Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

The Nemours Foundation

The Nemours Foundation was paid $97K by Medicaid between Mar 2022 and Jul 2023, across 24 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 61% of everything it billed.

33Billing provider infoTHE NEMOURS FOUNDATION
DEPTFORD, NJ 08096
33aNPI1669982302assigned 10/09/2017
28Total paid$97K
24GClaims5,320
24DCodes billed24
24AFirst – last monthMar 2022 – Jul 2023
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in New Jersey

Rank by total paid#72 of 106
Median peer was paid$268K
This provider vs. median0.4×

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.

Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
20223,507$70K
20231,813$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 61% 27 27 $60K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12% 305 110 $11K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 11% 274 85 $11K
97530 Therapeutic activities, direct patient contact, each 15 minutes 11% 224 102 $11K
74018 1.1% 25 24 $1K
92587 <1% 114 112 $795.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 63 49 $667.29
J7120 Ringers lactate infusion, up to 1000 cc <1% 407 360 $398.97
92567 <1% 151 144 $385.00
92579 <1% 105 103 $314.50
J2704 Injection, propofol, 10 mg <1% 360 282 $282.08
92526 <1% 16 12 $210.00
12 more codes
J3490 Unclassified drugs <1% 586 $189.28
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 317 $42.60
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 359 $36.00
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 22 $9.75
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 300 $2.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 298 $0.00
OP370 0% 513 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 0% 212 $0.00
OP272 0% 12 $0.00
OP710 0% 515 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 0% 83 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 0% 32 $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 officialMUMFORD, MARK (EVP, COO)
Parent organizationTHE NEMOURS FOUNDATION
Same official

Other billing entities under MUMFORD, MARK

Full network →
ProviderLocationPaid
The Nemours FoundationWilmington, DE$172.06M
The Nemours FoundationWilmington, DE$104.02M
The Nemours FoundationPhiladelphia, PA$5.85M
Nemours New Jersey Physician Practice, P.C.Deptford, NJ$1.45M
The Nemours FoundationWilmington, DE$65K
The Nemours FoundationWilmington, DE$22K
The Nemours FoundationWilmington, DE$6K
The Nemours FoundationNew Castle, DE$0.00

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