Purchase Order Information

Summary

Agency Name: DEPARTMENT OF HEALTH	Purchase Order Number: C76ABB
Purchase Order Title: 008-643628 66/104; FY 26/27; RK; BPO Central Florida Imaging; Tuberculosis; Chest X-ray	Vendor Name: CENTRAL FLORIDA IMAGING CENTER
Total Purchase Order Amount: $900.00	Total Budgetary Amount: $900.00
Total Payment To Date: NA	Order Date: 07/01/2026

Details
Deliverables
Payments
Documents

Main Information

Purchase Order Number: C76ABB

Purchase Order Status: Ordered

Order Date: 07/01/2026

Purchase Order Beginning Date: 07/01/2026

Purchase Order Ending Date: 06/30/2027

Purchase Order Fiscal Year: 2026-2027

Purchase Order Title: 008-643628 66/104; FY 26/27; RK; BPO Central Florida Imaging; Tuberculosis; Chest X-ray

Vendor Information

Name Line 1: CENTRAL FLORIDA IMAGING CENTER

Name Line 2: CENTRAL FLORIDA IMAGING CENTER

City State Zip: SEBRING FL 338700000

Minority Vendor Designation: Non-Minority

Budget Information

Total Purchase Order Amount: $900.00

Total Budgetary Amount: $900.00

Download Budget Information

Budgetary Amount	Account Code	FY
$900.00	64-20-2-141001-64200700-28-100777-00	2026-2027

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LINE ITEM NUMBER

COMMODITY TYPE

STATE TERM CONTRACT ID

AGENCY SOLICITATION NUMBER

Quantity

Unit Price

Total Unit Price

X ray laboratory services

650.0000

$1.0000

$650.00

The Provider, Central Florida Imaging Center, agrees to provide services and reports for patients referred by the Florida Department of Health in Highlands County (The Department) that present to Cent...

Line Item Description: The Provider, Central Florida Imaging Center, agrees to provide services and reports for patients referred by the Florida Department of Health in Highlands County (The Department) that present to Central Florida Imaging Center (The Provider) an Authorization For Service Form (given to patient by The Department). Coverage period: 7/1/2026 through 6/30/2027. 1. The Department is not responsible for cost incurred by outside contracted providers (i.e., Radiology reports or films sent to outside contractors for read or consultation.) 2. The Department will pay the current Medicaid line-item rate/or the most reasonable rate available. 3. The Department will pay for the delivery of this service in accordance with the terms of this contract: Cost per service per client: $50.00 using CPT 71020 Two View Chest X-Ray to aid in the diagnosis of Tuberculosis. 6. This service is waived from Florida Statue 287.058

Method of Procurement: Purchase under $2,500 [Rule 60A-1.002(2), F.A.C.]

Line Split Details:

Split Accounting Line Number: 1

FLAIR Contract ID:

Org. Code and Description: 64362866104 -

Object Code and Description: 132019 -

Account Code: 64-20-2-141001-64200700-28-100777-00

Split Amount: $650.00

X ray laboratory services

250.0000

$1.0000

$250.00

Line Item Description: The Provider, Central Florida Imaging Center, agrees to provide services and reports for patients referred by the Florida Department of Health in Highlands County (The Department) that present to Central Florida Imaging Center (The Provider) an Authorization For Service Form (given to patient by The Department). Coverage period: 7/1/2026 through 6/30/2027. 1. The Department is not responsible for cost incurred by outside contracted providers (i.e., Radiology reports or films sent to outside contractors for read or consultation.) 2. The Department will pay the current Medicaid line-item rate/or the most reasonable rate available. 3. The Department will pay for the delivery of this service in accordance with the terms of this contract: Cost per service per client: $250.00 Current Procedural Terminology (CPT) Code 71260 CT Scan, Thorax; w/contrast Material to aid in the diagnosis of Tuberculosis. For FY 7/1/2025 - 6/30/2026 6. This service is waived from Florida Statue 287.058

Method of Procurement: Purchase under $2,500 [Rule 60A-1.002(2), F.A.C.]

Line Split Details:

Split Accounting Line Number: 1

FLAIR Contract ID:

Org. Code and Description: 64362866104 -

Object Code and Description: 132019 -

Account Code: 64-20-2-141001-64200700-28-100777-00

Split Amount: $250.00

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Payments, also known as expenditures, refer to the creation or incurrence of a legal obligation to disburse money. They also encompass disbursements, which are the actual payments of expenditures, as well as accounting adjustments made on a contract. Payments always reflect positive amounts, whereas accounting adjustments may be positive or negative, depending on the nature of the adjustment. Not all adjustments are reflected in FACTS.

If a payment or adjustment to a purchase order was made before July 1, 2013, the information may not be posted in this system.

Purchase Order Document