Rate Year 2020-21 Hospital Directed Payment Program Payments by Provider

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Rate Year 2020-21 Hospital Directed Payment Program

Payments by Provider
IGT Needed
(State Match +
SMMC Health
Hospital Annualized SMMC Region Increase Total DPP Plan Admin Net (Total Total Budget
Medicaid ID Provider Name Ownership Type Region Payments Percentage Payment Fee) Federal Share Payment - IGTs) Authority Needed
010323300 Ascension Sacred Heart Emerald Coast Private 1 $ 7,235,002 77% $ 5,594,203 $ 1,888,217 $ 3,760,983 $ 3,705,986 $ 5,649,200
010076500 Ascension Sacred Heart Pensacola Private 1 $ 38,040,395 77% $ 29,413,358 $ 9,927,920 $ 19,774,601 $ 19,485,438 $ 29,702,521
010074900 Baptist Hospital Private 1 $ 18,114,972 77% $ 14,006,746 $ 4,727,711 $ 9,416,735 $ 9,279,035 $ 14,144,446
011132500 Fort Walton Beach Medical Center Private 1 $ 9,878,527 77% $ 7,638,213 $ 2,578,134 $ 5,135,171 $ 5,060,079 $ 7,713,304
010188500 Healthmark Regional Medical Center Private 1 $ 669,301 77% $ 517,513 $ 174,677 $ 347,924 $ 342,836 $ 522,600
010173700 Jay Hospital Private 1 $ 602,244 77% $ 465,663 $ 157,176 $ 313,065 $ 308,487 $ 470,241
010126500 North Okaloosa Medical Center Private 1 $ 5,747,915 77% $ 4,444,367 $ 1,500,112 $ 2,987,948 $ 2,944,256 $ 4,488,060
010174500 Santa Rosa Medical Center Private 1 $ 5,291,441 77% $ 4,091,415 $ 1,380,979 $ 2,750,658 $ 2,710,436 $ 4,131,638
010368300 Select Specialty Hospital - Pensacola Private 1 $ 110,693 77% $ 85,590 $ 28,889 $ 57,542 $ 56,700 $ 86,431
010125700 Twin Cities Hospital Private 1 $ 1,019,781 77% $ 788,509 $ 266,146 $ 530,115 $ 522,363 $ 796,261
011321200 West Florida Hospital Private 1 $ 15,276,290 77% $ 11,811,838 $ 3,986,862 $ 7,941,099 $ 7,824,977 $ 11,927,961
010006400 Ascension Sacred Heart Bay Private 2 $ 4,812,379 95% $ 4,561,747 $ 1,539,731 $ 3,066,863 $ 3,022,016 $ 4,606,594
002012700 Ascension Sacred Heart Gulf Private 2 $ 1,391,499 95% $ 1,319,029 $ 445,213 $ 886,783 $ 873,816 $ 1,331,996
010026900 Calhoun-Liberty Hospital Private 2 $ 1,075,192 95% $ 1,019,195 $ 344,010 $ 685,205 $ 675,185 $ 1,029,215
011980600 Capital Regional Medical Center Private 2 $ 19,382,435 95% $ 18,372,985 $ 6,201,452 $ 12,352,158 $ 12,171,533 $ 18,553,610
016911900 Eastside Psychiatric Hospital Private 2 $ 360,614 95% $ 341,833 $ 115,379 $ 229,814 $ 226,453 $ 345,193
105750000 Emerald Coast Behavioral Hospital Private 2 $ 3,779,479 95% $ 3,582,641 $ 1,209,252 $ 2,408,610 $ 2,373,389 $ 3,617,862
010275000 Encompass Health Rehabilitation Hospital of Panama City Private 2 $ 19,023 95% $ 18,032 $ 6,086 $ 12,123 $ 11,946 $ 18,209
012033200 Encompass Health Rehabilitation Hospital of Tallahassee Private 2 $ 119,856 95% $ 113,614 $ 38,348 $ 76,383 $ 75,266 $ 114,731
011761700 Gulf Coast Regional Medical Center Private 2 $ 20,309,823 95% $ 19,252,075 $ 6,498,172 $ 12,943,170 $ 12,753,903 $ 19,441,342
010190700 Northwest Florida Community Hospital Private 2 $ 471,583 95% $ 447,023 $ 150,884 $ 300,534 $ 296,139 $ 451,418
010343800 Select Specialty Hospital - Panama City Private 2 $ 49,807 95% $ 47,213 $ 15,936 $ 31,741 $ 31,277 $ 47,677
010374800 Select Specialty Hospital - Tallahassee Private 2 $ 307,868 95% $ 291,834 $ 98,503 $ 196,200 $ 193,331 $ 294,703
010113300 Tallahassee Memorial Hospital Private 2 $ 11,011,182 95% $ 10,437,713 $ 3,523,052 $ 7,017,274 $ 6,914,661 $ 10,540,326
010103600 Doctors Memorial Hospital Public 2 $ 622,519 23% $ 145,429 $ 49,087 $ 97,772 $ 96,342 $ 146,859
010180000 Doctors' Memorial Hospital Public 2 $ 206,265 23% $ 48,186 $ 16,264 $ 32,396 $ 31,922 $ 48,660
010080300 George E Weems Memorial Hospital Public 2 $ 398,297 23% $ 93,047 $ 31,406 $ 62,556 $ 61,641 $ 93,962
010106100 Jackson Hospital Public 2 $ 7,495,272 23% $ 1,750,996 $ 591,016 $ 1,177,195 $ 1,159,981 $ 1,768,210
