Physician
Nemours Children's Health, Horizon West, Primary Care
Nemours Children's Health, Horizon West, Primary Care was paid $452K by Medicaid between Jun 2021 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoNEMOURS CHILDREN'S HEALTH, HORIZON WEST, PRIMARY CARE
WINDERMERE, FL 34786
WINDERMERE, FL 34786
33aNPI1235708496assigned 06/22/2021
33bProvider typePediatrics Physician
28Total paid$452K
24GClaims7,929
24DCodes billed29
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#405 of 971
Median peer was paid$238K
This provider vs. median1.9×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 1,272 | $68K | |
| 2022 | 2,461 | $158K | |
| 2023 | 2,851 | $148K | |
| 2024incomplete | 1,345 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 3,100 | 2,887 | $215K |
| 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% | 598 | 558 | $61K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 485 | 444 | $50K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.8% | 960 | 868 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 390 | 356 | $35K |
| 90461 | 2.5% | 363 | 307 | $11K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.4% | 95 | 92 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 109 | 96 | $9K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.3% | 61 | 60 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 39 | 39 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 352 | 330 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 27 | 26 | $2K |
17 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 28 | $750.76 |
| 0071A | <1% | 18 | $629.83 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 27 | $428.34 |
| 99173 | <1% | 147 | $420.00 | |
| 85018 | <1% | 172 | $363.88 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 45 | $225.22 |
| 80061 | Lipid panel | <1% | 13 | $203.78 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $132.00 |
| 99177 | <1% | 71 | $126.00 | |
| 36416 | <1% | 219 | $114.00 | |
| 90686 | <1% | 354 | $41.00 | |
| 90674 | <1% | 33 | $31.63 | |
| 91307 | <1% | 31 | $0.07 | |
| 94760 | 0% | 61 | $0.00 | |
| 92551 | 0% | 78 | $0.00 | |
| 90670 | 0% | 27 | $0.00 | |
| 90734 | 0% | 12 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.