Children's Healthcare INC
Children's Healthcare INC was paid $6.24M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoCHILDREN'S HEALTHCARE INC
NEWBURYPORT, MA 01950
NEWBURYPORT, MA 01950
33aNPI1043364482assigned 01/23/2007
33bProvider typeSpecialist
28Total paid$6.24M
24GClaims239,798
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Massachusetts
Rank by total paid#3 of 179
Median peer was paid$23K
This provider vs. median269×
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 | 34,347 | $1.02M | |
| 2019 | 34,450 | $1.03M | |
| 2020 | 31,551 | $898K | |
| 2021 | 35,973 | $1.10M | |
| 2022 | 39,107 | $1.32M | |
| 2023 | 41,027 | $651K | |
| 2024incomplete | 23,343 | $234K |
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 | 33% | 42,773 | 38,388 | $2.05M |
| 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% | 18,130 | 17,220 | $1.22M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.2% | 20,051 | 19,536 | $451K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 5,692 | 5,582 | $350K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 5,108 | 4,817 | $323K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.9% | 31,813 | 28,067 | $306K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.8% | 5,842 | 5,684 | $297K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 4,481 | 4,412 | $286K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 2,760 | 2,727 | $204K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.5% | 2,075 | 1,938 | $156K |
| 96127 | 1.6% | 10,347 | 9,700 | $98K | |
| 99188 | 1.5% | 3,678 | 3,599 | $95K |
58 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.5% | 3,088 | $91K |
| 90461 | 1.1% | 4,384 | $69K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 1,875 | $65K |
| ATP04 | <1% | 4,224 | $31K | |
| 85018 | <1% | 8,906 | $18K | |
| 92551 | <1% | 2,011 | $18K | |
| 83655 | <1% | 1,643 | $17K | |
| 99050 | <1% | 1,145 | $11K | |
| 99177 | <1% | 4,830 | $11K | |
| 87430 | <1% | 912 | $10K | |
| 80061 | Lipid panel | <1% | 5,395 | $9K |
| 94760 | <1% | 3,335 | $6K | |
| 99173 | <1% | 340 | $6K | |
| 87070 | <1% | 655 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 62 | $4K |
| 82947 | <1% | 5,522 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 273 | $3K |
| 99403 | <1% | 74 | $3K | |
| 92587 | <1% | 711 | $3K | |
| 0071A | <1% | 81 | $3K | |
| 99381 | <1% | 40 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 101 | $2K |
| 0072A | <1% | 44 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 18 | $2K |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 28 | $2K |
| A4258 | Spring-powered device for lancet, each | <1% | 9,229 | $1K |
| 90658 | <1% | 4,662 | $1K | |
| 87634 | <1% | 14 | $804.96 | |
| 81003 | <1% | 313 | $604.52 | |
| 92583 | <1% | 12 | $524.28 | |
| ATP03 | <1% | 61 | $417.85 | |
| 90651 | <1% | 350 | $197.99 | |
| 94664 | <1% | 13 | $149.80 | |
| 36416 | <1% | 9,110 | $145.87 | |
| 96161 | <1% | 681 | $79.86 | |
| 90686 | <1% | 2,549 | $58.59 | |
| 90674 | <1% | 140 | $32.30 | |
| 99072 | <1% | 19 | $12.50 | |
| 99000 | <1% | 297 | $6.60 | |
| 90648 | 0% | 2,498 | $0.00 | |
| 90670 | 0% | 2,272 | $0.00 | |
| 90661 | 0% | 104 | $0.00 | |
| 90655 | 0% | 295 | $0.00 | |
| 90734 | 0% | 128 | $0.00 | |
| 90710 | 0% | 37 | $0.00 | |
| 90707 | 0% | 14 | $0.00 | |
| 90715 | 0% | 38 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90680 | 0% | 1,143 | $0.00 | |
| 90634 | 0% | 971 | $0.00 | |
| 90723 | 0% | 1,327 | $0.00 | |
| 90716 | 0% | 26 | $0.00 | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 0% | 98 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 576 | $0.00 |
| 90677 | 0% | 191 | $0.00 | |
| 91307 | 0% | 134 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90619 | 0% | 25 | $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 officialMORLEY, JANELLE (AUTHORIZED OFFICIAL)