010115000 Madison County Memorial Hospital Public 2 $ 829,878 23% $ 193,871 $ 65,437 $ 130,339 $ 128,433 $ 195,777
010117600 AdventHealth Ocala Private 3 $ 22,102,286 46% $ 10,232,670 $ 3,453,843 $ 6,879,424 $ 6,778,827 $ 10,333,268
010109500 AdventHealth Waterman Private 3 $ 8,828,538 46% $ 4,087,338 $ 1,379,603 $ 2,747,917 $ 2,707,735 $ 4,127,521
010087100 Bayfront Health Brooksville Private 3 $ 7,578,043 46% $ 3,508,398 $ 1,184,193 $ 2,358,696 $ 2,324,205 $ 3,542,889
011998900 Bayfront Health Seven Rivers Private 3 $ 3,926,018 46% $ 1,817,624 $ 613,504 $ 1,221,989 $ 1,204,120 $ 1,835,493
010219900 Citrus Memorial Hospital Private 3 $ 7,045,645 46% $ 3,261,914 $ 1,100,997 $ 2,192,985 $ 2,160,917 $ 3,293,982
008369200 Encompass Health Rehabilitation Hospital of Ocala Private 3 $ - 46% $ - $ - $ - $ - $ -
010355100 Encompass Health Rehabilitation Hospital of Spring Hill Private 3 $ - 46% $ - $ - $ - $ - $ -
010353500 Kindred Hospital Ocala Private 3 $ - 46% $ - $ - $ - $ - $ -
010822700 Lake Butler Hospital Private 3 $ 289,419 46% $ 133,992 $ 45,226 $ 90,083 $ 88,765 $ 135,309
011976800 Lake City Medical Center Private 3 $ 8,226,307 46% $ 3,808,524 $ 1,285,495 $ 2,560,471 $ 2,523,029 $ 3,845,966
010862600 North Florida Regional Medical Center Private 3 $ 24,741,509 46% $ 11,454,549 $ 3,866,265 $ 7,700,893 $ 7,588,284 $ 11,567,159
012007300 Oak Hill Hospital Private 3 $ 14,407,926 46% $ 6,670,421 $ 2,251,474 $ 4,484,524 $ 4,418,947 $ 6,735,998
010988600 Ocala Regional Medical Center Private 3 $ 20,403,006 46% $ 9,445,957 $ 3,188,303 $ 6,350,517 $ 6,257,653 $ 9,538,820
010108700 Orlando Health South Lake Hospital Private 3 $ 9,649,539 46% $ 4,467,436 $ 1,507,898 $ 3,003,457 $ 2,959,538 $ 4,511,355
011351400 Putnam Community Medical Center Private 3 $ 12,213,919 46% $ 5,654,664 $ 1,908,625 $ 3,801,631 $ 3,746,040 $ 5,710,255
010114100 Regional General Hospital Williston Private 3 $ - 46% $ - $ - $ - $ - $ -
010377200 Select Specialty Hospital - Gainesville Private 3 $ 57,379 46% $ 26,565 $ 8,966 $ 17,860 $ 17,598 $ 26,826
013800200 Select Specialty Hospital -The Villages Inc Private 3 $ - 46% $ - $ - $ - $ - $ -
010033100 Shands Lake Shore Regional Medical Center Private 3 $ - 46% $ - $ - $ - $ - $ -
016552600 Springbrook Hospital Private 3 $ 4,307,412 46% $ 1,994,197 $ 673,103 $ 1,340,699 $ 1,321,094 $ 2,013,802
160000100 The Vines Hospital Private 3 $ 3,017,691 46% $ 1,397,097 $ 471,564 $ 939,268 $ 925,534 $ 1,410,832
010107900 UF Health Leesburg Hospital Inc Private 3 $ 7,321,156 46% $ 3,389,468 $ 1,144,050 $ 2,278,739 $ 2,245,417 $ 3,422,789
103449400 UF Health Rehab Hospital Private 3 $ 1,154,662 46% $ 534,573 $ 180,435 $ 359,393 $ 354,138 $ 539,828
010003000 UF Health Shands Hospital Private 3 $ 176,927,790 46% $ 81,912,060 $ 27,647,860 $ 55,069,478 $ 54,264,201 $ 82,717,338
010317900 UF Health The Villages Hospital Private 3 $ 1,739,493 46% $ 805,331 $ 271,824 $ 541,424 $ 533,507 $ 813,248
010186900 AdventHealth Daytona Beach Private 4 $ 13,182,823 46% $ 6,063,858 $ 2,046,740 $ 4,076,732 $ 4,017,118 $ 6,123,472
010187700 AdventHealth DeLand Private 4 $ 7,435,209 46% $ 3,420,060 $ 1,154,376 $ 2,299,307 $ 2,265,684 $ 3,453,683
010182600 AdventHealth Fish Memorial Private 4 $ 6,598,633 46% $ 3,035,251 $ 1,024,491 $ 2,040,599 $ 2,010,759 $ 3,065,090
010183400 AdventHealth New Smyrna Beach Private 4 $ 3,248,262 46% $ 1,494,141 $ 504,319 $ 1,004,511 $ 989,822 $ 1,508,830
010189300 AdventHealth Palm Coast Private 4 $ 8,291,291 46% $ 3,813,843 $ 1,287,290 $ 2,564,046 $ 2,526,552 $ 3,851,336
009701300 Ascension St. Vincent's Clay County Private 4 $ 4,950,172 46% $ 2,276,989 $ 768,554 $ 1,530,820 $ 1,508,434 $ 2,299,374
010073100 Ascension St. Vincent's Riverside Private 4 $ 12,627,062 46% $ 5,808,218 $ 1,960,454 $ 3,904,865 $ 3,847,765 $ 5,865,319
