Nemours Children's Health, Lake Nona Medical City, Specialty Care
Nemours Children's Health, Lake Nona Medical City, Specialty Care was paid $6.85M by Medicaid between May 2021 and Dec 2024, across 96 billing codes. Its largest line is 99284, emergency room visit (serious) — 12% of everything it billed.
ORLANDO, FL 32827
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 | |
|---|---|---|---|
| 2021 | 153 | $9K | |
| 2022 | 529 | $20K | |
| 2023 | 1,535 | $99K | |
| 2024incomplete | 60,056 | $6.72M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 12% | 6,071 | 5,950 | $820K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 10% | 6,755 | 6,648 | $707K |
| 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 | 10% | 6,312 | 6,121 | $692K |
| 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 | 7.9% | 2,313 | 2,245 | $543K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.0% | 3,131 | 3,032 | $481K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 6.6% | 1,367 | 1,322 | $451K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 4.0% | 893 | 847 | $274K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.5% | 2,229 | 2,060 | $238K |
| 54300 | 2.8% | 143 | 139 | $190K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.6% | 507 | 303 | $177K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 2,241 | 2,203 | $166K |
| 99460 | 2.3% | 1,907 | 1,768 | $158K |
84 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | 2.2% | 1,535 | $153K |
| 99232 | Hospital visit by a doctor, follow-up day | 2.2% | 1,435 | $152K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.9% | 621 | $128K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.8% | 590 | $125K |
| 99285 | Emergency room visit (most serious) | 1.7% | 524 | $117K |
| 93000 | 1.6% | 3,450 | $109K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.6% | 649 | $106K |
| 99205 | Prolong outpt/office vis | 1.4% | 363 | $95K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.3% | 351 | $88K |
| 93320 | <1% | 927 | $68K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 396 | $64K |
| 99223 | Prolong inpt eval add15 m | <1% | 218 | $61K |
| 93325 | <1% | 1,865 | $60K | |
| 54161 | <1% | 210 | $48K | |
| 99462 | <1% | 883 | $36K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,815 | $30K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 251 | $30K |
| 94010 | <1% | 563 | $27K | |
| 92650 | <1% | 520 | $27K | |
| 74018 | <1% | 1,605 | $26K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 186 | $25K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,627 | $24K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 81 | $19K |
| 93304 | <1% | 204 | $19K | |
| 95819 | <1% | 29 | $19K | |
| 54150 | <1% | 150 | $19K | |
| 01922 | <1% | 43 | $16K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 53 | $15K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 245 | $13K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 310 | $13K |
| 99417 | Prolong home eval add 15m | <1% | 129 | $13K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,575 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 199 | $12K |
| 76770 | <1% | 136 | $12K | |
| 92567 | <1% | 596 | $12K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 87 | $11K |
| 96160 | <1% | 743 | $11K | |
| 92579 | <1% | 157 | $10K | |
| 94664 | <1% | 315 | $9K | |
| 93975 | <1% | 38 | $9K | |
| 93224 | <1% | 56 | $8K | |
| 95720 | <1% | 25 | $7K | |
| 95117 | <1% | 321 | $7K | |
| 93321 | <1% | 349 | $7K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 98 | $6K |
| 70360 | <1% | 162 | $6K | |
| 73090 | <1% | 147 | $6K | |
| 99243 | <1% | 32 | $5K | |
| 72082 | <1% | 96 | $5K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $5K |
| 74019 | <1% | 303 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 117 | $4K |
| 77072 | <1% | 87 | $3K | |
| 93272 | <1% | 46 | $2K | |
| 93298 | <1% | 37 | $2K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 14 | $2K |
| 73630 | <1% | 72 | $2K | |
| 99221 | <1% | 12 | $2K | |
| 73610 | <1% | 64 | $2K | |
| 72081 | <1% | 38 | $1K | |
| 92588 | <1% | 29 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $1K |
| 76536 | <1% | 17 | $1K | |
| 94060 | <1% | 13 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 12 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 14 | $1K |
| 72170 | <1% | 41 | $1K | |
| 88304 | <1% | 65 | $1K | |
| 88300 | <1% | 109 | $755.62 | |
| 73590 | <1% | 33 | $744.54 | |
| 90661 | <1% | 13 | $672.25 | |
| 73140 | <1% | 18 | $650.30 | |
| 76870 | <1% | 12 | $623.72 | |
| 88108 | <1% | 19 | $598.35 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 57 | $592.91 |
| 92587 | <1% | 15 | $475.30 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | $366.54 |
| 81003 | <1% | 63 | $330.65 | |
| 76820 | <1% | 14 | $308.76 | |
| 51798 | <1% | 14 | $256.08 | |
| 81025 | <1% | 12 | $144.62 | |
| 73130 | <1% | 12 | $116.09 | |
| 82962 | <1% | 16 | $63.58 | |
| 36416 | 0% | 14 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.