Medicaid Provider Spending

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

NEMOURS CHILDREN'S HEALTH, SANFORD, PRIMARY CARE

NPI: 1982273157 · SANFORD, FL 32771 · 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

$1.37M
Total Medicaid Paid
25,946
Total Claims
23,836
Beneficiaries
40
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, 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, 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 2,757 $141K
2022 8,639 $463K
2023 9,419 $533K
2024 5,131 $235K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,533 7,039 $514K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,836 1,764 $197K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,593 1,460 $159K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,457 1,355 $149K
90460 Immunization administration through 18 years of age via any route, first or only component 2,417 2,205 $103K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 587 556 $65K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 800 679 $64K
90461 1,412 1,226 $43K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 291 283 $26K
90847 Family psychotherapy with the patient present, 50 minutes 95 70 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 612 571 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 123 120 $10K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 65 62 $6K
90670 262 255 $2K
90734 53 53 $2K
96127 1,240 1,072 $1K
99173 638 559 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 94 94 $1K
92551 1,102 951 $1K
90686 757 741 $964.68
85018 530 496 $813.14
99177 352 304 $787.50
83655 102 95 $687.13
99188 42 39 $595.48
80061 Lipid panel 50 46 $397.90
90633 113 112 $335.15
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 15 $300.52
90472 Immunization administration, each additional vaccine (list separately) 25 24 $253.45
90674 16 15 $246.00
36416 961 882 $195.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 234 192 $121.73
96161 104 81 $40.80
90656 45 45 $22.03
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 24 12 $0.13
90671 12 12 $0.00
90700 12 12 $0.00
90723 107 107 $0.00
90647 117 116 $0.00
90651 67 65 $0.00
90680 51 51 $0.00