CHMC Community Health Services Network

CHMC Community Health Services Network was paid $7K by Medicaid between Jun 2020 and Mar 2021, across 6 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 80% of everything it billed.

33Billing provider infoCHMC COMMUNITY HEALTH SERVICES NETWORK
CINCINNATI, OH 45255

33aNPI1023637774assigned 04/13/2020

33bProvider typePediatrics Physician

28Total paid$7K

24GClaims531

24DCodes billed6

24AFirst – last monthJun 2020 – Mar 2021

Compared with peers

Next to other Pediatrics Physician providers in Ohio

Rank by total paid#274 of 401

Median peer was paid$30K

This provider vs. median0.2×

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
2020	403	$4K
2021	128	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	80%	373	216	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	26	23	$989.94
81002		2.1%	57	57	$143.91
99174		2.0%	14	13	$136.49
90686		<1%	48	48	$31.50
81003		<1%	13	13	$17.70

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 officialGUTHRIE, CATHERINE (DIRECTOR MEDICAL STAFF SERVICES)

Parent organizationCHMC COMMUNITY HEALTH SERVICES NETWORK

Same official

Other billing entities under GUTHRIE, CATHERINE

Full network →

Provider	Location	Paid
Children's Hospital Medical Center	Cincinnati, OH	$11.56M
CHMC Community Health Services Network	Batesville, IN	$869K
CHMC Community Health Services Network	Mason, OH	$119K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.