010373000 Ascension St. Vincent's Southside Private 4 $ 7,262,419 46% $ 3,340,580 $ 1,127,549 $ 2,245,872 $ 2,213,031 $ 3,373,421
010232600 Baptist Medical Center - Beaches Private 4 $ 3,006,225 46% $ 1,382,809 $ 466,741 $ 929,662 $ 916,068 $ 1,396,403
010064100 Baptist Medical Center Jacksonville Private 4 $ 46,168,460 46% $ 21,236,650 $ 7,168,028 $ 14,277,399 $ 14,068,622 $ 21,445,427
010123100 Baptist Medical Center Nassau Private 4 $ 3,067,865 46% $ 1,411,162 $ 476,311 $ 948,724 $ 934,851 $ 1,425,035
010064105 Baptist North Private 4 $ 1,026,527 46% $ 472,184 $ 159,377 $ 317,449 $ 312,807 $ 476,826
010064106 Wolfson Childrens Hospital Private 4 $ 58,758,608 46% $ 27,027,888 $ 9,122,750 $ 18,170,849 $ 17,905,138 $ 27,293,599
010271700 Brooks Rehabilitation Hospital Private 4 $ 11,193,764 46% $ 5,148,927 $ 1,737,923 $ 3,461,624 $ 3,411,005 $ 5,199,547
010171100 Flagler Hospital Private 4 $ 13,101,689 46% $ 6,026,538 $ 2,034,143 $ 4,051,641 $ 3,992,394 $ 6,085,785
010267900 Kindred Hospital-North Florida Private 4 $ - 46% $ - $ - $ - $ - $ -
010072200 Mayo Clinic Private 4 $ 12,739 46% $ 5,860 $ 1,978 $ 3,940 $ 3,882 $ 5,917
105531100 Medical Center of Deltona Private 4 $ 319,177 46% $ 146,816 $ 49,555 $ 98,704 $ 97,261 $ 148,259
010193100 Memorial Hospital Jacksonville Private 4 $ 25,507,410 46% $ 11,732,943 $ 3,960,232 $ 7,888,058 $ 7,772,711 $ 11,848,290
011174100 Orange Park Medical Center Private 4 $ 28,085,713 46% $ 12,918,916 $ 4,360,534 $ 8,685,387 $ 8,558,381 $ 13,045,921
024058800 River Point Behavioral Health Private 4 $ 7,066,182 46% $ 3,250,315 $ 1,097,082 $ 2,185,187 $ 2,153,233 $ 3,282,269
016486300 Select Specialty Hospital - Daytona Beach Private 4 $ - 46% $ - $ - $ - $ - $ -
017706400 Sma Behavioral Health Services Private 4 $ 433,287 46% $ 199,304 $ 67,271 $ 133,992 $ 132,033 $ 201,264
010647000 Specialty Hospital - Jacksonville Private 4 $ - 46% $ - $ - $ - $ - $ -
010067600 UF Health Jacksonville Private 4 $ 69,700,098 46% $ 32,060,774 $ 10,821,505 $ 21,554,458 $ 21,239,269 $ 32,375,963
008589300 Wekiva Springs Center Private 4 $ 2,753,425 46% $ 1,266,525 $ 427,492 $ 851,485 $ 839,034 $ 1,278,977
010004800 Ed Fraser Memorial Hospital Public 4 $ 401,490 150% $ 603,914 $ 203,840 $ 406,012 $ 400,074 $ 609,851
010184200 Halifax Health Medical Center Public 4 $ 16,946,837 150% $ 25,491,126 $ 8,604,045 $ 17,137,684 $ 16,887,081 $ 25,741,729
026002900 Northeast Florida State Hospital Public 4 $ - 150% $ - $ - $ - $ - $ -
000949600 AdventHealth Connerton Private 5 $ 1,578,936 0% $ - $ - $ - $ - $ -
010959200 AdventHealth Dade City Private 5 $ 3,790,114 0% $ - $ - $ - $ - $ -
010161300 AdventHealth North Pinellas Private 5 $ 3,642,990 0% $ - $ - $ - $ - $ -
005456800 AdventHealth Wesley Chapel Private 5 $ 5,603,644 0% $ - $ - $ - $ - $ -
010149400 AdventHealth Zephyrhills Private 5 $ 6,709,081 0% $ - $ - $ - $ - $ -
010372100 BayCare Alliant Hospital Private 5 $ 111,051 0% $ - $ - $ - $ - $ -
003300300 Baycare Behavioral Health Private 5 $ 1,997,007 0% $ - $ - $ - $ - $ -
010156700 Bayfront Health St Petersburg Private 5 $ 17,658,813 0% $ - $ - $ - $ - $ -
010175300 Encompass Health Rehabilitation Hospital of Largo Private 5 $ 161,795 0% $ - $ - $ - $ - $ -
010151600 Johns Hopkins All Children's Hospital Private 5 $ 179,552,278 0% $ - $ - $ - $ - $ -
010276800 Kindred Hospital-Bay Area-St Petersburg Private 5 $ 1,023,617 0% $ - $ - $ - $ - $ -
011974100 Largo Medical Center Private 5 $ 12,876,922 0% $ - $ - $ - $ - $ -
012008100 Mease Countryside Hospital Private 5 $ 9,768,941 0% $ - $ - $ - $ - $ -
010154100 Mease Dunedin Hospital Private 5 $ 7,808,059 0% $ - $ - $ - $ - $ -
010552000 Medical Center of Trinity Private 5 $ 13,643,663 0% $ - $ - $ - $ - $ -
010158300 Morton Plant Hospital Private 5 $ 14,931,121 0% $ - $ - $ - $ - $ -

Agency for Health Care Administation


