Nemours Children's Health, Downtown Orlando, Specialty Care
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 600% from 2021 to 2022.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Clinic/Center, Multi-Specialty Peers
Total spending distribution among 12 providers in this specialty
This provider's total spending of $44.4M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.
Total Paid
$44.4M
$44,358,742
Total Claims
424K
Beneficiaries
384K
1.1 claims/patient
Avg Cost/Claim
$105
🔍 Analysis
Provider Overview
Nemours Children's Health, Downtown Orlando, Specialty Care is a Clinic/Center, Multi-Specialty provider based in Orlando, FL. From the 2018–2024 period, this provider received $44.4M in Medicaid payments across 424K claims.
Why This Matters
At $44.4M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
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