Medicaid Provider Spending

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

NEMOURS CHILDREN'S HEALTH, CELEBRATION, PRIMARY CARE

NPI: 1548839798 · CELEBRATION, FL 34747 · 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

$626K
Total Medicaid Paid
14,179
Total Claims
13,127
Beneficiaries
39
Codes Billed
2020-10
First Month
2024-12
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, LONGWOOD, PRIMARY CARE LONGWOOD FL $650K
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
2020 49 $0.00
2021 1,821 $71K
2022 5,943 $268K
2023 4,670 $207K
2024 1,696 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,042 2,829 $176K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,081 1,003 $119K
90460 Immunization administration through 18 years of age via any route, first or only component 1,767 1,628 $88K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 885 793 $71K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 506 473 $56K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 476 447 $53K
90461 1,027 920 $27K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 138 135 $19K
99177 645 567 $3K
80061 Lipid panel 316 290 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 99 98 $2K
90671 13 13 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 20 20 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 13 $1K
99381 12 12 $696.04
90670 515 503 $677.50
85018 464 423 $670.11
90651 54 54 $529.50
99188 16 15 $392.90
82962 153 143 $342.40
90686 450 441 $289.67
36416 653 614 $186.00
83655 14 14 $180.28
90472 Immunization administration, each additional vaccine (list separately) 15 14 $180.00
90647 300 296 $160.00
90620 51 50 $157.00
90723 348 343 $129.00
96127 94 63 $114.94
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $113.89
90633 238 236 $97.50
90680 305 299 $90.50
96110 Developmental screening, with scoring and documentation, per standardized instrument 232 190 $0.00
92551 124 85 $0.00
90674 28 28 $0.00
90696 14 13 $0.00
90700 12 12 $0.00
99173 20 12 $0.00
90710 14 13 $0.00
90734 12 12 $0.00