Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › DE › Wilmington › NPI 1366594699
Clinic

The Nemours Foundation

The Nemours Foundation was paid $172.06M by Medicaid between Jan 2018 and Dec 2024, across 395 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 7.9% of everything it billed.

33Billing provider infoTHE NEMOURS FOUNDATION
WILMINGTON, DE 19803
33aNPI1366594699assigned 01/17/2007
28Total paid$172.06M
24GClaims2,853,265
24DCodes billed395
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$2.0M$4.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018336,527$1.24M
2019482,000$12.04M
2020416,636$28.69M
2021450,102$32.94M
2022402,739$36.12M
2023431,078$33.51M
2024incomplete334,183$27.52M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.9% 274,866 221,224 $13.63M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 6.7% 16,934 1,469 $11.55M
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 5.6% 131,025 108,674 $9.61M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 5.5% 100,286 82,734 $9.42M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 4.2% 42,239 34,585 $7.26M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.7% 42,027 8,599 $6.40M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.6% 76,333 64,590 $6.13M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.8% 57,261 51,228 $4.85M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.7% 72,871 55,868 $4.68M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.6% 39,984 31,758 $4.53M
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 2.4% 32,846 27,206 $4.10M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 45,089 37,987 $4.03M
383 more codes
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.1% 37,271 $3.54M
99232 Hospital visit by a doctor, follow-up day 2.0% 36,014 $3.49M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2.0% 8,294 $3.37M
99285 Emergency room visit (most serious) 1.9% 13,466 $3.25M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.4% 5,316 $2.48M
01922 1.3% 5,315 $2.30M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.3% 7,209 $2.27M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 1.2% 3,488 $2.06M
99205 Prolong outpt/office vis 1.1% 12,777 $1.92M
00170 Anesthesia for intraoral procedures, including biopsy 1.0% 5,078 $1.80M
99222 Initial hospital care, per day, moderate complexity 1.0% 10,978 $1.80M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 11,464 $1.59M
93325 <1% 14,412 $1.57M
93320 <1% 8,504 $1.55M
90791 Psychiatric diagnostic evaluation <1% 19,118 $1.52M
99238 Hospital discharge day management, 30 minutes or less <1% 19,826 $1.47M
99223 Prolong inpt eval add15 m <1% 7,540 $1.45M
90847 Family psychotherapy with the patient present, 50 minutes <1% 24,122 $1.45M
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 58,333 $1.27M
99460 <1% 10,194 $1.25M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 3,533 $1.20M
99480 Subsequent intensive care, per day, low birth weight infant <1% 5,942 $1.20M
92551 <1% 51,101 $1.12M
90686 <1% 71,392 $957K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 12,482 $912K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 32,428 $873K
74018 <1% 18,480 $844K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 1,377 $822K
83655 <1% 24,863 $821K
99221 <1% 6,566 $781K
99173 <1% 59,746 $762K
76770 <1% 6,840 $689K
70551 Magnetic resonance imaging, brain; without contrast material <1% 3,941 $683K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 4,908 $683K
99381 <1% 11,343 $682K
99239 Hospital discharge day management, more than 30 minutes <1% 5,545 $618K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,251 $561K
