Nemours Children's Health, Downtown Orlando, Specialty Care
Nemours Children's Health, Downtown Orlando, Specialty Care was paid $44.36M by Medicaid between Jun 2020 and Dec 2024, across 167 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 13% of everything it billed.
ORLANDO, FL 32806
Next to other Multi-Specialty Clinic/Center providers in Florida
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 24 | $0.00 | |
| 2021 | 25,117 | $1.99M | |
| 2022 | 136,282 | $13.93M | |
| 2023 | 172,565 | $17.89M | |
| 2024incomplete | 90,086 | $10.56M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 13% | 53,895 | 50,663 | $5.58M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 10.0% | 21,023 | 19,981 | $4.43M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.1% | 29,880 | 29,176 | $2.72M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.7% | 19,915 | 18,401 | $2.52M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 35,314 | 33,631 | $2.38M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.3% | 7,425 | 7,103 | $2.33M |
| 95782 | 4.9% | 1,419 | 1,402 | $2.15M | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.8% | 15,670 | 14,552 | $2.12M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 13,252 | 12,777 | $1.95M |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 4.3% | 1,909 | 1,848 | $1.89M |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 2.7% | 3,925 | 3,605 | $1.18M |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.8% | 3,924 | 3,758 | $782K |
155 more codes
| 99205 | Prolong outpt/office vis | 1.6% | 2,780 | $710K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 4,904 | $606K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.3% | 1,317 | $557K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.2% | 3,079 | $542K |
| 99243 | 1.1% | 3,854 | $484K | |
| 99285 | Emergency room visit (most serious) | <1% | 2,131 | $435K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 4,462 | $435K |
| 95819 | <1% | 685 | $398K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 2,893 | $394K |
| 93000 | <1% | 17,038 | $369K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,637 | $346K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,853 | $342K |
| 54300 | <1% | 303 | $318K | |
| 93224 | <1% | 2,133 | $313K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 4,471 | $305K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,882 | $297K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 2,562 | $285K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 579 | $274K |
| 99417 | Prolong home eval add 15m | <1% | 1,463 | $269K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,607 | $268K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,280 | $255K |
| 99460 | <1% | 4,018 | $253K | |
| 92015 | Determination of refractive state | <1% | 8,608 | $237K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 796 | $237K |
| 95720 | <1% | 807 | $213K | |
| 99223 | Prolong inpt eval add15 m | <1% | 740 | $200K |
| 72082 | <1% | 3,494 | $183K | |
| 74018 | <1% | 12,099 | $179K | |
| 92060 | <1% | 2,116 | $177K | |
| 76770 | <1% | 2,653 | $177K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,712 | $168K |
| 94010 | <1% | 3,822 | $161K | |
| 73090 | <1% | 4,840 | $161K | |
| 93975 | <1% | 670 | $156K | |
| 92579 | <1% | 2,526 | $153K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 795 | $147K |
| 93320 | <1% | 4,213 | $140K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 670 | $139K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 9,235 | $136K |
| 95716 | <1% | 90 | $130K | |
| 93304 | <1% | 1,037 | $116K | |
| 93325 | <1% | 9,272 | $113K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,358 | $110K |
| 71045 | Radiologic examination, chest; single view | <1% | 14,652 | $107K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 4,982 | $106K |
| 54150 | <1% | 608 | $93K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,593 | $93K |
| 01922 | <1% | 165 | $88K | |
| 99490 | Ccm add 20min | <1% | 1,471 | $86K |
