Medicaid Provider Spending

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

THE CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1134494909 · PHILADELPHIA, PA 19139 · Pediatrics Physician · NPI assigned 03/13/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official STONE, FABIAN controls 20+ related entities in our dataset. Read more

$11.89M
Total Medicaid Paid
377,857
Total Claims
371,037
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationTHECHILDREN'S HOSPITAL OF PHILADELPHIA
NPI Enumeration Date03/13/2012

Related Entities

Other providers sharing the same authorized official: STONE, FABIAN

ProviderCityStateTotal Paid
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $5.67M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $5.56M
CHILDRENS HOSPITAL OF PHILADELPHIA KING OF PRUSSIA PA $2.38M
CHILDREN'S HOSPITAL OF PHILADLEPHIA SPRINGFIELD PA $2.26M
THE CHILDREN'S HOSPITAL OF PHILADELPHIA NORRISTOWN PA $2.21M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $2.17M
CHILDREN'S HOSPITAL OF PHILADELPHIA WEST CHESTER PA $2.08M
CHILDREN'S HOSPITAL OF PHILADELPHIA COATESVILLE PA $1.67M
CHILDREN'S HOSPITAL OF PHILADELPHIA SOUDERTON PA $1.61M
CHOP CLINICAL ASSOCIATES, INC BURLINGTON TOWNSHIP NJ $1.45M
CHILDREN'S HOSPITAL OF PHILADELPHIA ABINGTON PA $1.39M
CHILDREN'S HOSPITAL OF PHILADELPHIA KENNETT SQUARE PA $1.35M
THE CHILDREN'S HOSPITAL OF PHILADLEPHIA CHALFONT PA $1.12M
CHILDREN'S HOSPITAL OF PHILADELPHIA NEWTOWN PA $982K
CHILDREN'S HOSPITAL OF PHILADELPHIA GLEN MILLS PA $914K
CHILDREN'S HOSPITAL OF PHILADELPHIA CHALFONT PA $824K
CHILDREN'S HOSPITAL OF PHILADELPHIA DOYLESTOWN PA $772K
CHOP CLINICAL ASSOCIATES, INC MOORESTOWN NJ $681K
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $676K
CHILDREN'S HOSPITAL OF PHILADELPHIA WEST GROVE PA $634K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 66,608 $2.86M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 58,797 57,401 $3.39M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,275 20,836 $1.97M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 23,097 22,929 $1.15M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17,289 17,051 $886K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16,991 16,827 $757K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,401 7,356 $513K
90460 Immunization administration through 18 years of age via any route, first or only component 10,734 10,324 $347K
92551 26,787 26,437 $344K
90686 30,292 30,151 $316K
99499 13,352 13,148 $305K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,477 4,379 $266K
99173 18,810 18,507 $175K
99188 4,606 4,567 $143K
90648 14,641 14,533 $130K
90670 11,754 11,650 $87K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,351 4,968 $86K
0071A 1,122 1,120 $82K
90723 9,959 9,862 $79K
0072A 1,029 1,026 $76K
96127 9,570 9,503 $76K
90651 6,123 6,084 $56K
90656 3,963 3,951 $55K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 306 304 $53K
99177 1,913 1,897 $50K
96161 10,422 10,271 $48K
90633 6,356 6,269 $45K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 961 945 $40K
90681 5,312 5,244 $37K
90734 3,682 3,632 $36K
3008F 3,085 3,067 $30K
90620 2,034 2,013 $21K
94664 701 693 $18K
90716 2,934 2,907 $17K
90707 2,924 2,896 $17K
90700 2,792 2,781 $16K
90710 2,363 2,330 $16K
90696 2,283 2,253 $15K
90461 344 324 $14K
90671 1,248 1,248 $14K
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs 92 78 $13K
90688 868 868 $12K
90715 1,862 1,852 $12K
90677 1,214 1,214 $10K
0002A 353 319 $10K
0001A 281 281 $8K
99381 149 139 $7K
81025 376 373 $7K
0144A 85 85 $7K
0004A 90 89 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 357 356 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 435 420 $5K
0111A 43 43 $3K
90480 701 510 $2K
88720 201 186 $2K
90713 257 251 $2K
0054A 24 24 $2K
90744 225 225 $2K
99215 Prolong outpt/office vis 12 12 $2K
0051A 12 12 $888.80
94760 1,484 1,437 $831.21
91321 247 247 $780.00
90381 60 59 $400.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $330.26
96380 29 28 $313.60
85018 44 43 $225.46
86580 109 92 $166.71
90380 13 12 $130.00
0003A 141 85 $91.44