Physician
The Children's Hospital of Philadelphia
The Children's Hospital of Philadelphia was paid $11.89M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoTHE CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19139
PHILADELPHIA, PA 19139
33aNPI1134494909assigned 03/13/2012
33bProvider typePediatrics Physician
28Total paid$11.89M
24GClaims377,857
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#4 of 1,257
Median peer was paid$45K
This provider vs. median262×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official STONE, FABIAN controls 20+ related entities in our dataset. Read more
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 | 1,525 | $43K | |
| 2019 | 3,202 | $76K | |
| 2020 | 37,543 | $509K | |
| 2021 | 86,077 | $1.68M | |
| 2022 | 95,724 | $3.22M | |
| 2023 | 87,178 | $3.50M | |
| 2024incomplete | 66,608 | $2.86M |
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 | 28% | 58,797 | 57,401 | $3.39M |
| 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 | 17% | 21,275 | 20,836 | $1.97M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.6% | 23,097 | 22,929 | $1.15M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 17,289 | 17,051 | $886K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 16,991 | 16,827 | $757K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.3% | 7,401 | 7,356 | $513K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.9% | 10,734 | 10,324 | $347K |
| 92551 | 2.9% | 26,787 | 26,437 | $344K | |
| 90686 | 2.7% | 30,292 | 30,151 | $316K | |
| 99499 | 2.6% | 13,352 | 13,148 | $305K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 4,477 | 4,379 | $266K |
| 99173 | 1.5% | 18,810 | 18,507 | $175K |
56 more codes
| 99188 | 1.2% | 4,606 | $143K | |
| 90648 | 1.1% | 14,641 | $130K | |
| 90670 | <1% | 11,754 | $87K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,351 | $86K |
| 0071A | <1% | 1,122 | $82K | |
| 90723 | <1% | 9,959 | $79K | |
| 0072A | <1% | 1,029 | $76K | |
| 96127 | <1% | 9,570 | $76K | |
| 90651 | <1% | 6,123 | $56K | |
| 90656 | <1% | 3,963 | $55K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 306 | $53K |
| 99177 | <1% | 1,913 | $50K | |
| 96161 | <1% | 10,422 | $48K | |
| 90633 | <1% | 6,356 | $45K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 961 | $40K |
| 90681 | <1% | 5,312 | $37K | |
| 90734 | <1% | 3,682 | $36K | |
| 3008F | <1% | 3,085 | $30K | |
| 90620 | <1% | 2,034 | $21K | |
| 94664 | <1% | 701 | $18K | |
| 90716 | <1% | 2,934 | $17K | |
| 90707 | <1% | 2,924 | $17K | |
| 90700 | <1% | 2,792 | $16K | |
| 90710 | <1% | 2,363 | $16K | |
| 90696 | <1% | 2,283 | $15K | |
| 90461 | <1% | 344 | $14K | |
| 90671 | <1% | 1,248 | $14K | |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | <1% | 92 | $13K |
| 90688 | <1% | 868 | $12K | |
| 90715 | <1% | 1,862 | $12K | |
| 90677 | <1% | 1,214 | $10K | |
| 0002A | <1% | 353 | $10K | |
| 0001A | <1% | 281 | $8K | |
| 99381 | <1% | 149 | $7K | |
| 81025 | <1% | 376 | $7K | |
| 0144A | <1% | 85 | $7K | |
| 0004A | <1% | 90 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 357 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 435 | $5K |
| 0111A | <1% | 43 | $3K | |
| 90480 | <1% | 701 | $2K | |
| 88720 | <1% | 201 | $2K | |
| 90713 | <1% | 257 | $2K | |
| 0054A | <1% | 24 | $2K | |
| 90744 | <1% | 225 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $2K |
| 0051A | <1% | 12 | $888.80 | |
| 94760 | <1% | 1,484 | $831.21 | |
| 91321 | <1% | 247 | $780.00 | |
| 90381 | <1% | 60 | $400.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $330.26 |
| 96380 | <1% | 29 | $313.60 | |
| 85018 | <1% | 44 | $225.46 | |
| 86580 | <1% | 109 | $166.71 | |
| 90380 | <1% | 13 | $130.00 | |
| 0003A | <1% | 141 | $91.44 |
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 officialSTONE, FABIAN (VP REVENUE CYCLE)
Parent organizationTHECHILDREN'S HOSPITAL OF PHILADELPHIA
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.