Physician
Nemours Children's Health, Sanford, Primary Care
Nemours Children's Health, Sanford, Primary Care was paid $1.37M by Medicaid between May 2021 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoNEMOURS CHILDREN'S HEALTH, SANFORD, PRIMARY CARE
SANFORD, FL 32771
SANFORD, FL 32771
33aNPI1982273157assigned 06/22/2021
33bProvider typePediatrics Physician
28Total paid$1.37M
24GClaims25,946
24DCodes billed40
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#215 of 971
Median peer was paid$238K
This provider vs. median5.8×
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 BRIDGES, ROBERT controls 18+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 2,757 | $141K | |
| 2022 | 8,639 | $463K | |
| 2023 | 9,419 | $533K | |
| 2024incomplete | 5,131 | $235K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 7,533 | 7,039 | $514K |
| 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 | 14% | 1,836 | 1,764 | $197K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,593 | 1,460 | $159K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 1,457 | 1,355 | $149K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.5% | 2,417 | 2,205 | $103K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 587 | 556 | $65K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 800 | 679 | $64K |
| 90461 | 3.2% | 1,412 | 1,226 | $43K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.9% | 291 | 283 | $26K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 95 | 70 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 612 | 571 | $11K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 123 | 120 | $10K |
28 more codes
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 65 | $6K |
| 90670 | <1% | 262 | $2K | |
| 90734 | <1% | 53 | $2K | |
| 96127 | <1% | 1,240 | $1K | |
| 99173 | <1% | 638 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 94 | $1K |
| 92551 | <1% | 1,102 | $1K | |
| 90686 | <1% | 757 | $964.68 | |
| 85018 | <1% | 530 | $813.14 | |
| 99177 | <1% | 352 | $787.50 | |
| 83655 | <1% | 102 | $687.13 | |
| 99188 | <1% | 42 | $595.48 | |
| 80061 | Lipid panel | <1% | 50 | $397.90 |
| 90633 | <1% | 113 | $335.15 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $300.52 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 25 | $253.45 |
| 90674 | <1% | 16 | $246.00 | |
| 36416 | <1% | 961 | $195.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 234 | $121.73 |
| 96161 | <1% | 104 | $40.80 | |
| 90656 | <1% | 45 | $22.03 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 24 | $0.13 |
| 90671 | 0% | 12 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90723 | 0% | 107 | $0.00 | |
| 90647 | 0% | 117 | $0.00 | |
| 90651 | 0% | 67 | $0.00 | |
| 90680 | 0% | 51 | $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 officialBRIDGES, ROBERT (EVP, OPERATIONS)
Parent organizationCHILDREN'S HEALTH ALLIANCE, LLC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.