Medicaid Provider Spending

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

NEMOURS CHILDREN'S HEALTH, DOWNTOWN ORLANDO, PRIMARY CARE

NPI: 1801465067 · ORLANDO, FL 32806 · 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

$551K
Total Medicaid Paid
13,538
Total Claims
12,555
Beneficiaries
30
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, 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, 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 1,899 $70K
2022 6,190 $254K
2023 3,648 $170K
2024 1,801 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,656 2,510 $178K
90460 Immunization administration through 18 years of age via any route, first or only component 2,085 1,918 $90K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 915 833 $86K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 684 667 $71K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 565 507 $45K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 363 337 $34K
90461 1,104 993 $28K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 48 48 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 175 174 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 37 36 $3K
90671 38 38 $3K
99173 720 650 $2K
92551 833 751 $744.18
90686 635 628 $490.78
85018 253 235 $332.39
83655 40 38 $250.14
90670 390 365 $236.56
99177 145 137 $220.50
96110 Developmental screening, with scoring and documentation, per standardized instrument 223 183 $219.29
90633 115 112 $134.70
96161 195 179 $131.14
80061 Lipid panel 13 13 $116.48
90723 252 236 $90.04
36416 573 521 $42.00
90647 221 207 $27.25
90656 49 49 $22.03
90674 21 21 $6.22
90651 12 12 $0.00
96127 30 26 $0.00
90680 148 131 $0.00