Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1033264767 · NEWPORT NEWS, VA 23606 · Pediatrics Physician · NPI assigned 01/24/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ABSHIRE, KATHRYN controls 20+ related entities in our dataset. Read more

$7.11M
Total Medicaid Paid
232,410
Total Claims
209,890
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABSHIRE, KATHRYN (SENIOR VP/CFO)
Parent OrganizationCHILDRENS MEDICAL GROUP INC
NPI Enumeration Date01/24/2007

Related Entities

Other providers sharing the same authorized official: ABSHIRE, KATHRYN

ProviderCityStateTotal Paid
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $288.16M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $10.18M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $9.18M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $8.38M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $5.72M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $4.85M
CHILDRENS MEDICAL GROUP INC HAMPTON VA $4.67M
CHILDREN'S SURGICAL SPECIALTY GROUP, INC NORFOLK VA $3.98M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $3.58M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $3.46M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $3.22M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $3.06M
CHILDREN'S MEDICAL GROUP, INC., D/B/A LIBERTY PEDIATRICS NEWPORT NEWS VA $2.98M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $2.36M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $2.30M
CHILDRENS MEDICAL GROUP INC WILLIAMSBURG VA $2.23M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $2.10M
CHILDREN'S MEDICAL GROUP, INC., D/B/A COURTHOUSE PEDIATRICS GLOUCESTER VA $2.10M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $805K
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $617K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 33,813 $1.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34,405 31,128 $2.12M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,656 14,065 $1.21M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14,701 13,020 $1.12M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,544 8,239 $695K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,695 3,434 $328K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,456 5,972 $228K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,584 2,457 $222K
90670 8,387 7,730 $137K
96110 Developmental screening, with scoring and documentation, per standardized instrument 13,794 9,250 $124K
90698 8,568 7,652 $109K
90686 8,648 8,176 $102K
90680 6,230 5,752 $86K
87428 1,527 1,433 $54K
92551 5,270 5,069 $54K
90633 4,353 4,101 $54K
90744 3,468 3,161 $41K
90677 1,292 1,222 $35K
96127 6,602 5,954 $34K
96161 13,500 12,178 $33K
99174 4,944 4,737 $26K
90651 1,057 997 $26K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 720 701 $24K
96160 11,007 8,659 $23K
99381 304 250 $23K
90671 1,109 1,047 $22K
90697 1,153 1,098 $21K
83655 1,770 1,701 $21K
85018 7,543 7,178 $19K
99173 5,004 4,799 $13K
90710 556 527 $13K
0071A 268 253 $11K
90685 836 730 $9K
90656 484 478 $9K
80061 Lipid panel 582 559 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 559 505 $7K
90696 490 465 $7K
90707 460 432 $6K
90716 446 409 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 418 196 $6K
0072A 108 107 $5K
90734 259 233 $4K
99383 44 41 $4K
90619 153 146 $3K
1128F 9,260 8,472 $3K
36416 7,974 7,536 $2K
90700 162 154 $2K
90620 32 32 $1K
94760 1,264 1,168 $1K
0081A 31 29 $1K
1127F 2,256 2,161 $981.88
99000 409 384 $898.63
90648 74 69 $744.62
81002 274 237 $738.95
99188 30 29 $697.52
91321 40 26 $660.16
90715 52 50 $637.14
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 35 31 $570.33
90460 Immunization administration through 18 years of age via any route, first or only component 29 28 $226.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $98.15
99051 122 116 $59.20
82962 16 14 $25.27
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 48 43 $5.33
91308 110 101 $0.93
91307 446 426 $0.60
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 14 14 $0.00
G9920 Screening performed and negative 308 298 $0.00
91300 76 74 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,380 2,143 $0.00