Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Nemours Children's Health, the Villages, Florida, Primary Care

Nemours Children's Health, the Villages, Florida, Primary Care was paid $1.04M by Medicaid between May 2021 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoNEMOURS CHILDREN'S HEALTH, THE VILLAGES, FLORIDA, PRIMARY CARE
THE VILLAGES, FL 32159
33aNPI1043889215assigned 06/22/2021
33bProvider typePediatrics Physician
28Total paid$1.04M
24GClaims20,055
24DCodes billed36
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#259 of 971
Median peer was paid$238K
This provider vs. median4.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BRIDGES, ROBERT controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20212,062$103K
20226,944$365K
20237,993$406K
2024incomplete3,056$166K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 4,470 4,164 $267K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20% 2,027 1,895 $205K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 1,457 1,348 $143K
90460 Immunization administration through 18 years of age via any route, first or only component 14% 2,630 2,367 $142K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10% 1,376 1,143 $107K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.9% 596 553 $61K
90461 3.6% 1,332 1,109 $37K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.5% 275 269 $26K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 166 164 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 57 57 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 371 355 $5K
90670 <1% 318 299 $4K
24 more codes
99188 <1% 310 $4K
99381 <1% 27 $4K
99215 Doctor's office visit, returning patient (complex) <1% 12 $2K
80061 Lipid panel <1% 295 $2K
99383 <1% 12 $2K
90723 <1% 165 $1K
90686 <1% 535 $1K
99173 <1% 332 $1K
90680 <1% 60 $995.50
83655 <1% 133 $929.88
92551 <1% 519 $795.33
99177 <1% 348 $693.00
96161 <1% 490 $650.00
85018 <1% 507 $631.00
90647 <1% 178 $544.00
90710 <1% 12 $512.53
36416 <1% 665 $504.00
90633 <1% 73 $260.00
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 203 $233.24
99203 Doctor's office visit, new patient (routine) <1% 19 $183.09
96127 <1% 24 $167.93
90674 <1% 34 $164.00
90472 Immunization administration, each additional vaccine (list separately) <1% 13 $109.20
90656 0% 14 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBRIDGES, ROBERT (EVP, OPERATIONS)
Parent organizationCHILDREN'S HEALTH ALLIANCE, LLC
Same official

Other billing entities under BRIDGES, ROBERT

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.