Nemours Children's Health, Pensacola, Specialty Care
Nemours Children's Health, Pensacola, Specialty Care was paid $3.99M by Medicaid between Jan 2021 and Dec 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
PENSACOLA, FL 32514
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 | 695 | $49K | |
| 2022 | 12,638 | $1.12M | |
| 2023 | 14,457 | $1.36M | |
| 2024incomplete | 12,388 | $1.46M |
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 | 21% | 8,156 | 7,388 | $843K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 17% | 1,823 | 1,697 | $678K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 12% | 813 | 774 | $461K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 5,135 | 4,790 | $300K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 7.0% | 765 | 735 | $281K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.4% | 1,542 | 1,310 | $214K |
| 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 | 4.4% | 807 | 772 | $177K |
| 94010 | 3.6% | 3,870 | 3,671 | $142K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.8% | 583 | 553 | $111K |
| 99243 | 2.6% | 871 | 831 | $102K | |
| 93320 | 2.3% | 1,794 | 1,671 | $91K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.7% | 69 | 66 | $69K |
30 more codes
| 93325 | 1.6% | 2,690 | $65K | |
| 93000 | 1.6% | 2,919 | $63K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 313 | $45K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.0% | 326 | $40K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,185 | $35K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 86 | $35K |
| 93304 | <1% | 106 | $33K | |
| 99205 | Prolong outpt/office vis | <1% | 111 | $31K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 124 | $28K |
| 74018 | <1% | 786 | $25K | |
| 95782 | <1% | 15 | $21K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 184 | $20K |
| 73090 | <1% | 429 | $16K | |
| 92567 | <1% | 941 | $13K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 35 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 696 | $7K |
| 42830 | <1% | 40 | $7K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 251 | $6K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 62 | $4K |
| 70360 | <1% | 75 | $4K | |
| 93321 | <1% | 187 | $4K | |
| 97802 | <1% | 50 | $3K | |
| 36416 | <1% | 449 | $3K | |
| 82962 | <1% | 697 | $2K | |
| 76820 | <1% | 82 | $2K | |
| 95251 | <1% | 13 | $897.00 | |
| 92579 | <1% | 13 | $787.86 | |
| 92587 | <1% | 27 | $719.29 | |
| 73630 | <1% | 21 | $390.84 | |
| 81003 | <1% | 37 | $36.00 |
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.