Physician
Childrens Health Care Associates, INC
Childrens Health Care Associates, INC was paid $3.35M by Medicaid between May 2018 and Nov 2024, across 16 billing codes. Its largest line is 95720, — 40% of everything it billed.
33Billing provider infoCHILDRENS HEALTH CARE ASSOCIATES, INC
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
33aNPI1033204086assigned 10/04/2006
33bProvider typePediatrics Physician
28Total paid$3.35M
24GClaims27,025
24DCodes billed16
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#19 of 1,257
Median peer was paid$45K
This provider vs. median74×
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 FLOWERS, CHERISH controls 20+ 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 | |
|---|---|---|---|
| 2018 | 42 | $4K | |
| 2019 | 206 | $28K | |
| 2020 | 1,080 | $151K | |
| 2021 | 5,684 | $796K | |
| 2022 | 6,248 | $769K | |
| 2023 | 6,948 | $762K | |
| 2024incomplete | 6,817 | $843K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95720 | 40% | 5,115 | 3,147 | $1.34M | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 25% | 7,673 | 7,533 | $846K |
| 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 | 20% | 8,233 | 8,102 | $659K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.8% | 2,663 | 1,447 | $295K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.9% | 356 | 350 | $62K |
| 95816 | 1.3% | 1,799 | 1,784 | $43K | |
| 99245 | 1.2% | 251 | 251 | $40K | |
| 99205 | Prolong outpt/office vis | <1% | 312 | 311 | $29K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 422 | 420 | $14K |
| 99255 | <1% | 68 | 65 | $11K | |
| 95782 | <1% | 25 | 25 | $5K | |
| 95718 | <1% | 12 | 12 | $4K |
4 more codes
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 officialFLOWERS, CHERISH (ENROLLMENT MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.