Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1104971548 · NORFOLK, VA 23502 · 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

$3.58M
Total Medicaid Paid
84,076
Total Claims
77,965
Beneficiaries
50
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 NEWPORT NEWS VA $7.11M
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 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 5,348 $246K
2019 13,435 $591K
2020 11,646 $485K
2021 12,078 $505K
2022 12,090 $526K
2023 15,912 $661K
2024 13,567 $568K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,424 29,195 $1.97M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,464 5,360 $459K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,863 4,925 $455K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,571 2,543 $210K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,055 995 $97K
90686 6,420 6,260 $81K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 827 811 $72K
90670 1,835 1,758 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 652 586 $24K
92551 1,703 1,682 $19K
96127 3,481 3,251 $18K
99188 656 645 $15K
96161 5,347 4,707 $13K
90656 699 692 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,098 680 $11K
90671 546 513 $11K
90698 758 720 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 666 649 $10K
90680 691 642 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 507 240 $8K
90633 544 532 $8K
90651 199 194 $7K
90677 246 229 $7K
90697 295 271 $5K
99173 1,123 1,110 $3K
99174 482 469 $3K
1128F 5,501 5,095 $2K
90619 68 67 $2K
90685 161 157 $2K
90734 59 59 $2K
90744 147 136 $2K
90672 115 114 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 29 28 $1K
83655 40 40 $562.78
90710 25 25 $553.13
90660 32 32 $430.69
99000 254 248 $404.78
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 97 95 $306.00
81002 96 95 $305.14
90688 17 17 $225.26
90460 Immunization administration through 18 years of age via any route, first or only component 27 26 $218.90
81003 71 71 $193.41
90696 12 12 $181.97
83718 14 14 $127.81
36416 306 288 $108.91
85018 53 50 $88.59
99051 125 120 $76.04
1127F 244 238 $75.00
82465 14 14 $67.87
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,417 1,265 $0.00