Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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.

33Billing provider infoNEMOURS CHILDREN'S HEALTH, JACKSONVILLE, SPECIALTY CARE
JACKSONVILLE, FL 32207
33aNPI1437720414assigned 07/09/2021
28Total paid$23.57M
24GClaims298,432
24DCodes billed149
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Florida

Rank by total paid#3 of 91
Median peer was paid$230K
This provider vs. median103×

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.

Entity ProliferationAuthorized official MCKENDREE, RODNEY controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
201814$0.00
202131,261$2.11M
202298,801$6.79M
202399,029$7.73M
2024incomplete69,327$6.95M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialMCKENDREE, RODNEY (VP, FINANCE)
Parent organizationTHE NEMOURS FOUNDATION
Same official

Other billing entities under MCKENDREE, RODNEY

Full network →

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