Medicaid Provider Spending

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

NEMOURS CHILDREN'S HEALTH, DOWNTOWN ORLANDO, SPECIALTY CARE

NPI: 1215505508 · ORLANDO, FL 32806 · Multi-Specialty Clinic/Center · NPI assigned 06/14/2021

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

Authorized official MCKENDREE, RODNEY controls 16+ related entities in our dataset. Read more

$44.36M
Total Medicaid Paid
424,074
Total Claims
383,926
Beneficiaries
167
Codes Billed
2020-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCKENDREE, RODNEY (VP, FINANCE)
Parent OrganizationTHE NEMOURS FOUNDATION
NPI Enumeration Date06/14/2021

Related Entities

Other providers sharing the same authorized official: MCKENDREE, RODNEY

ProviderCityStateTotal Paid
THE NEMOURS FOUNDATION ORLANDO FL $104.95M
THE NEMOURS FOUNDATION JACKSONVILLE FL $46.19M
NEMOURS CHILDREN'S HEALTH, JACKSONVILLE, SPECIALTY CARE JACKSONVILLE FL $23.57M
NEMOURS CHILDREN'S HEALTH, LAKE NONA MEDICAL CITY, SPECIALTY CARE ORLANDO FL $6.85M
NEMOURS CHILDREN'S HEALTH, PENSACOLA, SPECIALTY CARE PENSACOLA FL $3.99M
THE NEMOURS FOUNDATION ORLANDO FL $3.99M
NEMOURS CHILDREN'S HEALTH, KISSIMMEE, URGENT CARE KISSIMMEE FL $2.48M
NEMOURS CHILDREN'S HEALTH, LAKE NONA, SPECIALTY CARE ORLANDO FL $1.34M
NEMOURS CHILDREN'S HEALTH, TITUSVILLE, SPECIALTY CARE TITUSVILLE FL $1.20M
NEMOURS CHILDREN'S HEALTH, WATERFORD LAKES, SPECIALTY CARE ORLANDO FL $874K
NEMOURS CHILDREN'S HEALTH, LAKELAND, SPECIALTY CARE LAKELAND FL $445K
NEMOURS CHILDREN'S HEALTH, JACKSONVILLE SOUTH, SPECIALTY CARE JACKSONVILLE FL $190K
NEMOURS CHILDREN'S HEALTH, LAKE MARY, SPECIALTY CARE LAKE MARY FL $17K
NEMOURS CHILDREN'S HEALTH, SANFORD, URGENT CARE SANFORD FL $3K
THE NEMOURS FOUNDATION GLEN MILLS PA $2K
NEMOURS CHILDREN'S HEALTH, NOCATEE, SPECIALTY CARE PONTE VEDRA BEACH FL $931.84