1 Bureau of Medicaid Program Finance
10/26/2021
Rate Year 2020-21 Hospital Directed Payment Program
Payments by Provider
IGT Needed
(State Match +
SMMC Health
Hospital Annualized SMMC Region Increase Total DPP Plan Admin Net (Total Total Budget
Medicaid ID Provider Name Ownership Type Region Payments Percentage Payment Fee) Federal Share Payment - IGTs) Authority Needed
010150800 Morton Plant North Bay Hospital Private 5 $ 12,866,054 0% $ - $ - $ - $ - $ -
011669400 North Tampa Behavioral Health Private 5 $ 3,422,463 0% $ - $ - $ - $ - $ -
011519300 Northside Hospital Private 5 $ 7,363,880 0% $ - $ - $ - $ - $ -
012011100 Palms of Pasadena Hospital Private 5 $ 2,490,949 0% $ - $ - $ - $ - $ -
011988100 Regional Medical Center Bayonet Point Private 5 $ 13,022,772 0% $ - $ - $ - $ - $ -
012022700 St. Anthony's Hospital Private 5 $ 14,910,140 0% $ - $ - $ - $ - $ -
012010300 St. Petersburg General Hospital Private 5 $ 6,425,379 0% $ - $ - $ - $ - $ -
010823300 Windmoor Healthcare of Clearwater Private 5 $ 4,997,446 0% $ - $ - $ - $ - $ -
012032400 H. Lee Moffitt Cancer Center & Research Institute Hospital Cancer 6 $ 11,125,998 0% $ - $ - $ - $ - $ -
010094300 AdventHealth Carrollwood Private 6 $ 5,483,969 0% $ - $ - $ - $ - $ -
010228800 AdventHealth Heart Of Florida Private 6 $ 8,904,233 0% $ - $ - $ - $ - $ -
010166400 AdventHealth Lake Wales Private 6 $ 3,301,918 0% $ - $ - $ - $ - $ -
010090100 AdventHealth Sebring Private 6 $ 8,938,736 0% $ - $ - $ - $ - $ -
010102800 AdventHealth Tampa Private 6 $ 25,853,109 0% $ - $ - $ - $ - $ -
010260100 AdventHealth Wauchula Private 6 $ 1,609,597 0% $ - $ - $ - $ - $ -
012041300 Bartow Regional Medical Center Private 6 $ 4,143,856 0% $ - $ - $ - $ - $ -
011021300 Blake Medical Center Private 6 $ 7,557,686 0% $ - $ - $ - $ - $ -
011807900 Brandon Regional Hospital Private 6 $ 33,902,977 0% $ - $ - $ - $ - $ -
010089700 Highlands Regional Medical Center Private 6 $ 2,923,790 0% $ - $ - $ - $ - $ -
010234200 Kindred Hospital-Bay Area-Tampa Private 6 $ 1,267,029 0% $ - $ - $ - $ - $ -
010230000 Kindred Hospital-Central Tampa Private 6 $ 566,459 0% $ - $ - $ - $ - $ -
010164800 Lakeland Regional Medical Center Private 6 $ 48,373,320 0% $ - $ - $ - $ - $ -
010342000 Lakewood Ranch Medical Center Private 6 $ 1,844,131 0% $ - $ - $ - $ - $ -
010116800 Manatee Memorial Hospital Private 6 $ 13,146,554 0% $ - $ - $ - $ - $ -
011279800 Memorial Hospital of Tampa Private 6 $ 5,660,231 0% $ - $ - $ - $ - $ -
017634500 Mental Health Care, Inc. Private 6 $ 120,291 0% $ - $ - $ - $ - $ -
104784700 Palm Shores Behavioral Health Center Private 6 $ 48,206 0% $ - $ - $ - $ - $ -
070565916 Palm Shores Behavioral Health Center Private 6 $ 2,842,571 0% $ - $ - $ - $ - $ -
017662800 Peace River Center Private 6 $ 9,000 0% $ - $ - $ - $ - $ -
002576600 Shriners Hospital for Children - Tampa Private 6 $ - 0% $ - $ - $ - $ - $ -
011994600 South Bay Hospital Private 6 $ 1,808,469 0% $ - $ - $ - $ - $ -
010098600 South Florida Baptist Hospital Private 6 $ 8,146,327 0% $ - $ - $ - $ - $ -
010097802 St. Joseph's Hospital Private 6 $ 102,038,956 0% $ - $ - $ - $ - $ -
016924000 Suncoast Behavioral Health Center Private 6 $ 3,081,420 0% $ - $ - $ - $ - $ -
011984900 Tampa Community Hospital Private 6 $ - 0% $ - $ - $ - $ - $ -
010099400 Tampa General Hospital Private 6 $ 83,080,653 0% $ - $ - $ - $ - $ -
010169900 Winter Haven Hospital Private 6 $ 19,973,873 0% $ - $ - $ - $ - $ -
010129000 AdventHealth Celebration Private 7 $ 183,669,903 69% $ 127,631,975 $ 43,079,748 $ 85,806,976 $ 84,552,227 $ 128,886,724
010009900 Cape Canaveral Hospital Private 7 $ 2,439,981 69% $ 1,695,539 $ 572,297 $ 1,139,911 $ 1,123,242 $ 1,712,208
017079000 Central Florida Behavioral Hospital Private 7 $ 14,938,546 69% $ 10,380,776 $ 3,503,834 $ 6,978,996 $ 6,876,942 $ 10,482,829
