Medicaid Provider Spending

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

NEMOURS CHILDREN'S HEALTH, WINDERMERE, PRIMARY CARE

NPI: 1730758806 · ORLANDO, FL 32835 · 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

$813K
Total Medicaid Paid
15,368
Total Claims
14,012
Beneficiaries
36
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, MAITLAND, PRIMARY CARE MAITLAND FL $705K
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 1,300 $57K
2022 5,516 $312K
2023 5,980 $299K
2024 2,572 $145K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,290 2,107 $241K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,258 2,992 $197K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 987 896 $100K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 774 725 $81K
90460 Immunization administration through 18 years of age via any route, first or only component 1,603 1,452 $75K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 491 443 $40K
90461 940 809 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 181 166 $20K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 480 448 $7K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 39 37 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 303 295 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 62 60 $3K
99177 549 517 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 27 27 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24 24 $2K
90651 55 54 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
90686 523 514 $2K
85018 543 466 $750.77
96110 Developmental screening, with scoring and documentation, per standardized instrument 275 234 $421.44
83655 73 55 $385.65
90710 14 13 $314.56
99188 14 14 $289.67
36416 758 694 $198.00
90670 239 232 $147.74
80061 Lipid panel 22 15 $107.09
90674 43 39 $82.00
96127 102 65 $60.19
90633 66 65 $32.50
90647 165 158 $32.00
90680 92 91 $0.00
90723 121 119 $0.00
92551 160 114 $0.00
90656 16 16 $0.00
90696 14 13 $0.00
99173 52 30 $0.00