90698 <1% 48,677 $551K
72082 <1% 5,556 $536K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,695 $529K
90680 <1% 38,761 $516K
90670 <1% 48,618 $511K
71045 Radiologic examination, chest; single view <1% 27,956 $501K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 11,547 $494K
00300 <1% 1,427 $484K
00731 <1% 1,639 $479K
71046 Radiologic examination, chest; 2 views <1% 18,710 $477K
99464 <1% 2,170 $473K
74019 <1% 8,644 $469K
99235 <1% 2,405 $457K
90651 <1% 25,952 $453K
96127 <1% 45,249 $450K
90834 Psychotherapy session, about 45 minutes <1% 9,667 $449K
00126 <1% 2,387 $446K
90633 <1% 33,744 $427K
99462 <1% 7,128 $426K
90671 <1% 9,868 $412K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,405 $409K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,687 $405K
99383 <1% 5,484 $383K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 5,826 $378K
85018 <1% 30,969 $376K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 16,737 $371K
00920 <1% 1,223 $358K
D7140 Extraction, erupted tooth or exposed root <1% 2,876 $358K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 4,646 $350K
90710 <1% 14,948 $337K
93975 <1% 1,223 $334K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 4,380 $326K
70450 Computed tomography, head or brain; without contrast material <1% 2,566 $316K
90837 Psychotherapy session, about an hour <1% 4,564 $308K
54150 <1% 1,173 $305K
96137 <1% 1,625 $302K
D2930 Prefabricated stainless steel crown - primary tooth <1% 1,353 $292K
99384 <1% 3,395 $288K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,124 $276K
93304 <1% 2,012 $276K
90744 <1% 26,127 $270K
83036 Hemoglobin; glycosylated (A1C) <1% 6,750 $267K
99292 <1% 1,577 $265K
76376 <1% 2,373 $260K
93000 <1% 4,079 $254K
95782 <1% 536 $237K
92015 Determination of refractive state <1% 12,823 $230K
90697 <1% 6,855 $226K
99382 <1% 3,445 $207K
76885 <1% 1,332 $206K
99471 <1% 238 $203K
95816 <1% 1,902 $203K
90621 <1% 7,677 $201K
00840 <1% 536 $192K
96131 <1% 663 $187K
90846 Family psychotherapy without the patient present, 50 minutes <1% 2,731 $183K
99174 <1% 11,584 $179K
90696 <1% 12,237 $174K
90734 <1% 13,719 $169K
90715 <1% 11,682 $169K
90716 <1% 12,557 $164K
94060 <1% 2,054 $161K
94010 <1% 2,056 $157K
76536 <1% 1,320 $154K
81025 <1% 6,606 $153K
90707 <1% 12,403 $153K
12011 <1% 1,026 $151K
99236 Prolong inpt eval add15 m <1% 574 $150K
72170 <1% 5,048 $145K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 1,284 $144K
D1120 Dental cleaning, child <1% 3,845 $144K
76506 <1% 1,616 $138K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,139 $136K
93321 <1% 2,206 $136K
S9470 Nutritional counseling, dietitian visit <1% 6,466 $136K
88720 <1% 4,981 $132K
93976 <1% 887 $131K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,231 $131K
90832 Psychotherapy session, about 30 minutes <1% 3,154 $130K
99219 <1% 735 $129K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,410 $128K
96156 <1% 1,415 $125K
0071A <1% 2,295 $124K
95720 <1% 683 $119K
90619 <1% 4,953 $118K
0072A <1% 1,910 $106K
95251 <1% 2,057 $103K
73630 <1% 3,864 $103K
77073 <1% 2,424 $103K
81003 <1% 9,573 $102K
73610 <1% 3,814 $101K
D1206 Topical application of fluoride varnish <1% 4,505 $100K
D1351 Sealant - per tooth <1% 3,340 $100K
73090 <1% 4,174 $99K
99476 <1% 192 $98K
77072 <1% 2,320 $98K
42830 <1% 380 $93K
73590 <1% 3,347 $89K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 3,809 $88K
99217 <1% 1,157 $88K
99417 Prolong home eval add 15m <1% 3,457 $88K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 2,591 $87K
D0140 Limited oral evaluation - problem focused <1% 1,906 $86K
93224 <1% 317 $85K
82962 <1% 5,638 $84K
69210 <1% 1,189 $84K
