Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › DE › Wilmington › NPI 1467505073
Hospital

The Nemours Foundation

The Nemours Foundation was paid $104.02M by Medicaid between Jan 2018 and Dec 2024, across 388 billing codes. Its largest line is 99283, emergency room visit (moderate) — 25% of everything it billed.

33Billing provider infoTHE NEMOURS FOUNDATION
WILMINGTON, DE 19803
33aNPI1467505073assigned 01/18/2007
28Total paid$104.02M
24GClaims1,072,163
24DCodes billed388
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
2018223,912$1.33M
2019208,652$9.16M
2020147,501$21.63M
2021125,540$18.79M
2022132,789$20.21M
2023141,515$19.86M
2024incomplete92,254$13.03M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 25% 92,746 81,957 $25.65M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 8.8% 22,850 20,310 $9.15M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.8% 11,541 9,210 $6.08M
99282 Emergency department visit for the evaluation and management, low to moderate severity 4.1% 35,285 31,390 $4.28M
G0378 Hospital observation service, per hour 2.9% 6,604 3,558 $2.98M
97530 Therapeutic activities, direct patient contact, each 15 minutes 2.7% 39,186 10,814 $2.84M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.3% 3,120 2,886 $2.38M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2.1% 3,729 3,416 $2.19M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2.0% 2,642 2,124 $2.12M
41899 Unlisted procedure, dentoalveolar structures 2.0% 365 295 $2.12M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.0% 22,429 7,340 $2.08M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.8% 26,864 8,541 $1.82M
376 more codes
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.8% 20,407 $1.82M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1.6% 1,168 $1.71M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.3% 18,847 $1.38M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.3% 941 $1.37M
80053 Comprehensive metabolic panel 1.3% 25,227 $1.36M
93325 1.2% 6,472 $1.26M
70551 Magnetic resonance imaging, brain; without contrast material 1.0% 2,355 $1.06M
93320 1.0% 3,739 $1.05M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 991 $1.02M
96361 Intravenous infusion, hydration; each additional hour <1% 4,567 $930K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 7,734 $868K
92526 <1% 8,242 $741K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 1,225 $668K
76770 <1% 4,705 $599K
A0425 Ground mileage, per statute mile <1% 2,941 $571K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 35,344 $527K
92587 <1% 8,864 $521K
92579 <1% 6,655 $505K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,946 $496K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 7,913 $467K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 8,317 $466K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 8,242 $466K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,760 $459K
92567 <1% 13,757 $453K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 2,821 $439K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 2,631 $420K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 5,120 $402K
95782 <1% 457 $396K
94664 <1% 3,907 $388K
71046 Radiologic examination, chest; 2 views <1% 10,171 $385K
72082 <1% 4,326 $337K
97162 <1% 2,229 $334K
OP370 <1% 3,808 $333K
OP710 <1% 4,263 $328K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 717 $325K
94010 <1% 2,267 $324K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,622 $322K
87799 <1% 2,375 $290K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 858 $286K
36430 <1% 1,184 $272K
A0429 Emergency ambulance ride, basic life support <1% 906 $267K
87086 Culture, bacterial; quantitative colony count, urine <1% 6,896 $255K
80050 General health panel <1% 1,857 $243K
94060 <1% 1,393 $240K
A0434 Specialty care transport (sct) <1% 323 $236K
96375 Therapeutic injection; each additional sequential IV push <1% 3,470 $224K
96415 <1% 1,828 $223K
72170 <1% 3,922 $221K
36415 Collection of venous blood by venipuncture <1% 28,288 $214K
87631 <1% 6,218 $214K
80061 Lipid panel <1% 5,219 $213K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 5,534 $208K
77073 <1% 2,257 $207K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,340 $189K
92610 <1% 1,029 $182K
97161 <1% 1,496 $180K
74019 <1% 4,464 $175K
73590 <1% 2,406 $174K
74018 <1% 5,724 $165K
84439 <1% 4,233 $164K
85045 <1% 7,463 $160K
92552 <1% 5,845 $158K
92523 <1% 885 $155K
84443 Thyroid stimulating hormone (TSH) <1% 3,585 $149K
94799 <1% 2,411 $147K
82728 <1% 3,391 $146K
87077 <1% 3,552 $146K
93356 <1% 583 $145K
73080 <1% 2,112 $142K
