Medicaid Provider Spending

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

NEMOURS CHILDREN'S HEALTH, MAITLAND, PRIMARY CARE

NPI: 1639748809 · MAITLAND, FL 32751 · 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

$705K
Total Medicaid Paid
11,898
Total Claims
10,704
Beneficiaries
34
Codes Billed
2021-05
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, LONGWOOD, PRIMARY CARE LONGWOOD FL $650K
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 1,093 $58K
2022 2,007 $127K
2023 5,348 $337K
2024 3,450 $183K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,724 3,444 $254K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,938 1,825 $206K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 646 575 $62K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 509 486 $51K
90460 Immunization administration through 18 years of age via any route, first or only component 1,405 1,209 $48K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 218 203 $25K
90461 529 427 $14K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 159 158 $13K
99490 Ccm add 20min 195 194 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 110 107 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 58 49 $5K
99439 157 150 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 69 66 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 106 100 $2K
99188 73 71 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 22 22 $418.12
96127 361 238 $381.36
80061 Lipid panel 45 42 $353.75
90670 14 14 $236.56
96110 Developmental screening, with scoring and documentation, per standardized instrument 85 70 $201.92
90686 285 279 $166.22
99489 Ccm add 20min 147 130 $147.22
85018 113 93 $142.59
99487 Ccm add 20min 139 122 $136.41
81003 25 24 $62.83
36416 212 203 $12.00
96160 111 65 $5.96
90674 23 23 $0.00
92551 170 118 $0.00
90620 12 12 $0.00
90651 28 28 $0.00
99177 100 77 $0.00
99173 97 67 $0.00
90734 13 13 $0.00