Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Maitland › NPI 1639748809
Physician

Nemours Children's Health, Maitland, Primary Care

Nemours Children's Health, Maitland, Primary Care was paid $705K by Medicaid between May 2021 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoNEMOURS CHILDREN'S HEALTH, MAITLAND, PRIMARY CARE
MAITLAND, FL 32751
33aNPI1639748809assigned 06/22/2021
33bProvider typePediatrics Physician
28Total paid$705K
24GClaims11,898
24DCodes billed34
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#323 of 971
Median peer was paid$238K
This provider vs. median3.0×

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$20K$40K$60K2018201920202021202220232024
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
20211,093$58K
20222,007$127K
20235,348$337K
2024incomplete3,450$183K
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 36% 3,724 3,444 $254K
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 29% 1,938 1,825 $206K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.7% 646 575 $62K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.2% 509 486 $51K
90460 Immunization administration through 18 years of age via any route, first or only component 6.9% 1,405 1,209 $48K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.5% 218 203 $25K
90461 2.0% 529 427 $14K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.9% 159 158 $13K
99490 Ccm add 20min 1.2% 195 194 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.1% 110 107 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 58 49 $5K
99439 <1% 157 150 $3K
22 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 69 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 106 $2K
99188 <1% 73 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 22 $418.12
96127 <1% 361 $381.36
80061 Lipid panel <1% 45 $353.75
90670 <1% 14 $236.56
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 85 $201.92
90686 <1% 285 $166.22
99489 Ccm add 20min <1% 147 $147.22
85018 <1% 113 $142.59
99487 Ccm add 20min <1% 139 $136.41
81003 <1% 25 $62.83
36416 <1% 212 $12.00
96160 <1% 111 $5.96
90674 0% 23 $0.00
92551 0% 170 $0.00
90620 0% 12 $0.00
90651 0% 28 $0.00
99177 0% 100 $0.00
99173 0% 97 $0.00
90734 0% 13 $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.