The Nemours Foundation
The Nemours Foundation was paid $46.19M by Medicaid between Jan 2018 and Nov 2024, across 209 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 13% of everything it billed.
JACKSONVILLE, FL 32207
Next to other Radiology 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 | |
|---|---|---|---|
| 2018 | 4,904 | $203K | |
| 2019 | 227,046 | $21.05M | |
| 2020 | 166,237 | $15.13M | |
| 2021 | 94,457 | $9.02M | |
| 2022 | 2,541 | $293K | |
| 2023 | 3,086 | $299K | |
| 2024incomplete | 2,228 | $201K |
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% | 53,037 | 50,836 | $6.21M |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 11% | 17,981 | 17,236 | $5.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 50,225 | 47,833 | $3.83M |
| 99243 | 7.0% | 17,926 | 17,253 | $3.24M | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.2% | 22,958 | 21,871 | $1.95M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.9% | 12,003 | 11,259 | $1.82M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.9% | 11,570 | 10,942 | $1.80M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.5% | 5,305 | 5,100 | $1.62M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 7,998 | 7,643 | $1.33M |
| 95782 | 2.9% | 1,013 | 975 | $1.32M | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 2.7% | 12,820 | 5,412 | $1.27M |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 2.7% | 1,557 | 1,442 | $1.25M |
197 more codes
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 2.3% | 3,607 | $1.07M |
| 99285 | Emergency room visit (most serious) | 1.5% | 3,137 | $696K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.4% | 6,964 | $651K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.3% | 2,257 | $596K |
| 99460 | 1.2% | 4,778 | $569K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 2,446 | $521K |
| 95819 | 1.0% | 840 | $475K | |
| 95951 | <1% | 625 | $403K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 3,459 | $389K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 2,050 | $360K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,299 | $354K |
| 99245 | <1% | 1,068 | $335K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,370 | $334K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 21,772 | $323K |
| 76770 | <1% | 4,219 | $322K | |
| 71045 | Radiologic examination, chest; single view | <1% | 28,465 | $300K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,605 | $297K |
| 74018 | <1% | 22,354 | $274K | |
| 92586 | <1% | 8,992 | $255K | |
| 54300 | <1% | 214 | $243K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 4,866 | $229K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,690 | $222K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 4,527 | $218K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 434 | $217K |
| 92579 | <1% | 2,817 | $213K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,481 | $211K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 1,125 | $199K |
| 95720 | <1% | 337 | $198K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 786 | $189K |
| 72082 | <1% | 3,284 | $182K | |
| 99219 | <1% | 1,033 | $181K | |
| 54161 | <1% | 686 | $181K | |
| 92015 | Determination of refractive state | <1% | 10,856 | $177K |
| 93000 | <1% | 13,722 | $176K | |
| 99217 | <1% | 2,038 | $164K | |
| 93224 | <1% | 1,010 | $163K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 706 | $151K |
| 73090 | <1% | 5,014 | $143K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 3,320 | $142K |
| 99490 | Ccm add 20min | <1% | 2,599 | $137K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,693 | $132K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 7,373 | $128K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 376 | $111K |
| 99462 | <1% | 3,151 | $97K | |
| 99205 | Prolong outpt/office vis | <1% | 347 | $90K |
| 77072 | <1% | 3,631 | $89K | |
| 92567 | <1% | 10,703 | $87K | |
| 94010 | <1% | 5,039 | $86K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 137 | $86K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 1,511 | $83K |
| 99223 | Prolong inpt eval add15 m | <1% | 301 | $80K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 402 | $76K |
| 90837 | Psychotherapy session, about an hour | <1% | 456 | $69K |
| 73610 | <1% | 2,202 | $69K | |
| 99242 | <1% | 504 | $69K | |
| 73100 | <1% | 1,772 | $63K | |
| 93304 | <1% | 539 | $61K | |
| 73630 | <1% | 2,210 | $61K | |
| 72170 | <1% | 2,318 | $57K | |
| 74019 | <1% | 3,771 | $53K | |
| 00126 | <1% | 322 | $50K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 278 | $47K |
| 92060 | <1% | 1,922 | $43K | |
| 99221 | <1% | 264 | $43K | |
| 54150 | <1% | 230 | $42K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 733 | $40K |
| 77073 | <1% | 970 | $38K | |