010178800 Central Florida Regional Hospital Private 7 $ 10,115,324 69% $ 7,029,126 $ 2,372,548 $ 4,725,681 $ 4,656,578 $ 7,098,229
016552300 Circles of Care, Inc. Private 7 $ 1,126,064 69% $ 782,500 $ 264,118 $ 526,075 $ 518,382 $ 790,193
014235500 Encompass Health Rehabilitation Hospital of Altamonte Springs Private 7 $ - 69% $ - $ - $ - $ - $ -
010008100 Holmes Regional Medical Center Private 7 $ 9,527,405 69% $ 6,620,581 $ 2,234,651 $ 4,451,017 $ 4,385,930 $ 6,685,668
001681500 Kindred Hospital Melbourne Private 7 $ 244,964 69% $ 170,225 $ 57,456 $ 114,442 $ 112,769 $ 171,898
017078300 Lakeside Behavioral Healthcare Inc. Private 7 $ 2,652,610 69% $ 1,843,295 $ 622,169 $ 1,239,247 $ 1,221,126 $ 1,861,416
010320900 Melbourne Regional Medical Center Private 7 $ 2,436,992 69% $ 1,693,463 $ 571,596 $ 1,138,515 $ 1,121,866 $ 1,710,111
004087600 Nemours Children's Hospital Private 7 $ 78,137,685 69% $ 54,297,775 $ 18,327,182 $ 36,504,394 $ 35,970,592 $ 54,831,576
010135400 Orlando Health - Health Central Hospital Private 7 $ 11,355,452 69% $ 7,890,889 $ 2,663,420 $ 5,305,045 $ 5,227,469 $ 7,968,464
010346200 Orlando Health St. Cloud Hospital Private 7 $ 3,630,150 69% $ 2,522,586 $ 851,451 $ 1,695,935 $ 1,671,135 $ 2,547,386
010133800 Orlando Regional Medical Center Private 7 $ 177,729,026 69% $ 123,503,667 $ 41,686,316 $ 83,031,515 $ 81,817,350 $ 124,717,831
010138900 Osceola Regional Medical Center Private 7 $ 25,001,315 69% $ 17,373,381 $ 5,864,055 $ 11,680,124 $ 11,509,326 $ 17,544,179
021094100 Oviedo Medical Center Private 7 $ 4,232,328 69% $ 2,941,039 $ 992,692 $ 1,977,261 $ 1,948,347 $ 2,969,953
003297500 Palm Bay Hospital Private 7 $ 2,400,980 69% $ 1,668,438 $ 563,149 $ 1,121,691 $ 1,105,288 $ 1,684,840
101334000 Palm Point Behavioral Health Private 7 $ 2,599,415 69% $ 1,806,330 $ 609,692 $ 1,214,396 $ 1,196,638 $ 1,824,088
009268300 Poinciana Medical Center Private 7 $ 5,899,631 69% $ 4,099,646 $ 1,383,758 $ 2,756,192 $ 2,715,888 $ 4,139,950
010011100 Rockledge Regional Medical Center Private 7 $ 9,209,753 69% $ 6,399,845 $ 2,160,146 $ 4,302,616 $ 4,239,699 $ 6,462,762
012042100 Sea Pines Rehabilitation Hospital Affiliate of Encompass Health Private 7 $ 19,816 69% $ 13,770 $ 4,648 $ 9,258 $ 9,122 $ 13,905
010339000 Select Specialty Hospital - Orlando (North Campus) Private 7 $ - 69% $ - $ - $ - $ - $ -
360086617 University Behavioral Center Private 7 $ 7,430,003 69% $ 5,163,099 $ 1,742,706 $ 3,471,152 $ 3,420,393 $ 5,213,858
003158800 Viera Hospital Private 7 $ 721,121 69% $ 501,106 $ 169,139 $ 336,894 $ 331,967 $ 506,032
010010200 Parrish Medical Center Public 7 $ 4,857,048 126% $ 6,134,796 $ 2,070,684 $ 4,124,424 $ 4,064,112 $ 6,195,108
010028500 Bayfront Health Port Charlotte Private 8 $ 5,852,812 96% $ 5,636,709 $ 1,902,564 $ 3,789,559 $ 3,734,145 $ 5,692,123
010027700 Bayfront Health Punta Gorda Private 8 $ 1,852,731 96% $ 1,784,322 $ 602,264 $ 1,199,600 $ 1,182,058 $ 1,801,864
017738500 David Lawrence Center Private 8 $ - 96% $ - $ - $ - $ - $ -
011995400 Doctors Hospital Of Sarasota Private 8 $ 2,826,714 96% $ 2,722,343 $ 918,875 $ 1,830,231 $ 1,803,468 $ 2,749,106
012038300 Encompass Health Rehabilitation Hospital of Sarasota Private 8 $ 19,162 96% $ 18,455 $ 6,229 $ 12,407 $ 12,226 $ 18,636
010253900 Englewood Community Hospital Private 8 $ 904,103 96% $ 870,721 $ 293,895 $ 585,385 $ 576,825 $ 879,281
011746300 Fawcett Memorial Hospital Private 8 $ 3,690,366 96% $ 3,554,107 $ 1,199,621 $ 2,389,426 $ 2,354,486 $ 3,589,047
016431100 Landmark Hospital of Southwest Florida Private 8 $ 189,185 96% $ 182,200 $ 61,498 $ 122,493 $ 120,702 $ 183,991
010111700 Lehigh Regional Medical Center Private 8 $ 1,655,354 96% $ 1,594,234 $ 538,103 $ 1,071,803 $ 1,056,130 $ 1,609,907
010031500 Naples Community Hospital Private 8 $ 8,844,120 96% $ 8,517,569 $ 2,874,943 $ 5,726,361 $ 5,642,625 $ 8,601,305
