Medicaid Provider Spending

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

NEMOURS CHILDREN'S HEALTH, LONGWOOD, PRIMARY CARE

NPI: 1477122638 · LONGWOOD, FL 32750 · 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

$650K
Total Medicaid Paid
9,316
Total Claims
8,955
Beneficiaries
35
Codes Billed
2021-05
First Month
2023-01
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 CHIDLREN'S HEALTH, KISSIMMEE, PRIMARY CARE KISSIMMEE FL $2.52M
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, 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
2021 1,376 $95K
2022 7,527 $522K
2023 413 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,712 1,585 $202K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,930 1,787 $148K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 617 613 $67K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 443 442 $55K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 489 479 $54K
90460 Immunization administration through 18 years of age via any route, first or only component 1,162 1,152 $51K
90461 486 481 $18K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 142 139 $16K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 134 129 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 148 146 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 88 84 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 118 115 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 132 132 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 107 106 $1K
99188 29 29 $638.08
96127 125 119 $435.22
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 23 23 $402.30
90670 64 64 $271.00
83655 24 24 $236.16
90710 38 38 $236.03
90686 498 496 $203.69
85018 95 93 $153.83
87807 12 12 $141.70
92551 112 105 $39.00
81003 15 12 $36.52
99177 75 72 $31.50
36416 192 183 $18.00
90633 26 26 $0.00
90734 50 50 $0.00
99173 32 29 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 62 54 $0.00
90651 95 95 $0.00
90696 12 12 $0.00
90647 13 13 $0.00
90620 16 16 $0.00