Supplier
Children's Hospital of Philadelphia
Children's Hospital of Philadelphia was paid $27.56M by Medicaid between Apr 2018 and Dec 2024, across 84 billing codes. Its largest line is E0466, Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) — 21% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF PHILADELPHIA
KING OF PRUSSIA, PA 19406
KING OF PRUSSIA, PA 19406
33aNPI1033289889assigned 11/09/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$27.56M
24GClaims145,290
24DCodes billed84
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Pennsylvania
Rank by total paid#9 of 279
Median peer was paid$181K
This provider vs. median152×
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 | |
|---|---|---|---|
| 2018 | 327 | $4K | |
| 2019 | 527 | $6K | |
| 2020 | 7,279 | $1.32M | |
| 2021 | 33,159 | $6.16M | |
| 2022 | 33,197 | $5.94M | |
| 2023 | 37,562 | $7.09M | |
| 2024incomplete | 33,239 | $7.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 21% | 2,518 | 2,373 | $5.90M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 13% | 1,747 | 1,645 | $3.50M |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 7.4% | 11,223 | 9,378 | $2.03M |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 6.2% | 5,734 | 5,428 | $1.71M |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 5.4% | 4,998 | 4,607 | $1.49M |
| E0424 | Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing | 4.8% | 4,302 | 4,105 | $1.32M |
| E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 3.9% | 2,190 | 2,033 | $1.09M |
| E1399 | Durable medical equipment, miscellaneous | 3.4% | 2,676 | 2,135 | $924K |
| A6209 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 2.8% | 2,504 | 2,053 | $769K |
| A4483 | Moisture exchanger, disposable, for use with invasive mechanical ventilation | 2.5% | 2,017 | 1,580 | $677K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 2.3% | 8,903 | 8,454 | $621K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 2.1% | 5,630 | 4,839 | $575K |
72 more codes
| A4624 | Tracheal suction catheter, any type other than closed system, each | 2.0% | 2,241 | $545K |
| A4606 | Oxygen probe for use with oximeter device, replacement | 1.6% | 7,434 | $441K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | 1.3% | 860 | $347K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 1.2% | 2,200 | $329K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 1.1% | 852 | $302K |
| E0601 | Continuous positive airway pressure (cpap) device | 1.1% | 2,161 | $299K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | 1.1% | 675 | $292K |
| E0565 | Compressor, air power source for equipment which is not self-contained or cylinder driven | <1% | 1,332 | $276K |
| E0439 | Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing | <1% | 1,080 | $275K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 3,337 | $265K |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 1,036 | $265K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | <1% | 1,344 | $253K |
| A4605 | Tracheal suction catheter, closed system, each | <1% | 763 | $235K |
| E1240 | Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest | <1% | 2,013 | $225K |
| E0482 | Cough stimulating device, alternating positive and negative airway pressure | <1% | 709 | $197K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 3,911 | $182K |
| E1150 | Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests | <1% | 2,018 | $143K |
| E0570 | Nebulizer, with compressor | <1% | 619 | $133K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 1,335 | $127K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 956 | $126K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | <1% | 824 | $116K |
| A4217 | Sterile water/saline, 500 ml | <1% | 2,477 | $115K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 1,259 | $110K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 779 | $96K |
| A7035 | Headgear used with positive airway pressure device | <1% | 2,049 | $87K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 2,251 | $84K |
| A7037 | Tubing used with positive airway pressure device | <1% | 1,807 | $84K |
| A4618 | Breathing circuits | <1% | 1,644 | $73K |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | <1% | 543 | $72K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 404 | $71K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 1,525 | $69K |
| B4162 | Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 443 | $67K |
| E0434 | Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing | <1% | 1,014 | $48K |
| A7045 | Exhalation port with or without swivel used with accessories for positive airway devices, replacement only | <1% | 457 | $42K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 1,717 | $40K |
| B4103 | Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit | <1% | 608 | $39K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 2,603 | $37K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 6,477 | $37K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 263 | $36K |
| E1060 | Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests | <1% | 422 | $35K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | <1% | 335 | $33K |
| E1140 | Wheelchair, detachable arms, desk or full length, swing away detachable footrests | <1% | 370 | $33K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 2,860 | $26K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 2,451 | $25K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 911 | $25K |
| B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 594 | $23K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 2,013 | $22K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 1,032 | $21K |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 3,052 | $15K |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 772 | $14K |
| E0481 | Intrapulmonary percussive ventilation system and related accessories | <1% | 49 | $13K |
| A4626 | Tracheostomy cleaning brush, each | <1% | 941 | $13K |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | <1% | 256 | $13K |
| A4649 | Surgical supply; miscellaneous | <1% | 947 | $10K |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 573 | $10K |
| A4620 | Variable concentration mask | <1% | 1,632 | $9K |
| K0003 | Lightweight wheelchair | <1% | 94 | $7K |
| A4213 | Syringe, sterile, 20 cc or greater, each | <1% | 1,108 | $6K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 65 | $5K |
| A6257 | Transparent film, sterile, 16 sq. in. or less, each dressing | <1% | 104 | $5K |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | <1% | 371 | $4K |
| A6234 | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 27 | $4K |
| A4215 | Needle, sterile, any size, each | <1% | 955 | $3K |
| A4245 | Alcohol wipes, per box | <1% | 813 | $3K |
| A4371 | Ostomy skin barrier, powder, per oz | <1% | 389 | $2K |
| A4615 | Cannula, nasal | <1% | 938 | $2K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 368 | $2K |
| E0247 | Transfer bench for tub or toilet with or without commode opening | <1% | 14 | $1K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 12 | $1K |
| E0271 | Mattress, innerspring | <1% | 227 | $736.55 |
| A4367 | Ostomy belt, each | <1% | 93 | $514.48 |
| E0621 | Sling or seat, patient lift, canvas or nylon | <1% | 40 | $359.07 |
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 officialCIARDI, LORI (SR. DIRECTOR HOME CARE)
Parent organizationCHILDREN'S HOSPITAL OF PHILADELPHIA
| Provider | Location | Paid |
|---|---|---|
| Children's Hospital of Philadelphia | King Of Prussia, PA | $23.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.