| 92567 | <1% | 6,962 | $85K | |
| 72170 | <1% | 3,177 | $84K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 319 | $77K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 194 | $73K |
| 99217 | <1% | 694 | $64K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 390 | $63K |
| 77072 | <1% | 2,246 | $56K | |
| 70360 | <1% | 1,989 | $54K | |
| 99219 | <1% | 282 | $51K | |
| 42830 | <1% | 147 | $50K | |
| 94664 | <1% | 2,235 | $44K | |
| 95700 | <1% | 188 | $43K | |
| 99245 | <1% | 193 | $39K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 190 | $39K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 290 | $38K |
| 72081 | <1% | 1,033 | $38K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 307 | $36K |
| 92588 | <1% | 635 | $35K | |
| 73610 | <1% | 924 | $35K | |
| 99462 | <1% | 1,697 | $33K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 434 | $32K |
| 92650 | <1% | 799 | $31K | |
| 73630 | <1% | 849 | $30K | |
| 77073 | <1% | 744 | $30K | |
| 69210 | <1% | 409 | $29K | |
| 93272 | <1% | 563 | $27K | |
| 96160 | <1% | 2,861 | $25K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 311 | $25K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 192 | $23K |
| 99220 | <1% | 104 | $22K | |
| 54161 | <1% | 173 | $21K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 263 | $21K |
| 93321 | <1% | 1,973 | $21K | |
| 95117 | <1% | 1,132 | $21K | |
| 99439 | <1% | 400 | $21K | |
| 93228 | <1% | 459 | $19K | |
| 73590 | <1% | 582 | $17K | |
| 92504 | <1% | 401 | $16K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 174 | $16K |
| 99242 | <1% | 249 | $16K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,466 | $15K |
| 92587 | <1% | 687 | $15K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 220 | $15K |
| 88304 | <1% | 513 | $14K | |
| 73140 | <1% | 418 | $14K | |
| 99487 | Ccm add 20min | <1% | 84 | $14K |
| 88300 | <1% | 1,649 | $13K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 165 | $13K |
| 73080 | <1% | 304 | $12K | |
| 67311 | <1% | 15 | $12K | |
| 95811 | <1% | 12 | $12K | |
| 96130 | <1% | 73 | $11K | |
| 96040 | <1% | 250 | $11K | |
| 72141 | <1% | 103 | $10K | |
| 76536 | <1% | 123 | $9K | |
| 92555 | <1% | 416 | $9K | |
| 95812 | <1% | 14 | $8K | |
| 92556 | <1% | 182 | $8K | |
| 74019 | <1% | 527 | $8K | |
| 73130 | <1% | 167 | $7K | |
| 92557 | <1% | 167 | $7K | |
| 96156 | <1% | 30 | $7K | |
| 72146 | <1% | 69 | $7K | |
| 36416 | <1% | 833 | $6K | |
| 92552 | <1% | 198 | $6K | |
| 92652 | <1% | 40 | $6K | |
| 92582 | <1% | 59 | $5K | |
| 73070 | <1% | 149 | $5K | |
| 97802 | <1% | 71 | $5K | |
| 88108 | <1% | 213 | $5K | |
| 96131 | <1% | 37 | $5K | |
| 81003 | <1% | 1,638 | $5K | |
| 96137 | <1% | 74 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 236 | $4K |
| 96136 | <1% | 66 | $4K | |
| 93976 | <1% | 19 | $4K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 52 | $4K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 39 | $4K |
| 99221 | <1% | 29 | $3K | |
| 91300 | <1% | 40 | $3K | |
| 88342 | <1% | 63 | $3K | |
| 29125 | <1% | 24 | $3K | |
| 76885 | <1% | 15 | $2K | |
| 81025 | <1% | 200 | $2K | |
| 76820 | <1% | 65 | $2K | |
| 73562 | <1% | 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 | <1% | 26 | $2K |
| 73560 | <1% | 51 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 29 | $2K |
| 74230 | <1% | 40 | $1K | |
| 92201 | <1% | 125 | $1K | |
| 92626 | <1% | 12 | $951.03 | |
| 99463 | <1% | 17 | $946.69 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 12 | $884.99 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 32 | $748.24 |
| 92133 | <1% | 12 | $672.94 | |
| 74240 | <1% | 12 | $604.22 | |
| 99464 | <1% | 14 | $524.29 | |
| 73110 | <1% | 12 | $398.03 | |
| 88302 | <1% | 14 | $323.41 | |
| 76870 | <1% | 15 | $257.84 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $231.09 |
| 96127 | <1% | 12 | $201.00 | |
| 82010 | <1% | 25 | $120.07 | |
| 82962 | <1% | 28 | $61.64 | |
| 0001A | <1% | 40 | $40.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.