Physician
Childrens Medical Group INC
Childrens Medical Group INC was paid $7.11M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoCHILDRENS MEDICAL GROUP INC
NEWPORT NEWS, VA 23606
NEWPORT NEWS, VA 23606
33aNPI1033264767assigned 01/24/2007
33bProvider typePediatrics Physician
28Total paid$7.11M
24GClaims232,410
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#16 of 817
Median peer was paid$29K
This provider vs. median243×
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 ABSHIRE, KATHRYN 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 | 17,271 | $576K | |
| 2019 | 32,026 | $983K | |
| 2020 | 33,954 | $1.05M | |
| 2021 | 41,042 | $1.13M | |
| 2022 | 39,626 | $1.13M | |
| 2023 | 34,678 | $1.10M | |
| 2024incomplete | 33,813 | $1.13M |
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 | 30% | 34,405 | 31,128 | $2.12M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 14,656 | 14,065 | $1.21M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 14,701 | 13,020 | $1.12M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 8,544 | 8,239 | $695K |
| 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 | 4.6% | 3,695 | 3,434 | $328K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 6,456 | 5,972 | $228K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 2,584 | 2,457 | $222K |
| 90670 | 1.9% | 8,387 | 7,730 | $137K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 13,794 | 9,250 | $124K |
| 90698 | 1.5% | 8,568 | 7,652 | $109K | |
| 90686 | 1.4% | 8,648 | 8,176 | $102K | |
| 90680 | 1.2% | 6,230 | 5,752 | $86K |
56 more codes
| 87428 | <1% | 1,527 | $54K | |
| 92551 | <1% | 5,270 | $54K | |
| 90633 | <1% | 4,353 | $54K | |
| 90744 | <1% | 3,468 | $41K | |
| 90677 | <1% | 1,292 | $35K | |
| 96127 | <1% | 6,602 | $34K | |
| 96161 | <1% | 13,500 | $33K | |
| 99174 | <1% | 4,944 | $26K | |
| 90651 | <1% | 1,057 | $26K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 720 | $24K |
| 96160 | <1% | 11,007 | $23K | |
| 99381 | <1% | 304 | $23K | |
| 90671 | <1% | 1,109 | $22K | |
| 90697 | <1% | 1,153 | $21K | |
| 83655 | <1% | 1,770 | $21K | |
| 85018 | <1% | 7,543 | $19K | |
| 99173 | <1% | 5,004 | $13K | |
| 90710 | <1% | 556 | $13K | |
| 0071A | <1% | 268 | $11K | |
| 90685 | <1% | 836 | $9K | |
| 90656 | <1% | 484 | $9K | |
| 80061 | Lipid panel | <1% | 582 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 559 | $7K |
| 90696 | <1% | 490 | $7K | |
| 90707 | <1% | 460 | $6K | |
| 90716 | <1% | 446 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 418 | $6K |
| 0072A | <1% | 108 | $5K | |
| 90734 | <1% | 259 | $4K | |
| 99383 | <1% | 44 | $4K | |
| 90619 | <1% | 153 | $3K | |
| 1128F | <1% | 9,260 | $3K | |
| 36416 | <1% | 7,974 | $2K | |
| 90700 | <1% | 162 | $2K | |
| 90620 | <1% | 32 | $1K | |
| 94760 | <1% | 1,264 | $1K | |
| 0081A | <1% | 31 | $1K | |
| 1127F | <1% | 2,256 | $981.88 | |
| 99000 | <1% | 409 | $898.63 | |
| 90648 | <1% | 74 | $744.62 | |
| 81002 | <1% | 274 | $738.95 | |
| 99188 | <1% | 30 | $697.52 | |
| 91321 | <1% | 40 | $660.16 | |
| 90715 | <1% | 52 | $637.14 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 35 | $570.33 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 29 | $226.60 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $98.15 |
| 99051 | <1% | 122 | $59.20 | |
| 82962 | <1% | 16 | $25.27 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 48 | $5.33 |
| 91308 | <1% | 110 | $0.93 | |
| 91307 | <1% | 446 | $0.60 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 14 | $0.00 |
| G9920 | Screening performed and negative | 0% | 308 | $0.00 |
| 91300 | 0% | 76 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,380 | $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 officialABSHIRE, KATHRYN (SENIOR VP/CFO)
Parent organizationCHILDRENS MEDICAL GROUP INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.