Medicaid Provider Spending

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

NEMOURS CHILDREN'S HEALTH, CLERMONT, PRIMARY CARE

NPI: 1891364055 · CLERMONT, FL 34711 · 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

$465K
Total Medicaid Paid
7,423
Total Claims
6,889
Beneficiaries
19
Codes Billed
2021-05
First Month
2024-11
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, DOWNTOWN ORLANDO, PRIMARY CARE ORLANDO FL $551K
NEMOURS CHILDREN'S HEALTH, VERO BEACH, PRIMARY CARE VERO BEACH FL $535K
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 907 $56K
2022 2,628 $173K
2023 2,758 $175K
2024 1,130 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,247 3,003 $215K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 711 661 $76K
90460 Immunization administration through 18 years of age via any route, first or only component 1,287 1,202 $64K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 475 451 $48K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 244 235 $25K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 236 206 $17K
90461 371 329 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 53 51 $5K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 16 15 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 14 14 $2K
85018 185 174 $249.58
92551 149 141 $182.00
99177 66 58 $157.50
90686 114 111 $140.88
83655 12 12 $83.28
36416 184 171 $76.25
99173 29 27 $63.00
96127 12 12 $49.94
90670 18 16 $0.00