Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PHILADELPHIA › ST.CHRIS CARE AT NORTHEAST PEDIATRICS, LLC

ST.CHRIS CARE AT NORTHEAST PEDIATRICS, LLC

NPI: 1043379506 · PHILADELPHIA, PA 19114 · Pediatrics Physician · NPI assigned 12/08/2006

$11K
Total Medicaid Paid
432
Total Claims
422
Beneficiaries
6
Codes Billed
2018-09
First Month
2019-11
Last Month

Provider Details

Authorized OfficialJAMES, WESLEY (REGIONAL CFO, TENET)
NPI Enumeration Date12/08/2006

Related Entities

Other providers sharing the same authorized official: JAMES, WESLEY

ProviderCityStateTotal Paid
SCHC PEDIATRIC ASSOCIATES, LLC PHILADELPHIA PA $1.16M
HPS OF PA LLC PHILADELPHIA PA $45K
TPS V OF PA,, LLC YARDLEY PA $10K
TPS III OF PA, LLC PHILADELPHIA PA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 206 $5K
2019 226 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 101 94 $5K
90686 92 92 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 121 119 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 28 28 $830.40
92551 64 63 $729.28
99173 26 26 $222.00