2024	$733
1259179	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N202	Calculus of kidney with calculus of ureter	0301		1	27JUL2024	27JUL2024	$844
1261815	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R051	Acute cough	0259		1	09DEC2024	09DEC2024	$5
1261815	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R051	Acute cough	0636		1	27JUL2024	27JUL2024	$30
1261815	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R051	Acute cough	0730		1	27JUL2024	27JUL2024	$596
1261815	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R051	Acute cough	0320	LT	1	09DEC2024	09DEC2024	$759
1261815	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R051	Acute cough	0450	25	1	27JUL2024	27JUL2024	$3,097
1261815	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		R051	Acute cough	0352		1	27JUL2024	27JUL2024	$14,620
1267624	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		L03115	Cellulitis of right lower limb	0320		1	09DEC2024	09DEC2024	$1,201
1267624	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		L03115	Cellulitis of right lower limb	0324		1	09DEC2024	09DEC2024	$1,286
1267882	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0259		1	23JUL2024	23JUL2024	$8
1267882	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0320	LT	1	21JAN2024	21JAN2024	$555
1267882	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0320	RT	1	10SEP2024	10SEP2024	$832
1267882	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0450		1	23JUL2024	23JUL2024	$1,401
1267882	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0450	25	1	21JAN2024	21JAN2024	$1,564
1267882	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0450	25	1	09DEC2024	09DEC2024	$2,127
1267882	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0351		1	09DEC2024	09DEC2024	$3,578
1267882	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		N390	Urinary tract infection, site not specified	0352		1	09DEC2024	09DEC2024	$4,570
1271289	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		F1090	Alcohol use, unspecified, uncomplicated	0259		1	14JUN2024	14JUN2024	$36
1271289	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		F1090	Alcohol use, unspecified, uncomplicated	0305		1	14JUN2024	14JUN2024	$618
1271289	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		F1090	Alcohol use, unspecified, uncomplicated	0324		1	14JUN2024	14JUN2024	$725
1271289	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		F1090	Alcohol use, unspecified, uncomplicated	0301		1	14JUN2024	14JUN2024	$907
1271289	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		F1090	Alcohol use, unspecified, uncomplicated	0450	25	1	10SEP2024	10SEP2024	$1,401
1271289	EMERGENCY ROOM	ADVENTHEALTH FISH MEML	593149293	ATLANTA	30394	23		F1090	Alcohol use, unspecified, uncomplicated	0450	25	1	14JUN2024	14JUN2024	$3,256
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0259		1	02DEC2024	02DEC2024	$8
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0636		1	02DEC2024	02DEC2024	$10
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0250		1	09OCT2024	09OCT2024	$46
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0636		1	23DEC2024	23DEC2024	$92
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0771	XU	1	17AUG2024	17AUG2024	$149
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0636		1	17AUG2024	17AUG2024	$159
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0307		1	23DEC2024	23DEC2024	$165
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0305		1	23DEC2024	23DEC2024	$192
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0730		1	02DEC2024	02DEC2024	$267
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0305		1	02DEC2024	02DEC2024	$338
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0301	91	1	09OCT2024	09OCT2024	$395
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0730		1	14JUN2024	14JUN2024	$581
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0320	RT	1	01SEP2024	01SEP2024	$655
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0301		1	02DEC2024	02DEC2024	$856
1272491	EMERGENCY ROOM	ADVENTHEALTH DAYTONA BCH	590973502	ATLANTA	30394	23		T82590A	Other mechanical complication of surgically created arteriovenous fistula, initial encounter	0301		1	23DEC2024	23DEC2024	$871

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Dec 15, 2025.