010356000 PAM Specialty Hospital of Sarasota Private 8 $ - 96% $ - $ - $ - $ - $ -
016551100 Park Royal Hospital Private 8 $ 6,188,809 96% $ 5,960,300 $ 2,011,786 $ 4,007,110 $ 3,948,514 $ 6,018,896
010314400 Physicians Regional Medical Center - Pine Ridge Private 8 $ 3,684,464 96% $ 3,548,422 $ 1,197,703 $ 2,385,604 $ 2,350,720 $ 3,583,307
013854800 Select Specialty Hospital - Fort Myers Private 8 $ 11,448 96% $ 11,025 $ 3,721 $ 7,412 $ 7,304 $ 11,134
011973300 Venice Regional Bayfront Health Private 8 $ 1,387,089 96% $ 1,335,874 $ 450,899 $ 898,108 $ 884,975 $ 1,349,007
011971700 Cape Coral Hospital Public 8 $ 8,120,390 112% $ 9,073,936 $ 3,062,735 $ 6,100,407 $ 6,011,201 $ 9,163,142
010192300 Desoto Memorial Hospital Public 8 $ 4,519,589 112% $ 5,050,307 $ 1,704,635 $ 3,395,321 $ 3,345,672 $ 5,099,956
011134100 Gulf Coast Medical Center Lee Memorial Health System Public 8 $ 7,318,798 112% $ 8,178,216 $ 2,760,401 $ 5,498,214 $ 5,417,814 $ 8,258,616
010086200 Hendry Regional Medical Center Public 8 $ 2,589,405 112% $ 2,893,469 $ 976,636 $ 1,945,279 $ 1,916,834 $ 2,921,915
010110900 Lee Memorial Hospital Public 8 $ 25,351,098 112% $ 28,327,978 $ 9,561,571 $ 19,044,900 $ 18,766,407 $ 28,606,471
010176100 Sarasota Memorial Hospital Public 8 $ 23,899,946 112% $ 26,706,424 $ 9,014,246 $ 17,954,729 $ 17,692,178 $ 26,968,974
010140100 Bethesda Hospital East Private 9 $ 13,593,789 74% $ 10,079,539 $ 3,402,157 $ 6,776,474 $ 6,677,382 $ 10,178,631
010141900 Boca Raton Regional Hospital Private 9 $ 2,036,023 74% $ 1,509,673 $ 509,561 $ 1,014,953 $ 1,000,112 $ 1,524,515
010104400 Cleveland Clinic Indian River Hospital Private 9 $ 7,875,845 74% $ 5,839,791 $ 1,971,111 $ 3,926,092 $ 3,868,681 $ 5,897,202
010118400 Cleveland Clinic Martin North Hospital Private 9 $ 15,086,603 74% $ 11,186,432 $ 3,775,768 $ 7,520,638 $ 7,410,664 $ 11,296,406
022041500 Coral Shores Behavioral Health Private 9 $ 1,371,913 74% $ 1,017,248 $ 343,353 $ 683,896 $ 673,895 $ 1,027,249
012009000 Delray Medical Center Private 9 $ 6,980,717 74% $ 5,176,070 $ 1,747,084 $ 3,479,872 $ 3,428,986 $ 5,226,956
009587500 Encompass Health Rehab Hospital an Affiliate of Martin Health Private 9 $ 101,905 74% $ 75,561 $ 25,504 $ 50,799 $ 50,057 $ 76,303
012034100 Encompass Health Rehabilitation Hospital of Treasure Coast Private 9 $ - 74% $ - $ - $ - $ - $ -
010152400 Good Samaritan Medical Center Private 9 $ 10,973,361 74% $ 8,136,541 $ 2,746,335 $ 5,470,196 $ 5,390,206 $ 8,216,531
010146000 JFK Medical Center Private 9 $ 22,756,249 74% $ 16,873,330 $ 5,695,272 $ 11,343,940 $ 11,178,058 $ 17,039,212
012029400 Jupiter Medical Center Private 9 $ 3,637,547 74% $ 2,697,173 $ 910,379 $ 1,813,309 $ 1,786,793 $ 2,723,689
000417000 Kindred Hospital The Palm Beaches Private 9 $ 110,592 74% $ 82,002 $ 27,678 $ 55,130 $ 54,324 $ 82,808
011969500 Lawnwood Regional Medical Center & Heart Institute Private 9 $ 27,275,162 74% $ 20,224,019 $ 6,826,233 $ 13,596,608 $ 13,397,786 $ 20,422,841
010210500 Palm Beach Gardens Medical Center Private 9 $ 5,353,524 74% $ 3,969,537 $ 1,339,842 $ 2,668,720 $ 2,629,695 $ 4,008,562
012026000 Palms West Hospital Private 9 $ 17,601,951 74% $ 13,051,515 $ 4,405,291 $ 8,774,534 $ 8,646,224 $ 13,179,825
004805200 Port St. Lucie Hospital Private 9 $ 2,473,012 74% $ 1,833,692 $ 618,928 $ 1,232,791 $ 1,214,764 $ 1,851,719

Agency for Health Care Administation


2 Bureau of Medicaid Program Finance
10/26/2021
Rate Year 2020-21 Hospital Directed Payment Program
Payments by Provider
IGT Needed
(State Match +
SMMC Health
Hospital Annualized SMMC Region Increase Total DPP Plan Admin Net (Total Total Budget
Medicaid ID Provider Name Ownership Type Region Payments Percentage Payment Fee) Federal Share Payment - IGTs) Authority Needed