80048 Basic metabolic panel (calcium, ionized) <1% 4,271 $141K
73630 <1% 2,945 $140K
84100 <1% 5,914 $139K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 2,406 $137K
86140 <1% 6,632 $135K
81001 <1% 5,545 $134K
85651 <1% 6,615 $132K
93304 <1% 921 $131K
73610 <1% 2,661 $130K
83735 <1% 4,537 $129K
83516 <1% 1,830 $129K
86905 <1% 407 $128K
97116 <1% 2,963 $128K
82784 <1% 3,457 $127K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,798 $127K
70360 <1% 2,459 $122K
80197 <1% 1,908 $118K
73090 <1% 3,335 $118K
95816 <1% 554 $117K
92588 <1% 1,016 $116K
73110 <1% 1,618 $112K
J3490 Unclassified drugs <1% 36,333 $108K
81003 <1% 4,626 $107K
76000 <1% 1,025 $99K
92555 <1% 2,718 $95K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 802 $94K
76376 <1% 767 $94K
70450 Computed tomography, head or brain; without contrast material <1% 522 $94K
77072 <1% 1,759 $93K
82977 <1% 4,692 $92K
73140 <1% 1,773 $91K
12011 <1% 876 $90K
93321 <1% 1,313 $88K
85610 <1% 3,377 $82K
87497 <1% 1,076 $82K
92556 <1% 1,512 $79K
97166 <1% 509 $79K
87430 <1% 3,840 $78K
93975 <1% 249 $78K
83690 <1% 2,639 $77K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,829 $74K
73130 <1% 1,328 $74K
83036 Hemoglobin; glycosylated (A1C) <1% 3,303 $73K
87040 <1% 1,526 $73K
54161 <1% 88 $73K
85730 <1% 2,738 $72K
29515 <1% 1,089 $70K
86003 <1% 1,225 $69K
76885 <1% 609 $65K
92557 <1% 865 $65K
86900 <1% 2,627 $64K
OP272 <1% 754 $63K
92550 <1% 1,352 $62K
92650 <1% 346 $61K
86850 <1% 2,422 $59K
J2704 Injection, propofol, 10 mg <1% 18,598 $58K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 336 $57K
86901 <1% 2,560 $57K
73562 <1% 948 $55K
83540 <1% 1,965 $54K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,494 $53K
82657 <1% 701 $53K
87070 <1% 1,579 $52K
42830 <1% 225 $52K
93976 <1% 547 $47K
83550 <1% 1,179 $46K
87186 <1% 2,087 $45K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,184 $44K
76536 <1% 481 $43K
80076 <1% 1,404 $42K
92609 <1% 271 $40K
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 15,709 $40K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 977 $39K
J3535 Drug administered through a metered dose inhaler <1% 3,347 $39K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 5,111 $38K
92582 <1% 685 $37K
83880 <1% 353 $37K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,527 $36K
29125 <1% 683 $36K
97535 Self-care/home management training, each 15 minutes <1% 960 $35K
73560 <1% 417 $35K
97542 <1% 481 $35K
92553 <1% 395 $35K
99156 <1% 372 $35K
J7120 Ringers lactate infusion, up to 1000 cc <1% 21,021 $34K
97750 <1% 126 $33K
73521 <1% 713 $33K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,109 $33K
96409 <1% 646 $33K
83020 <1% 1,200 $31K
82570 <1% 1,001 $31K
T1015 A visit at a community health center or clinic (one all-in rate) <1% 208 $31K
76870 <1% 312 $30K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 483 $30K
82785 <1% 993 $29K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 62 $28K
92586 <1% 209 $28K
73552 <1% 619 $27K
93308 <1% 278 $26K
92583 <1% 1,685 $26K
83970 <1% 578 $26K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 110 $26K
95812 <1% 148 $25K
95819 <1% 177 $25K
86618 <1% 746 $25K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 15,269 $25K
84156 <1% 627 $24K
85384 <1% 901 $23K
77075 <1% 179 $22K
A9150 Non-prescription drugs <1% 9,411 $22K
82962 <1% 3,233 $22K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 16,487 $21K
81479 Unlisted molecular pathology procedure <1% 412 $21K
86364 <1% 237 $21K
80306 <1% 813 $20K
92585 <1% 146 $20K
85660 <1% 1,111 $19K
12001 <1% 258 $18K
90686 <1% 1,455 $18K
82803 <1% 420 $18K
84703 <1% 927 $18K
94644 <1% 137 $17K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 16,879 $17K
87481 <1% 333 $16K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 2,488 $16K
J8540 Dexamethasone, oral, 0.25 mg <1% 7,349 $16K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 133 $16K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 2,121 $16K
82150 <1% 843 $16K
71045 Radiologic examination, chest; single view <1% 852 $16K
76825 <1% 157 $15K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 10,524 $15K
87486 <1% 2,388 $15K
93017 <1% 43 $14K
82550 <1% 702 $14K
87581 <1% 2,386 $14K
86923 <1% 317 $13K
88304 <1% 377 $13K
73030 <1% 163 $12K
83655 <1% 1,676 $12K
87507 <1% 142 $12K
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,507 $12K
74181 <1% 27 $12K
83930 <1% 251 $12K
92593 <1% 111 $12K
99157 <1% 190 $11K
84403 <1% 427 $11K
97165 <1% 74 $11K
72195 <1% 13 $11K
73000 <1% 106 $11K
86592 <1% 1,190 $11K
83002 <1% 459 $10K
87641 <1% 645 $9K