93356 <1% 1,563 $84K
77075 <1% 910 $83K
96136 <1% 1,853 $80K
76825 <1% 323 $80K
73552 <1% 1,176 $78K
76870 <1% 796 $77K
29075 <1% 453 $74K
D0150 Comprehensive oral evaluation - new or established patient <1% 1,841 $74K
D0120 Dental checkup, returning patient <1% 2,056 $71K
97803 <1% 2,037 $70K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 296 $70K
70360 <1% 3,379 $69K
96161 <1% 9,973 $68K
73080 <1% 2,620 $66K
73562 <1% 1,498 $64K
90656 <1% 3,499 $63K
96130 <1% 628 $63K
99477 <1% 71 $62K
44970 <1% 31 $60K
90672 <1% 3,129 $59K
96116 <1% 480 $59K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 111 $57K
73110 <1% 2,342 $56K
74181 <1% 270 $55K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,113 $54K
17250 <1% 916 $53K
76827 <1% 322 $50K
99220 <1% 264 $50K
96167 <1% 800 $49K
73130 <1% 2,093 $48K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 5,303 $47K
73140 <1% 2,590 $47K
54161 <1% 87 $47K
D0272 Bitewings - two radiographic images <1% 1,752 $46K
96132 <1% 505 $46K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,937 $45K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 206 $44K
72081 <1% 564 $43K
99188 <1% 4,924 $42K
91321 <1% 1,066 $40K
99157 <1% 379 $38K
90700 <1% 3,258 $38K
D0230 Intraoral - periapical each additional radiographic image <1% 2,740 $37K
93308 <1% 461 $37K
90685 <1% 9,066 $36K
97802 <1% 566 $36K
D0220 Intraoral - periapical first radiographic image <1% 2,019 $35K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 426 $35K
94760 <1% 3,188 $32K
12001 <1% 306 $31K
0002A <1% 2,381 $30K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,131 $29K
A4590 Special casting material (e.g., fiberglass) <1% 2,279 $29K
99234 <1% 151 $28K
0154A <1% 821 $25K
62322 <1% 191 $25K
90648 <1% 2,484 $25K
00635 <1% 84 $25K
0124A <1% 853 $25K
96158 <1% 410 $24K
0081A <1% 661 $24K
73521 <1% 509 $24K
91322 <1% 626 $24K
64450 <1% 145 $23K
0001A <1% 2,691 $23K
99468 <1% 45 $23K
Q3014 Telehealth originating site facility fee <1% 1,492 $23K
73560 <1% 941 $23K
0052A <1% 504 $21K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 499 $21K
D1110 Prophylaxis - adult <1% 364 $21K
D1354 <1% 694 $20K
0051A <1% 412 $20K
99156 <1% 477 $20K
99244 Office or other outpatient consultation, moderate to high complexity <1% 181 $20K
0054A <1% 398 $19K
94664 <1% 2,133 $19K
0082A <1% 417 $19K
95951 <1% 268 $19K
99499 <1% 1,950 $19K
72141 <1% 104 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 63,383 $18K
00532 <1% 49 $18K
92133 <1% 113 $18K
95117 <1% 1,015 $17K
96112 <1% 183 $17K
29065 <1% 102 $16K
90480 <1% 1,620 $16K
96150 <1% 722 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,133 $15K
73030 <1% 473 $15K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 145,048 $15K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 89 $15K
31575 <1% 92 $14K
90381 <1% 360 $14K
11981 <1% 81 $14K
36415 Collection of venous blood by venipuncture <1% 3,441 $14K
D0330 Panoramic radiographic image <1% 226 $14K
95819 <1% 122 $14K
00790 <1% 16 $14K
76882 <1% 459 $13K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 195 $13K
73564 <1% 318 $12K
96154 <1% 499 $12K
86580 <1% 1,174 $12K
72040 <1% 412 $11K
90380 <1% 329 $11K
99356 <1% 127 $11K
99354 <1% 69 $11K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 62 $11K
73100 <1% 497 $11K
99201 <1% 174 $11K
97156 <1% 277 $10K
96160 <1% 3,532 $10K
0074A <1% 291 $9K
73000 <1% 338 $9K
43762 <1% 45 $9K
00120 <1% 16 $9K
96133 <1% 17 $8K
76942 <1% 69 $8K
49452 <1% 25 $7K
99418 Prolong nursin fac eval 15m <1% 130 $7K
90660 <1% 333 $7K
74183 <1% 13 $7K
0173A <1% 330 $6K
76937 <1% 284 $6K
D0274 Bitewings - four radiographic images <1% 143 $6K