011975000 Raulerson Hospital Private 9 $ 7,414,291 74% $ 5,497,558 $ 1,855,596 $ 3,696,008 $ 3,641,961 $ 5,551,604
070694917 Sandy Pines Behavioral Private 9 $ 5,214,718 74% $ 3,866,615 $ 1,305,103 $ 2,599,525 $ 2,561,513 $ 3,904,628
010376400 Select Specialty Hospital - Palm Beach Private 9 $ 719,936 74% $ 533,819 $ 180,181 $ 358,887 $ 353,639 $ 539,067
011997100 St. Lucie Medical Center Private 9 $ 7,948,211 74% $ 5,893,449 $ 1,989,222 $ 3,962,166 $ 3,904,227 $ 5,951,388
010148600 St. Mary's Medical Center Private 9 $ 50,266,730 74% $ 37,271,834 $ 12,580,399 $ 25,057,854 $ 24,691,434 $ 37,638,253
012001400 Steward Sebastian River Medical Center Private 9 $ 1,966,046 74% $ 1,457,786 $ 492,048 $ 980,070 $ 965,738 $ 1,472,118
010213000 Wellington Regional Medical Center Private 9 $ 8,673,815 74% $ 6,431,471 $ 2,170,821 $ 4,323,878 $ 4,260,650 $ 6,494,699
012024300 West Boca Medical Center Private 9 $ 10,836,545 74% $ 8,035,094 $ 2,712,093 $ 5,401,994 $ 5,323,001 $ 8,114,087
010144300 Lakeside Medical Center Public 9 $ 4,952,708 97% $ 4,810,567 $ 1,623,716 $ 3,234,144 $ 3,186,852 $ 4,857,860
010220200 Cleveland Clinic Hospital Private 10 $ 2,106,193 0% $ - $ - $ - $ - $ -
012027800 Encompass Health Rehabilitation Hospital of Sunrise Private 10 $ - 0% $ - $ - $ - $ - $ -
029582516 Florida Palms Academy Private 10 $ 1,365,761 0% $ - $ - $ - $ - $ -
010357800 Fort Lauderdale Hospital Private 10 $ 13,806,037 0% $ - $ - $ - $ - $ -
010018800 Holy Cross Hospital Private 10 $ 4,850,854 0% $ - $ - $ - $ - $ -
010019600 Kindred Hospital-South Florida-Ft Lauderdale Private 10 $ 53,700 0% $ - $ - $ - $ - $ -
010191500 Kindred Hospital-South Florida-Hollywood Private 10 $ 1,551,089 0% $ - $ - $ - $ - $ -
015775700 Larkin Community Hospital Behavioral Health Private 10 $ 1,885,298 0% $ - $ - $ - $ - $ -
010459100 Northwest Medical Center Private 10 $ 14,574,664 0% $ - $ - $ - $ - $ -
012000600 Plantation General Hospital Private 10 $ 25,592,127 0% $ - $ - $ - $ - $ -
016972100 St John's Rehabilitation Hospital Private 10 $ - 0% $ - $ - $ - $ - $ -
010240700 St. Anthony's Rehabilitation Hospital Private 10 $ 454,152 0% $ - $ - $ - $ - $ -
011280100 University Hospital and Medical Center Private 10 $ 1,747,343 0% $ - $ - $ - $ - $ -
011230500 Westside Regional Medical Center Private 10 $ 6,480,222 0% $ - $ - $ - $ - $ -
012040500 Broward Health Coral Springs Public 10 $ 12,919,135 91% $ 11,740,760 $ 3,962,871 $ 7,893,313 $ 7,777,890 $ 11,856,184
010821900 Broward Health Imperial Point Public 10 $ 5,421,476 91% $ 4,926,975 $ 1,663,007 $ 3,312,405 $ 3,263,968 $ 4,975,412
010012900 Broward Health Medical Center Public 10 $ 46,634,888 91% $ 42,381,247 $ 14,304,985 $ 28,492,912 $ 28,076,262 $ 42,797,897
010021800 Broward Health North Public 10 $ 10,864,123 91% $ 9,873,190 $ 3,332,508 $ 6,637,745 $ 6,540,682 $ 9,970,253
010345400 Memorial Hospital Miramar Public 10 $ 9,961,349 91% $ 9,052,759 $ 3,055,587 $ 6,086,170 $ 5,997,172 $ 9,141,757
010222900 Memorial Hospital Pembroke Public 10 $ 6,144,714 91% $ 5,584,245 $ 1,884,856 $ 3,754,288 $ 3,699,389 $ 5,639,143
010252100 Memorial Hospital West Public 10 $ 18,282,451 91% $ 16,614,880 $ 5,608,037 $ 11,170,184 $ 11,006,843 $ 16,778,221
010020000 Memorial Regional Hospital Public 10 $ 88,300,343 91% $ 80,246,330 $ 27,085,624 $ 53,949,608 $ 53,160,706 $ 81,035,232
026004500 South Florida State Hospital Public 10 $ - 91% $ - $ - $ - $ - $ -
010047100 University of Miami Hospital and Clinics Cancer 11 $ 25,647,004 0% $ - $ - $ - $ - $ -
012037500 Aventura Hospital and Medical Center Private 11 $ 12,449,593 77% $ 9,641,172 $ 3,254,194 $ 6,481,760 $ 6,386,977 $ 9,735,954
010035800 Baptist Hospital of Miami Private 11 $ 20,288,614 77% $ 15,711,839 $ 5,303,233 $ 10,563,069 $ 10,408,606 $ 15,866,302
017707300 Community Health of South Florida Inc Private 11 $ - 77% $ - $ - $ - $ - $ -