| 97803 | <1% | 628 | $37K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 201 | $37K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 281 | $35K |
| 99220 | <1% | 149 | $33K | |
| 72081 | <1% | 863 | $32K | |
| 93320 | <1% | 3,675 | $31K | |
| 92650 | <1% | 333 | $31K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 333 | $30K |
| 99468 | <1% | 17 | $30K | |
| 93325 | <1% | 7,884 | $28K | |
| 92556 | <1% | 405 | $27K | |
| 73590 | <1% | 961 | $26K | |
| 95117 | <1% | 1,557 | $25K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 126 | $24K |
| 70360 | <1% | 879 | $23K | |
| 73140 | <1% | 673 | $22K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 246 | $22K |
| 72141 | <1% | 81 | $21K | |
| 42830 | <1% | 48 | $20K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 163 | $20K |
| 92582 | <1% | 178 | $19K | |
| 73130 | <1% | 651 | $19K | |
| 76536 | <1% | 262 | $19K | |
| 95816 | <1% | 40 | $18K | |
| 99255 | <1% | 53 | $18K | |
| 01922 | <1% | 59 | $18K | |
| 73080 | <1% | 474 | $17K | |
| 69210 | <1% | 331 | $17K | |
| 95718 | <1% | 74 | $16K | |
| 73070 | <1% | 463 | $14K | |
| 92526 | <1% | 121 | $12K | |
| 88300 | <1% | 1,013 | $12K | |
| 76506 | <1% | 350 | $12K | |
| 88304 | <1% | 487 | $12K | |
| 93976 | <1% | 75 | $12K | |
| 96132 | <1% | 36 | $11K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 137 | $11K |
| 97802 | <1% | 128 | $11K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 156 | $9K |
| 94664 | <1% | 1,987 | $9K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,277 | $9K |
| 00920 | <1% | 47 | $9K | |
| 73564 | <1% | 134 | $9K | |
| 92588 | <1% | 230 | $9K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 112 | $8K |
| 92552 | <1% | 337 | $8K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 193 | $8K |
| 93272 | <1% | 178 | $8K | |
| 92557 | <1% | 176 | $7K | |
| 93228 | <1% | 261 | $7K | |
| 44970 | <1% | 15 | $7K | |
| 73560 | <1% | 269 | $7K | |
| 99235 | <1% | 26 | $6K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 25 | $6K |
| 99358 | Prolong nursin fac eval 15m | <1% | 12 | $6K |
| 74240 | <1% | 101 | $5K | |
| 92587 | <1% | 425 | $5K | |
| 92555 | <1% | 467 | $5K | |
| 96130 | <1% | 52 | $5K | |
| 00635 | <1% | 17 | $5K | |
| 99254 | <1% | 18 | $4K | |
| 90836 | <1% | 96 | $4K | |
| 99487 | Ccm add 20min | <1% | 27 | $4K |
| 92504 | <1% | 251 | $4K | |
| 92201 | <1% | 461 | $4K | |
| 99201 | <1% | 68 | $4K | |
| 00731 | <1% | 18 | $4K | |
| 74241 | <1% | 69 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 38 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 55 | $4K |
| 93321 | <1% | 1,168 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | $3K |
| 81003 | <1% | 3,958 | $3K | |
| 96133 | <1% | 36 | $3K | |
| 91300 | <1% | 46 | $3K | |
| 72146 | <1% | 77 | $3K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 377 | $2K |
| 96116 | <1% | 17 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 118 | $2K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 25 | $2K |
| 29125 | <1% | 33 | $2K | |
| 74022 | <1% | 119 | $2K | |
| 74230 | <1% | 84 | $2K | |
| 73110 | <1% | 57 | $2K | |
| 73000 | <1% | 60 | $2K | |
| 94618 | <1% | 55 | $2K | |
| 51784 | <1% | 96 | $2K | |
| 99464 | <1% | 42 | $2K | |
| 73562 | <1% | 42 | $2K | |
| 88342 | <1% | 39 | $2K | |
| 82962 | <1% | 1,514 | $2K | |
| 92226 | <1% | 214 | $2K | |
| 99218 | <1% | 12 | $2K | |
| 73552 | <1% | 78 | $1K | |
| 76000 | <1% | 83 | $1K | |
| 36416 | <1% | 1,129 | $1K | |
| 99251 | <1% | 12 | $1K | |
| 92610 | <1% | 12 | $979.80 | |
| 94060 | <1% | 41 | $946.68 | |
| 92551 | <1% | 155 | $942.58 | |
| 99442 | <1% | 33 | $916.14 | |
| 88108 | <1% | 37 | $883.99 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 28 | $657.52 |
| 29075 | <1% | 13 | $623.62 | |
| 93227 | <1% | 17 | $605.31 | |
| 95700 | <1% | 53 | $598.86 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 176 | $456.42 |
| 92225 | <1% | 27 | $444.78 | |
| 41010 | <1% | 17 | $443.20 | |
| 90686 | <1% | 126 | $432.00 | |
| 51741 | <1% | 106 | $416.08 | |
| 73060 | <1% | 14 | $411.29 | |
| 92550 | <1% | 56 | $386.84 | |
| 95115 | <1% | 20 | $291.07 | |
| 51798 | <1% | 152 | $228.79 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 43 | $192.96 |
| 76820 | <1% | 19 | $137.83 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 24 | $135.01 |
| 99439 | <1% | 35 | $112.00 | |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | <1% | 14 | $103.60 |
| 88302 | <1% | 12 | $74.80 | |
| 96136 | <1% | 39 | $65.24 | |
| 96137 | <1% | 39 | $60.34 | |
| 96127 | <1% | 133 | $51.86 | |
| 0002A | <1% | 31 | $40.00 | |
| 81025 | <1% | 39 | $19.46 | |
| 95873 | <1% | 14 | $13.57 | |
| Q4008 | Cast supplies, long arm cast, pediatric (0-10 years), fiberglass | <1% | 12 | $7.21 |
| 99070 | <1% | 12 | $5.00 | |
| 96121 | 0% | 13 | $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.