72195 <1% 57 $6K
51741 <1% 187 $6K
96450 <1% 49 $6K
80061 Lipid panel <1% 376 $6K
25600 <1% 13 $6K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 218 $6K
0003A <1% 103 $6K
90657 <1% 296 $5K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 48 $5K
96121 <1% 40 $5K
92134 <1% 27 $5K
90461 <1% 86,976 $5K
69209 <1% 112 $5K
72100 <1% 140 $5K
86703 <1% 638 $5K
96040 <1% 160 $5K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 38 $5K
96101 <1% 273 $5K
90785 <1% 744 $4K
99245 <1% 14 $4K
90849 <1% 149 $4K
93018 <1% 39 $4K
0083A <1% 90 $4K
62270 <1% 39 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 160 $3K
S8101 Holding chamber or spacer for use with an inhaler or nebulizer; with mask <1% 164 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 78 $3K
99463 <1% 19 $3K
93016 <1% 39 $3K
D0240 <1% 101 $3K
17110 <1% 84 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 36 $3K
29405 <1% 13 $3K
73620 <1% 138 $3K
99000 <1% 303 $2K
J3535 Drug administered through a metered dose inhaler <1% 107 $2K
90839 <1% 17 $2K
74240 <1% 32 $2K
90713 <1% 267 $2K
99140 <1% 1,624 $2K
73070 <1% 113 $2K
73060 <1% 83 $2K
51600 <1% 21 $2K
99243 <1% 53 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 17,820 $2K
74230 <1% 48 $2K
90674 <1% 118 $2K
D0145 Oral evaluation for a patient under three years of age <1% 33 $2K
96111 <1% 133 $2K
69200 <1% 13 $2K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 1,250 $2K
94618 <1% 30 $1K
99442 <1% 39 $1K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 14 $1K
90688 <1% 359 $1K
00140 <1% 56 $1K
95076 <1% 20 $1K
29125 <1% 45 $1K
74455 <1% 39 $1K
76775 <1% 13 $1K
99475 <1% 17 $1K
96380 <1% 415 $1K
36416 <1% 43,432 $1K
72070 <1% 39 $1K
96118 <1% 181 $1K
0004A <1% 16 $1K
73660 <1% 28 $894.55
99443 <1% 17 $872.43
99100 <1% 2,537 $833.30
97151 <1% 24 $793.64
99441 <1% 141 $746.49
72190 <1% 12 $701.51
96381 <1% 241 $681.99
81002 <1% 52 $569.44
90474 <1% 3,654 $494.00
90473 <1% 1,507 $481.76
90732 <1% 21 $474.13
90620 <1% 82 $459.60
96152 <1% 65 $339.36
93272 <1% 24 $311.12
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 322 $254.64
S8100 Holding chamber or spacer for use with an inhaler or nebulizer; without mask <1% 17 $219.69
96138 <1% 29 $191.93
90723 <1% 146 $170.49
96139 <1% 13 $132.14
74241 <1% 25 $105.36
76000 <1% 15 $99.54
74021 <1% 13 $60.12
82010 <1% 14 $53.24
91307 <1% 4,485 $33.61
91305 <1% 1,452 $9.63
90687 <1% 82 $8.00
91308 <1% 1,175 $6.77
91315 <1% 821 $3.46
91312 <1% 852 $3.42
91300 <1% 5,048 $1.45
82270 <1% 25 $0.80
91317 <1% 249 $0.61
3008F <1% 8,879 $0.01
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 0% 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 17 $0.00
D9430 0% 94 $0.00
D0603 0% 2,896 $0.00
D9420 0% 321 $0.00
D0602 0% 191 $0.00
D1330 0% 56 $0.00
96120 0% 12 $0.00
99070 0% 15 $0.00
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 0% 17 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 125 $0.00
D0601 0% 39 $0.00
D0706 0% 59 $0.00
92567 0% 19 $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.

From NPPES

Who's on the registration

Authorized officialMUMFORD, MARK (EVP, COO)
Parent organizationTHE NEMOURS FOUNDATION
Same official

Other billing entities under MUMFORD, MARK

Full network →
ProviderLocationPaid
The Nemours FoundationWilmington, DE$104.02M
The Nemours FoundationPhiladelphia, PA$5.85M
Nemours New Jersey Physician Practice, P.C.Deptford, NJ$1.45M
The Nemours FoundationDeptford, NJ$97K
The Nemours FoundationWilmington, DE$65K
The Nemours FoundationWilmington, DE$22K
The Nemours FoundationWilmington, DE$6K
The Nemours FoundationNew Castle, DE$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.