010960600 Coral Gables Hospital Private 11 $ 3,635,583 77% $ 2,815,456 $ 950,304 $ 1,892,831 $ 1,865,152 $ 2,843,135
010354300 Doctors Hospital Private 11 $ 843,057 77% $ 652,877 $ 220,366 $ 438,930 $ 432,511 $ 659,296
010277600 Douglas Gardens Hospital Private 11 $ 971 77% $ 752 $ 254 $ 506 $ 498 $ 760
010270900 Encompass Health Rehabilitation Hospital of Miami Private 11 $ 612,794 77% $ 474,557 $ 160,178 $ 319,045 $ 314,380 $ 479,223
010120600 Fishermen's Hospital Private 11 $ 261,562 77% $ 202,558 $ 68,370 $ 136,180 $ 134,189 $ 204,550
010041200 Hialeah Hospital Private 11 $ 8,869,224 77% $ 6,868,474 $ 2,318,323 $ 4,617,675 $ 4,550,151 $ 6,935,998
010226100 Homestead Hospital Private 11 $ 9,828,035 77% $ 7,610,993 $ 2,568,946 $ 5,116,871 $ 5,042,047 $ 7,685,817
012013800 Kendall Regional Medical Center Private 11 $ 27,759,933 77% $ 21,497,752 $ 7,256,158 $ 14,452,939 $ 14,241,594 $ 21,709,097
011993800 Kindred Hospital-South Florida-Coral Gables Private 11 $ 522,514 77% $ 404,644 $ 136,580 $ 272,042 $ 268,064 $ 408,622
012005700 Larkin Community Hospital Private 11 $ 1,938,301 77% $ 1,501,052 $ 506,652 $ 1,009,157 $ 994,401 $ 1,515,809
010053600 Larkin Community Hospital Palm Springs Campus Private 11 $ 1,041,161 77% $ 806,293 $ 272,149 $ 542,071 $ 534,144 $ 814,219
010119200 Lower Keys Medical Center Private 11 $ 3,680,620 77% $ 2,850,334 $ 962,076 $ 1,916,279 $ 1,888,258 $ 2,878,355
010121400 Mariners Hospital Private 11 $ 658,953 77% $ 510,304 $ 172,243 $ 343,077 $ 338,060 $ 515,321
012000601 Mercy Hospital Private 11 $ 14,820,241 77% $ 11,477,040 $ 3,873,857 $ 7,716,014 $ 7,603,183 $ 11,589,871
013968500 Miami Gardens Dialysis Private 11 $ 153,658 77% $ 118,995 $ 40,165 $ 80,001 $ 78,831 $ 120,165
010046300 Mount Sinai Medical Center Private 11 $ 7,937,136 77% $ 6,146,650 $ 2,074,685 $ 4,132,393 $ 4,071,965 $ 6,207,078
010060900 Nicklaus Children's Hospital Private 11 $ 190,418,739 77% $ 147,463,428 $ 49,773,478 $ 99,139,663 $ 97,689,950 $ 148,913,141
010049800 North Shore Medical Center Private 11 $ 25,951,874 77% $ 20,097,562 $ 6,783,550 $ 13,511,591 $ 13,314,012 $ 20,295,141
010460400 Palmetto General Hospital Private 11 $ 19,417,176 77% $ 15,036,983 $ 5,075,448 $ 10,109,364 $ 9,961,535 $ 15,184,812
010337300 Select Specialty Hospital - Miami Private 11 $ 33,216 77% $ 25,723 $ 8,682 $ 17,293 $ 17,041 $ 25,976
019556500 Select Specialty Hospital - Miami Lakes Private 11 $ - 77% $ - $ - $ - $ - $ -
010058700 South Miami Hospital Private 11 $ 14,890,019 77% $ 11,531,078 $ 3,892,096 $ 7,752,344 $ 7,638,981 $ 11,644,440
016949600 Southern Winds Private 11 $ 2,885,246 77% $ 2,234,382 $ 754,173 $ 1,502,175 $ 1,480,209 $ 2,256,349
012002200 St. Catherine's Rehabilitation Hospital Private 11 $ 483,588 77% $ 374,499 $ 126,405 $ 251,775 $ 248,094 $ 378,180
010170200 West Gables Rehabilitation Hospital Private 11 $ 3,464,076 77% $ 2,682,638 $ 905,473 $ 1,803,537 $ 1,777,164 $ 2,709,011
003226500 West Kendall Baptist Hospital Private 11 $ 6,824,485 77% $ 5,284,995 $ 1,783,850 $ 3,553,102 $ 3,501,145 $ 5,336,951
010062500 Westchester General Hospital Private 11 $ 1,853,281 77% $ 1,435,211 $ 484,428 $ 964,892 $ 950,783 $ 1,449,321
010042100 Jackson Memorial Hospital Public 11 $ 118,350,026 158% $ 186,942,861 $ 63,099,011 $ 125,681,685 $ 123,843,850 $ 188,780,696
010042139 Jackson Memorial Hospital - Psych Unit Public 11 $ 1,079,535 158% $ 1,705,208 $ 575,560 $ 1,146,411 $ 1,129,647 $ 1,721,972
010042146 Jackson Memorial Hospital - Tuberculosis Public 11 $ 12,825,733 158% $ 20,259,219 $ 6,838,115 $ 13,620,273 $ 13,421,105 $ 20,458,388
Total $ 3,328,747,269 $ 1,843,598,932 $ 622,271,791 $ 1,239,451,562 $ 1,221,327,141 $ 1,861,723,353

Agency for Health Care Administation


3 Bureau of Medicaid Program Finance
10/26/2021

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