Nemours Children's Health, Jacksonville, Specialty Care
Nemours Children's Health, Jacksonville, Specialty Care was paid $23.57M by Medicaid between Jun 2018 and Dec 2024, across 149 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 15% of everything it billed.
JACKSONVILLE, FL 32207
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 | |
|---|---|---|---|
| 2018 | 14 | $0.00 | |
| 2021 | 31,261 | $2.11M | |
| 2022 | 98,801 | $6.79M | |
| 2023 | 99,029 | $7.73M | |
| 2024incomplete | 69,327 | $6.95M |
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 | 15% | 33,784 | 31,279 | $3.50M |
| 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 | 10% | 11,157 | 10,574 | $2.44M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.7% | 33,560 | 31,128 | $2.29M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.2% | 13,917 | 13,030 | $1.93M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.9% | 12,457 | 6,284 | $1.14M |
| 99223 | Prolong inpt eval add15 m | 4.5% | 3,928 | 3,769 | $1.07M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.9% | 5,042 | 4,802 | $930K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 7,191 | 6,165 | $752K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2.9% | 4,281 | 3,940 | $680K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.9% | 4,136 | 3,954 | $673K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.3% | 3,460 | 1,940 | $533K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.8% | 2,492 | 2,204 | $418K |
137 more codes
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.8% | 1,356 | $414K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.7% | 940 | $410K |
| 92015 | Determination of refractive state | 1.7% | 16,913 | $401K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 3,153 | $338K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 1.4% | 2,879 | $322K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 1.3% | 1,200 | $297K |
| 54161 | 1.3% | 1,008 | $295K | |
| 71046 | Radiologic examination, chest; 2 views | 1.2% | 21,766 | $285K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 1,473 | $272K |
| 74018 | 1.1% | 18,014 | $262K | |
| 95819 | 1.1% | 408 | $260K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 2,972 | $253K |
| 99243 | 1.0% | 2,271 | $242K | |
| 71045 | Radiologic examination, chest; single view | <1% | 28,963 | $213K |
| 92579 | <1% | 3,047 | $199K | |
| 95720 | <1% | 715 | $197K | |
| 90837 | Psychotherapy session, about an hour | <1% | 1,021 | $147K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 877 | $138K |
| 76770 | <1% | 1,643 | $123K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 3,116 | $111K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 516 | $105K |
| 92567 | <1% | 8,583 | $100K | |
| 99217 | <1% | 1,212 | $100K | |
| 92060 | <1% | 1,165 | $86K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 1,519 | $76K |
| 99219 | <1% | 439 | $76K | |
| 99220 | <1% | 296 | $61K | |
| 92556 | <1% | 1,117 | $59K | |
| 94010 | <1% | 1,740 | $58K | |
| 01922 | <1% | 117 | $57K | |
| 97803 | <1% | 767 | $55K | |
| 95718 | <1% | 328 | $54K | |
| 73100 | <1% | 1,523 | $48K | |
| 77072 | <1% | 2,019 | $48K | |
| 99235 | <1% | 258 | $46K | |
| 74019 | <1% | 3,284 | $41K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 321 | $40K |
| 72082 | <1% | 640 | $40K | |
| 95117 | <1% | 2,380 | $38K | |
| 00920 | <1% | 176 | $36K | |
| 99205 | Prolong outpt/office vis | <1% | 221 | $35K |
| 73610 | <1% | 1,229 | $31K | |
| 41010 | <1% | 103 | $31K | |
| 95782 | <1% | 158 | $31K | |
| 92201 | <1% | 1,703 | $29K | |
| 92552 | <1% | 963 | $29K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 246 | $29K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 264 | $26K |
| 73630 | <1% | 1,180 | $26K | |
| 92650 | <1% | 271 | $24K | |
| 96139 | <1% | 259 | $22K | |
| 99245 | <1% | 180 | $22K | |
| 94664 | <1% | 1,162 | $21K | |
| 72170 | <1% | 705 | $20K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 304 | $20K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 118 | $20K |
| 54360 | <1% | 14 | $18K | |
| 73090 | <1% | 902 | $18K | |
| 99460 | <1% | 614 | $18K | |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 65 | $18K |
| 76506 | <1% | 473 | $16K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 49 | $16K |
| 92582 | <1% | 150 | $15K | |
| 73130 | <1% | 614 | $13K | |
| 73140 | <1% | 434 | $12K | |
| 96116 | <1% | 95 | $11K | |
| 92604 | <1% | 121 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 284 | $11K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 12 | $10K |
| 72081 | <1% | 214 | $10K | |
| 74240 | <1% | 215 | $10K | |
| 42830 | <1% | 41 | $9K | |
| 00126 | <1% | 65 | $8K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 810 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 802 | $7K |
| 73590 | <1% | 332 | $7K | |
| 97802 | <1% | 99 | $7K | |
| 96138 | <1% | 261 | $7K | |
| 69610 | <1% | 15 | $7K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 70 | $7K |
| 29075 | <1% | 41 | $6K | |
| 29450 | <1% | 20 | $6K | |
| 99225 | <1% | 70 | $6K | |
| 73080 | <1% | 204 | $6K | |
| 92587 | <1% | 269 | $6K | |
| 99462 | <1% | 332 | $5K | |
| 73564 | <1% | 105 | $5K | |
| 70360 | <1% | 168 | $5K | |
| 99254 | <1% | 15 | $4K | |
| 96121 | <1% | 69 | $4K | |
| 72141 | <1% | 39 | $4K | |
| 00140 | <1% | 27 | $4K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 110 | $4K |
| 77073 | <1% | 90 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 709 | $3K |
| 73560 | <1% | 176 | $3K | |
| 94060 | <1% | 32 | $3K | |
| 49452 | <1% | 12 | $3K | |
| 99284 | Emergency room visit (serious) | <1% | 88 | $3K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 25 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 28 | $3K |
| 92555 | <1% | 128 | $3K | |
| 74230 | <1% | 99 | $3K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 24 | $2K |
| 93976 | <1% | 25 | $2K | |
| 82962 | <1% | 856 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 107 | $2K |
| 36416 | <1% | 251 | $2K | |
| 72146 | <1% | 26 | $2K | |
| 95251 | <1% | 13 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 12 | $2K |
| 74022 | <1% | 89 | $1K | |
| 99283 | Emergency room visit (moderate) | <1% | 92 | $1K |
| 92504 | <1% | 31 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 68 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 15 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 89 | $953.07 |
| 73552 | <1% | 42 | $899.01 | |
| 73110 | <1% | 46 | $853.01 | |
| 73070 | <1% | 30 | $664.87 | |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 13 | $591.88 |
| 92557 | <1% | 13 | $542.11 | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 19 | $470.76 |
| 90656 | <1% | 13 | $457.60 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 30 | $409.40 |
| 93000 | <1% | 59 | $355.05 | |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | <1% | 27 | $334.75 |
| 73030 | <1% | 13 | $326.60 | |
| J3535 | Drug administered through a metered dose inhaler | <1% | 19 | $297.81 |
| 93320 | <1% | 50 | $177.25 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $80.65 |
| Q4012 | Cast supplies, short arm cast, pediatric (0-10 years), fiberglass | <1% | 14 | $61.60 |
| 93325 | <1% | 69 | $50.25 | |
| 96131 | 0% | 12 | $0.00 | |
| 96130 | 0% | 12 | $0.00 | |
| 96136 | 0% | 12 | $0.00 | |
| 96137 | 0% | 12 | $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.