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

Jacksonville Children's Surgery Center, LLC

Jacksonville Children's Surgery Center, LLC was paid $6.31M by Medicaid between Nov 2022 and Dec 2024, across 20 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 37% of everything it billed.

33Billing provider infoJACKSONVILLE CHILDREN'S SURGERY CENTER, LLC
JACKSONVILLE, FL 32216
33aNPI1770620742assigned 01/31/2007
28Total paid$6.31M
24GClaims72,535
24DCodes billed20
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Florida

Rank by total paid#9 of 165
Median peer was paid$41K
This provider vs. median154×

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 LARSEN, DEVIN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
20221,493$88K
202351,058$3.24M
2024incomplete19,984$2.99M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7140 Extraction, erupted tooth or exposed root 37% 12,227 3,216 $2.32M
D2930 Prefabricated stainless steel crown - primary tooth 24% 11,355 3,223 $1.54M
D9420 16% 5,925 4,334 $984K
41899 Unlisted procedure, dentoalveolar structures 9.1% 515 498 $573K
D7111 2.9% 1,048 440 $183K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.8% 1,506 781 $179K
D0150 Comprehensive oral evaluation - new or established patient 2.4% 5,648 3,875 $151K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1.9% 747 408 $118K
D0603 1.8% 5,476 3,914 $111K
D2330 1.1% 2,068 930 $70K
D2934 <1% 898 398 $31K
D0350 <1% 5,273 3,733 $28K
8 more codes
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 2,032 $17K
D0210 Intraoral - complete series of radiographic images <1% 5,345 $6K
D1330 <1% 5,312 $4K
D3120 <1% 295 $1K
D1351 Sealant - per tooth <1% 6,693 $1K
D0140 Limited oral evaluation - problem focused 0% 15 $0.00
D2331 0% 63 $0.00
D2332 0% 94 $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 officialLARSEN, DEVIN (CEO)
Same official

Other billing entities under LARSEN, DEVIN

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