Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Palm Bay › NPI 1629647896
Physician

Nemours Children's Health, Palm Bay, Primary Care

Nemours Children's Health, Palm Bay, Primary Care was paid $451K by Medicaid between May 2021 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoNEMOURS CHILDREN'S HEALTH, PALM BAY, PRIMARY CARE
PALM BAY, FL 32907
33aNPI1629647896assigned 06/22/2021
33bProvider typePediatrics Physician
28Total paid$451K
24GClaims9,921
24DCodes billed30
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#406 of 971
Median peer was paid$238K
This provider vs. median1.9×

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 BRIDGES, ROBERT controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
2021573$30K
20223,442$157K
20233,935$164K
2024incomplete1,971$101K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 3,356 3,065 $156K
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 31% 1,798 1,642 $141K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.0% 419 381 $36K
90460 Immunization administration through 18 years of age via any route, first or only component 7.3% 1,019 901 $33K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4.2% 360 338 $19K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.9% 304 251 $17K
90461 2.5% 509 434 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.3% 158 150 $10K
90670 1.4% 130 124 $6K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.0% 28 12 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 40 38 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 165 158 $3K
18 more codes
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 14 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 13 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 140 $1K
99177 <1% 167 $819.00
90686 <1% 249 $718.08
90723 <1% 54 $709.50
90647 <1% 68 $576.00
80061 Lipid panel <1% 60 $394.16
90674 <1% 21 $225.50
87807 <1% 30 $201.69
36416 <1% 406 $198.24
85018 <1% 154 $180.00
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 37 $132.72
90680 <1% 14 $90.50
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 48 $60.70
96127 0% 52 $0.00
92551 0% 96 $0.00
90633 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 officialBRIDGES, ROBERT (EVP, OPERATIONS)
Parent organizationCHILDREN'S HEALTH ALLIANCE, LLC
Same official

Other billing entities under BRIDGES, ROBERT

Full network →

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