Medicaid Provider Spending

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

NEMOURS CHIDLREN'S HEALTH, KISSIMMEE, PRIMARY CARE

NPI: 1306415567 · KISSIMMEE, FL 34744 · 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

$2.52M
Total Medicaid Paid
57,029
Total Claims
52,678
Beneficiaries
46
Codes Billed
2020-12
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 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, HORIZON WEST, PRIMARY CARE WINDERMERE FL $452K
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
2020 13 $85.58
2021 5,017 $231K
2022 24,313 $1.03M
2023 20,038 $866K
2024 7,648 $387K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,054 12,247 $878K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,270 3,006 $339K
90460 Immunization administration through 18 years of age via any route, first or only component 6,488 5,879 $314K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,848 2,575 $223K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,092 2,006 $221K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,967 1,849 $208K
90461 3,961 3,510 $105K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 851 817 $101K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 212 207 $18K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 202 197 $18K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 127 123 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,048 1,706 $9K
99177 2,043 1,854 $8K
90670 1,788 1,728 $8K
90671 110 107 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 412 390 $8K
80061 Lipid panel 445 424 $4K
99383 27 25 $3K
90680 1,121 1,080 $3K
85018 1,805 1,623 $3K
90723 1,377 1,342 $3K
90834 Psychotherapy, 45 minutes with patient 23 13 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 74 73 $2K
83655 380 314 $2K
90651 218 211 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 49 38 $2K
90647 1,240 1,203 $1K
96161 947 887 $1K
90686 1,499 1,472 $1K
99173 849 750 $997.50
99381 14 13 $986.53
96127 641 529 $915.58
92551 1,371 1,199 $835.49
36416 2,513 2,344 $658.34
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 55 51 $571.97
99188 17 17 $382.07
90633 529 519 $316.98
90716 26 25 $194.00
90674 95 88 $186.99
87807 13 13 $176.96
90707 26 26 $129.00
90734 114 113 $97.00
90656 16 16 $18.13
94760 19 19 $0.00
90685 38 38 $0.00
90710 15 12 $0.00