81229 <1% 149 $9K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,064 $9K
51741 <1% 168 $9K
96450 <1% 40 $9K
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 5,718 $9K
84480 <1% 679 $8K
86039 <1% 182 $8K
51798 <1% 342 $8K
80299 <1% 78 $8K
76827 <1% 157 $8K
87081 <1% 3,007 $8K
72081 <1% 223 $8K
84436 <1% 466 $8K
94770 <1% 479 $8K
73070 <1% 92 $7K
83525 <1% 372 $7K
92652 <1% 29 $7K
J7050 Infusion, normal saline solution, 250 cc <1% 3,067 $7K
94645 <1% 25 $7K
85027 <1% 849 $6K
96376 <1% 161 $6K
82310 <1% 470 $6K
82670 <1% 205 $6K
83001 <1% 376 $6K
82652 <1% 883 $6K
J7030 Infusion, normal saline solution , 1000 cc <1% 3,062 $5K
86803 <1% 385 $5K
73564 <1% 167 $5K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 620 $5K
86480 <1% 164 $5K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,947 $5K
J0690 Injection, cefazolin sodium, 500 mg <1% 4,019 $5K
82947 <1% 400 $4K
87512 <1% 317 $4K
84484 <1% 61 $4K
84460 <1% 509 $4K
87102 <1% 301 $4K
86160 <1% 100 $4K
82610 <1% 203 $4K
74455 <1% 34 $3K
97167 <1% 12 $3K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 2,894 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,132 $3K
87640 <1% 51 $3K
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 3,167 $3K
83615 <1% 122 $3K
80069 <1% 56 $3K
88312 <1% 181 $3K
84450 <1% 419 $3K
29130 <1% 32 $3K
84157 <1% 164 $3K
89050 <1% 93 $3K
73620 <1% 42 $3K
73060 <1% 48 $3K
86376 <1% 164 $2K
72040 <1% 117 $2K
76882 <1% 64 $2K
83520 <1% 95 $2K
95951 <1% 61 $2K
82945 <1% 95 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 4,767 $2K
95700 <1% 14 $2K
36591 <1% 240 $2K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 1,540 $2K
86665 <1% 352 $2K
92595 <1% 24 $2K
97760 <1% 60 $2K
86359 <1% 179 $2K
73100 <1% 12 $2K
84305 <1% 235 $2K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 12 $2K
85246 <1% 32 $2K
85397 <1% 14 $2K
J9370 Vincristine sulfate, 1 mg <1% 644 $2K
86255 <1% 64 $2K
69210 <1% 143 $2K
85240 <1% 34 $1K
83498 <1% 13 $1K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 14 $1K
80329 <1% 14 $1K
87205 <1% 1,625 $1K
J2300 Injection, nalbuphine hydrochloride, per 10 mg <1% 1,931 $1K
85018 <1% 441 $1K
80074 <1% 32 $1K
81025 <1% 34 $1K
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml <1% 46 $1K
84466 <1% 121 $984.51
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 1,588 $973.17
86317 <1% 105 $958.53
86225 <1% 15 $913.48
86921 <1% 175 $897.17
87800 <1% 211 $877.07
90656 <1% 101 $839.35
86706 <1% 358 $823.66
80164 <1% 138 $802.80
84550 <1% 31 $734.42
86360 <1% 34 $715.00
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 245 $671.15
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 563 $657.44
82247 <1% 308 $555.42
82043 <1% 70 $505.76
A9573 Injection, gadopiclenol, 1 ml <1% 14 $491.72
51600 <1% 35 $479.57
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 201 $468.74
87147 <1% 73 $405.25
82248 <1% 266 $398.51
86664 <1% 224 $391.12
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 477 $384.23
86357 <1% 81 $345.35
86355 <1% 81 $345.35
86800 <1% 13 $320.76
86308 <1% 271 $307.26
J7999 Compounded drug, not otherwise classified <1% 254 $304.96
84146 <1% 116 $297.67
J3480 Injection, potassium chloride, per 2 meq <1% 92 $296.13
V5266 Battery for use in hearing device <1% 12 $295.15
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 113 $265.32
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 322 $262.11
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 70 $232.33
85044 <1% 633 $194.21
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 12 $171.20
84402 <1% 16 $137.43
86708 <1% 19 $134.82
94729 <1% 45 $132.99
82607 <1% 30 $129.36
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 28 $129.20
86663 <1% 83 $65.07
86885 <1% 113 $56.96
87340 <1% 220 $45.90
J9260 Injection, methotrexate sodium, 50 mg <1% 42 $37.49
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg <1% 59 $32.76
88300 <1% 18 $31.83
86704 <1% 123 $28.86
85060 <1% 13 $25.45
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 13 $25.30
85014 <1% 71 $19.14
80177 <1% 32 $14.44
78264 0% 45 $0.00
84134 0% 20 $0.00
73660 0% 12 $0.00
97113 0% 27 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 17 $0.00
93886 0% 13 $0.00
83021 0% 30 $0.00
A0427 Emergency ambulance ride, advanced life support 0% 28 $0.00
74230 0% 16 $0.00
92611 0% 17 $0.00
78262 0% 30 $0.00
94726 0% 28 $0.00
84630 0% 15 $0.00
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 0% 45 $0.00
72100 0% 38 $0.00
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 0% 17 $0.00
86235 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$172.06M
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.