Nemours Children's Health, Titusville, Specialty Care
Nemours Children's Health, Titusville, Specialty Care was paid $1.20M by Medicaid between May 2021 and Jul 2023, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 16% of everything it billed.
TITUSVILLE, FL 32780
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 | |
|---|---|---|---|
| 2021 | 17,019 | $1.20M | |
| 2022 | 14 | $684.04 | |
| 2023 | 68 | $4K |
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 | 16% | 2,056 | 1,974 | $188K |
| 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 | 13% | 956 | 917 | $159K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 1,647 | 1,640 | $146K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.0% | 545 | 544 | $72K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 1,066 | 1,054 | $69K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.5% | 704 | 558 | $66K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.0% | 258 | 258 | $61K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 4.6% | 73 | 73 | $55K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.3% | 1,751 | 1,071 | $52K |
| 95782 | 4.0% | 38 | 38 | $48K | |
| 95819 | 3.0% | 67 | 67 | $36K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 2.0% | 125 | 123 | $24K |
60 more codes
| 99285 | Emergency room visit (most serious) | 1.4% | 170 | $17K |
| 93000 | 1.3% | 724 | $16K | |
| 94010 | 1.0% | 307 | $13K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.0% | 80 | $12K |
| 90837 | Psychotherapy session, about an hour | <1% | 66 | $11K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 104 | $10K |
| 93224 | <1% | 93 | $10K | |
| 92567 | <1% | 499 | $9K | |
| 95720 | <1% | 30 | $8K | |
| 72082 | <1% | 171 | $7K | |
| 74018 | <1% | 467 | $7K | |
| 73090 | <1% | 273 | $6K | |
| 93320 | <1% | 129 | $6K | |
| 99490 | Ccm add 20min | <1% | 132 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 110 | $6K |
| 92579 | <1% | 100 | $6K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 474 | $5K |
| 93325 | <1% | 289 | $5K | |
| 71045 | Radiologic examination, chest; single view | <1% | 578 | $5K |
| 95700 | <1% | 13 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 37 | $4K |
| 99205 | Prolong outpt/office vis | <1% | 75 | $4K |
| 96130 | <1% | 25 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 16 | $3K |
| 72170 | <1% | 156 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 157 | $3K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 34 | $3K |
| 76770 | <1% | 55 | $3K | |
| 92060 | <1% | 148 | $3K | |
| 92015 | Determination of refractive state | <1% | 334 | $2K |
| 92650 | <1% | 16 | $2K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 14 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 20 | $2K |
| 92588 | <1% | 42 | $2K | |
| 96131 | <1% | 14 | $2K | |
| 99439 | <1% | 35 | $2K | |
| 77072 | <1% | 70 | $1K | |
| 54150 | <1% | 12 | $1K | |
| 99460 | <1% | 12 | $1K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 661 | $1K |
| 73630 | <1% | 57 | $1K | |
| 96136 | <1% | 20 | $1K | |
| 94664 | <1% | 46 | $1K | |
| 96137 | <1% | 18 | $984.63 | |
| 97802 | <1% | 14 | $936.07 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 26 | $922.55 |
| 72081 | <1% | 29 | $913.34 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 65 | $874.37 |
| 93228 | <1% | 19 | $708.88 | |
| 77073 | <1% | 20 | $696.92 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | $578.61 |
| 81003 | <1% | 151 | $543.34 | |
| 99243 | <1% | 409 | $420.56 | |
| 90686 | <1% | 26 | $405.00 | |
| 93321 | <1% | 28 | $305.36 | |
| 73610 | <1% | 12 | $262.97 | |
| 74019 | <1% | 12 | $148.44 | |
| 88300 | <1% | 13 | $83.20 | |
| 82962 | <1% | 15 | $59.50 | |
| 99245 | 0% | 65 | $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.