Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEMOURS CHILDREN'S HEALTH, THE VILLAGES, FLORIDA, PRIMARY CARE

NPI: 1043889215 · THE VILLAGES, FL 32159 · Pediatrics Physician · NPI assigned 06/22/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BRIDGES, ROBERT controls 18+ related entities in our dataset. Read more

$1.04M
Total Medicaid Paid
20,055
Total Claims
18,363
Beneficiaries
36
Codes Billed
2021-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRIDGES, ROBERT (EVP, OPERATIONS)
Parent OrganizationCHILDREN'S HEALTH ALLIANCE, LLC
NPI Enumeration Date06/22/2021

Related Entities

Other providers sharing the same authorized official: BRIDGES, ROBERT

ProviderCityStateTotal Paid
CHILDREN'S HEALTH ALLIANCE, LLC ORLANDO FL $9.60M
NEMOURS CHIDLREN'S HEALTH, KISSIMMEE, PRIMARY CARE KISSIMMEE FL $2.52M
NEMOURS CHILDREN'S HEALTH, SANFORD, PRIMARY CARE SANFORD FL $1.37M
NEMOURS CHILDREN'S HEALTH, OVIEDO, PRIMARY CARE OVIEDO FL $1.01M
NEMOURS CHILDREN'S HEALTH, WINDERMERE, PRIMARY CARE ORLANDO FL $813K
NEMOURS CHILDREN'S HEALTH, MAITLAND, PRIMARY CARE MAITLAND FL $705K
NEMOURS CHILDREN'S HEALTH, LONGWOOD, PRIMARY CARE LONGWOOD FL $650K
NEMOURS CHILDREN'S HEALTH, CELEBRATION, PRIMARY CARE CELEBRATION FL $626K
NEMOURS CHILDREN'S HEALTH, ALAFAYA, PRIMARY CARE ORLANDO FL $589K
NEMOURS CHILDREN'S HEALTH, DOWNTOWN ORLANDO, PRIMARY CARE ORLANDO FL $551K
NEMOURS CHILDREN'S HEALTH, VERO BEACH, PRIMARY CARE VERO BEACH FL $535K
NEMOURS CHILDREN'S HEALTH, CLERMONT, PRIMARY CARE CLERMONT FL $465K
NEMOURS CHILDREN'S HEALTH, HORIZON WEST, PRIMARY CARE WINDERMERE FL $452K
NEMOURS CHILDREN'S HEALTH, PALM BAY, PRIMARY CARE PALM BAY FL $451K
NEMOURS CHILDREN'S HEALTH, WINTER HAVEN, PRIMARY CARE WINTER HAVEN FL $417K
NEMOURS CHILDREN'S HEALTH, WINTER GARDEN, PRIMARY CARE WINTER GARDEN FL $177K
NEMOURS CHILDREN'S HEALTH, ORMOND BEACH, PRIMARY CARE ORMOND BEACH FL $17K
NEMOURS CHILDREN'S HEALTH, ST. CLOUD, PRIMARY CARE SAINT CLOUD FL $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 2,062 $103K
2022 6,944 $365K
2023 7,993 $406K
2024 3,056 $166K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,470 4,164 $267K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,027 1,895 $205K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,457 1,348 $143K
90460 Immunization administration through 18 years of age via any route, first or only component 2,630 2,367 $142K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,376 1,143 $107K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 596 553 $61K
90461 1,332 1,109 $37K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 275 269 $26K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 166 164 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 57 57 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 371 355 $5K
90670 318 299 $4K
99188 310 287 $4K
99381 27 27 $4K
99215 Prolong outpt/office vis 12 12 $2K
80061 Lipid panel 295 273 $2K
99383 12 12 $2K
90723 165 153 $1K
90686 535 528 $1K
99173 332 312 $1K
90680 60 58 $995.50
83655 133 132 $929.88
92551 519 459 $795.33
99177 348 324 $693.00
96161 490 455 $650.00
85018 507 466 $631.00
90647 178 168 $544.00
90710 12 12 $512.53
36416 665 608 $504.00
90633 73 72 $260.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 203 179 $233.24
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19 19 $183.09
96127 24 24 $167.93
90674 34 34 $164.00
90472 Immunization administration, each additional vaccine (list separately) 13 13 $109.20
90656 14 13 $0.00