Medicaid Provider Spending

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

NEMOURS CHILDREN'S HEALTH, HORIZON WEST, PRIMARY CARE

NPI: 1235708496 · WINDERMERE, FL 34786 · 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

$452K
Total Medicaid Paid
7,929
Total Claims
7,346
Beneficiaries
29
Codes Billed
2021-06
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, THE VILLAGES, FLORIDA, PRIMARY CARE THE VILLAGES FL $1.04M
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, 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 1,272 $68K
2022 2,461 $158K
2023 2,851 $148K
2024 1,345 $78K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,100 2,887 $215K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 598 558 $61K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 485 444 $50K
90460 Immunization administration through 18 years of age via any route, first or only component 960 868 $40K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 390 356 $35K
90461 363 307 $11K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 95 92 $11K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 109 96 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 61 60 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 39 39 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 352 330 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 27 26 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 28 27 $750.76
0071A 18 16 $629.83
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 27 27 $428.34
99173 147 142 $420.00
85018 172 171 $363.88
96110 Developmental screening, with scoring and documentation, per standardized instrument 45 40 $225.22
80061 Lipid panel 13 13 $203.78
90472 Immunization administration, each additional vaccine (list separately) 14 14 $132.00
99177 71 61 $126.00
36416 219 215 $114.00
90686 354 346 $41.00
90674 33 32 $31.63
91307 31 21 $0.07
94760 61 59 $0.00
92551 78 60 $0.00
90670 27 27 $0.00
90734 12 12 $0.00