Clinic
The Nemours Foundation
The Nemours Foundation was paid $65K by Medicaid between Jan 2018 and Feb 2023, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.
33Billing provider infoTHE NEMOURS FOUNDATION
WILMINGTON, DE 19803
WILMINGTON, DE 19803
33aNPI1811034630assigned 01/31/2007
33bProvider typeDental Clinic/Center
28Total paid$65K
24GClaims3,785
24DCodes billed12
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Dental Clinic/Center providers in Delaware
Rank by total paid#20 of 24
Median peer was paid$212K
This provider vs. median0.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 834 | $13K | |
| 2019 | 1,215 | $18K | |
| 2020 | 321 | $4K | |
| 2021 | 783 | $13K | |
| 2022 | 561 | $15K | |
| 2023 | 71 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 43% | 1,271 | 1,116 | $28K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 1,300 | 990 | $14K |
| D1110 | Prophylaxis - adult | 11% | 178 | 133 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.8% | 173 | 138 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.0% | 325 | 260 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.9% | 214 | 160 | $3K |
| D1206 | Topical application of fluoride varnish | 2.7% | 54 | 54 | $2K |
| 92250 | 1.7% | 159 | 128 | $1K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.2% | 39 | 34 | $785.08 |
| 92083 | <1% | 24 | 24 | $250.74 | |
| 92134 | <1% | 33 | 24 | $50.85 | |
| 92133 | <1% | 15 | 12 | $49.85 |
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
| Provider | Location | Paid |
|---|---|---|
| The Nemours Foundation | Wilmington, DE | $172.06M |
| The Nemours Foundation | Wilmington, DE | $104.02M |
| The Nemours Foundation | Philadelphia, PA | $5.85M |
| Nemours New Jersey Physician Practice, P.C. | Deptford, NJ | $1.45M |
| The Nemours Foundation | Deptford, NJ | $97K |
| The Nemours Foundation | Wilmington, DE | $22K |
| The Nemours Foundation | Wilmington, DE | $6K |
| The Nemours Foundation | New Castle, DE | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.