The Nemours Foundation
The Nemours Foundation was paid $5.85M by Medicaid between Aug 2018 and Dec 2024, across 82 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 25% of everything it billed.
33Billing provider infoTHE NEMOURS FOUNDATION
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
33aNPI1902959653assigned 01/18/2007
33bProvider typeAudiologist
28Total paid$5.85M
24GClaims123,648
24DCodes billed82
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Audiologist providers in Pennsylvania
Rank by total paid#1 of 77
Median peer was paid$2K
This provider vs. median2,969×
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 | 823 | $54K | |
| 2019 | 2,049 | $173K | |
| 2020 | 7,360 | $440K | |
| 2021 | 38,276 | $2.07M | |
| 2022 | 33,361 | $1.69M | |
| 2023 | 22,931 | $793K | |
| 2024incomplete | 18,848 | $630K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 25% | 2,504 | 728 | $1.49M |
| 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 | 11% | 9,354 | 9,002 | $629K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 15,566 | 14,691 | $441K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 5,847 | 5,760 | $280K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 4.5% | 1,344 | 477 | $265K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 9,644 | 9,549 | $261K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 6,606 | 6,545 | $209K |
| 99460 | 3.5% | 1,877 | 1,849 | $207K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.5% | 4,120 | 3,895 | $204K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.5% | 1,221 | 1,201 | $203K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 1,782 | 1,749 | $201K |
| 99499 | 2.8% | 4,876 | 4,834 | $166K |
70 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 2,500 | $127K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.9% | 1,774 | $110K |
| 99283 | Emergency room visit (moderate) | 1.8% | 1,037 | $105K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.7% | 3,445 | $101K |
| 90686 | 1.6% | 10,641 | $93K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 1.4% | 539 | $83K |
| 93325 | 1.3% | 746 | $74K | |
| 90461 | 1.3% | 1,397 | $74K | |
| 93000 | <1% | 998 | $53K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 695 | $52K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 448 | $50K |
| 90670 | <1% | 3,475 | $36K | |
| 90698 | <1% | 3,583 | $33K | |
| 92551 | <1% | 2,859 | $28K | |
| S9083 | Global fee urgent care centers | <1% | 206 | $23K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 52 | $22K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,003 | $21K |
| 99284 | Emergency room visit (serious) | <1% | 140 | $19K |
| 90680 | <1% | 1,752 | $18K | |
| 99462 | <1% | 361 | $18K | |
| 99173 | <1% | 4,334 | $17K | |
| 90651 | <1% | 823 | $14K | |
| 90734 | <1% | 220 | $13K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 64 | $10K |
| 90633 | <1% | 948 | $9K | |
| 99245 | <1% | 25 | $8K | |
| 93320 | <1% | 40 | $8K | |
| 99464 | <1% | 77 | $7K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 159 | $7K |
| 90744 | <1% | 807 | $7K | |
| 85018 | <1% | 2,611 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 356 | $5K |
| 90697 | <1% | 508 | $5K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 26 | $5K |
| 90716 | <1% | 416 | $4K | |
| 90707 | <1% | 390 | $4K | |
| 90671 | <1% | 850 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 72 | $2K |
| 0001A | <1% | 513 | $2K | |
| 90656 | <1% | 1,068 | $2K | |
| 96160 | <1% | 279 | $2K | |
| 90685 | <1% | 194 | $2K | |
| 0002A | <1% | 261 | $1K | |
| 90619 | <1% | 41 | $1K | |
| 92015 | Determination of refractive state | <1% | 80 | $1K |
| 96127 | <1% | 88 | $1K | |
| 0124A | <1% | 28 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $1K |
| 90672 | <1% | 121 | $889.56 | |
| 90696 | <1% | 26 | $819.94 | |
| 90480 | <1% | 111 | $814.80 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 24 | $714.87 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $355.48 |
| 90657 | <1% | 32 | $281.90 | |
| 90710 | <1% | 14 | $267.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $264.66 |
| 0071A | <1% | 1,359 | $252.00 | |
| 90713 | <1% | 13 | $91.00 | |
| 82962 | <1% | 14 | $87.98 | |
| 90687 | <1% | 12 | $84.00 | |
| 90715 | <1% | 12 | $77.00 | |
| 36416 | <1% | 2,778 | $4.77 | |
| 0052A | 0% | 109 | $0.00 | |
| 0072A | 0% | 931 | $0.00 | |
| 94760 | 0% | 12 | $0.00 | |
| 0051A | 0% | 121 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 12 | $0.00 |
| 0081A | 0% | 15 | $0.00 | |
| 0054A | 0% | 174 | $0.00 | |
| 0003A | 0% | 47 | $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 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 |
| Nemours New Jersey Physician Practice, P.C. | Deptford, NJ | $1.45M |
| The Nemours Foundation | Deptford, NJ | $97K |
| The Nemours Foundation | Wilmington, DE | $65K |
| 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.