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 24 $0.00
2021 25,117 $1.99M
2022 136,282 $13.93M
2023 172,565 $17.89M
2024 90,086 $10.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53,895 50,663 $5.58M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21,023 19,981 $4.43M
99283 Emergency department visit for the evaluation and management, moderate severity 29,880 29,176 $2.72M
99284 Emergency department visit for the evaluation and management, high severity 19,915 18,401 $2.52M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35,314 33,631 $2.38M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,425 7,103 $2.33M
95782 1,419 1,402 $2.15M
99215 Prolong outpt/office vis 15,670 14,552 $2.12M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13,252 12,777 $1.95M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,909 1,848 $1.89M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 3,925 3,605 $1.18M
99244 Office or other outpatient consultation, moderate to high complexity 3,924 3,758 $782K
99205 Prolong outpt/office vis 2,780 2,617 $710K
99239 Hospital discharge day management, more than 30 minutes 4,904 4,385 $606K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,317 1,244 $557K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 3,079 2,966 $542K
99243 3,854 3,659 $484K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,131 1,992 $435K
99232 Subsequent hospital care, per day, moderate complexity 4,462 2,548 $435K
95819 685 669 $398K
70551 Magnetic resonance imaging, brain; without contrast material 2,893 2,832 $394K
93000 17,038 16,201 $369K
99233 Prolong inpt eval add15 m 2,637 1,265 $346K
99222 Initial hospital care, per day, moderate complexity 1,853 1,773 $342K
54300 303 286 $318K
93224 2,133 2,039 $313K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,471 1,903 $305K
90837 Psychotherapy, 53 minutes with patient 1,882 1,187 $297K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,562 2,257 $285K
42820 Tonsillectomy and adenoidectomy; younger than age 12 579 553 $274K
99417 Prolong home eval add 15m 1,463 1,365 $269K
99238 Hospital discharge day management, 30 minutes or less 3,607 3,428 $268K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,280 1,240 $255K
99460 4,018 3,456 $253K
92015 Determination of refractive state 8,608 8,089 $237K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 796 346 $237K
95720 807 621 $213K
99223 Prolong inpt eval add15 m 740 716 $200K
72082 3,494 3,442 $183K
74018 12,099 9,523 $179K
92060 2,116 1,855 $177K
76770 2,653 2,610 $177K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,712 3,258 $168K
94010 3,822 3,737 $161K
73090 4,840 4,366 $161K
93975 670 648 $156K
92579 2,526 2,389 $153K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 795 775 $147K
93320 4,213 3,858 $140K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 670 662 $139K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,235 7,472 $136K
95716 90 83 $130K
93304 1,037 755 $116K
93325 9,272 7,861 $113K
76819 Fetal biophysical profile; without non-stress testing 1,358 978 $110K
71045 Radiologic examination, chest; single view 14,652 8,832 $107K
71046 Radiologic examination, chest; 2 views 4,982 4,853 $106K
54150 608 566 $93K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,593 1,531 $93K
01922 165 160 $88K
99490 Ccm add 20min 1,471 1,434 $86K
92567 6,962 6,513 $85K
72170 3,177 3,105 $84K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 319 304 $77K
00170 Anesthesia for intraoral procedures, including biopsy 194 188 $73K
99217 694 653 $64K
90791 Psychiatric diagnostic evaluation 390 374 $63K
77072 2,246 2,218 $56K
70360 1,989 1,975 $54K
99219 282 279 $51K
42830 147 145 $50K
94664 2,235 2,162 $44K
95700 188 184 $43K
99245 193 172 $39K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 190 188 $39K
90847 Family psychotherapy with the patient present, 50 minutes 290 278 $38K
72081 1,033 1,027 $38K
99479 Subsequent intensive care, per day, very low birth weight infant 307 88 $36K
92588 635 607 $35K
73610 924 901 $35K
99462 1,697 1,297 $33K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 434 399 $32K
92650 799 551 $31K
73630 849 824 $30K
77073 744 733 $30K
69210 409 391 $29K
93272 563 563 $27K
96160 2,861 2,792 $25K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 311 265 $25K
90834 Psychotherapy, 45 minutes with patient 192 134 $23K
99220 104 100 $22K
54161 173 167 $21K
90832 Psychotherapy, 30 minutes with patient 263 136 $21K
93321 1,973 1,523 $21K
95117 1,132 661 $21K
99439 400 372 $21K
93228 459 450 $19K
73590 582 553 $17K
92504 401 382 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 174 171 $16K
99242 249 238 $16K
83036 Hemoglobin; glycosylated (A1C) 1,466 1,414 $15K
92587 687 661 $15K
70450 Computed tomography, head or brain; without contrast material 220 210 $15K
88304 513 474 $14K
73140 418 397 $14K
99487 Ccm add 20min 84 82 $14K
88300 1,649 1,587 $13K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 165 142 $13K
73080 304 295 $12K
67311 15 14 $12K
95811 12 12 $12K
96130 73 66 $11K
96040 250 217 $11K
72141 103 103 $10K
76536 123 122 $9K
92555 416 385 $9K
95812 14 14 $8K
92556 182 171 $8K
74019 527 507 $8K
73130 167 159 $7K
92557 167 160 $7K
96156 30 30 $7K
72146 69 68 $7K
36416 833 709 $6K
92552 198 189 $6K
92652 40 40 $6K
92582 59 54 $5K
73070 149 138 $5K
97802 71 70 $5K
88108 213 196 $5K
96131 37 37 $5K
81003 1,638 1,614 $5K
96137 74 66 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 236 213 $4K
96136 66 66 $4K
93976 19 15 $4K
76700 Ultrasound, abdominal, real time with image documentation; complete 52 50 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg 39 39 $4K
99221 29 27 $3K
91300 40 40 $3K
88342 63 51 $3K
29125 24 24 $3K
76885 15 12 $2K
81025 200 192 $2K
76820 65 39 $2K
73562 49 49 $2K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 26 25 $2K
73560 51 51 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 29 28 $2K
74230 40 40 $1K
92201 125 65 $1K
92626 12 12 $951.03
99463 17 12 $946.69
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 12 12 $884.99
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 32 25 $748.24
92133 12 12 $672.94
74240 12 12 $604.22
99464 14 12 $524.29
73110 12 12 $398.03
88302 14 13 $323.41
76870 15 15 $257.84
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $231.09
96127 12 12 $201.00
82010 25 25 $120.07
82962 28 25 $61.64
0001A 40 40 $40.00