Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1144468836 · SUFFOLK, VA 23434 · Pediatrics Physician · NPI assigned 02/03/2009

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

Authorized official ABSHIRE, KATHRYN controls 20+ related entities in our dataset. Read more

$3.46M
Total Medicaid Paid
123,422
Total Claims
111,343
Beneficiaries
47
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 Date02/03/2009

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 NORFOLK VA $3.58M
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 8,026 $278K
2019 21,309 $674K
2020 21,741 $642K
2021 30,536 $715K
2022 15,735 $445K
2023 13,900 $381K
2024 12,175 $321K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,912 17,481 $1.18M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,759 6,563 $564K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,460 4,076 $358K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,717 3,586 $304K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,596 2,444 $234K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,752 1,609 $150K
92551 10,209 9,640 $103K
99199 Unlisted special service, procedure or report 10,217 7,501 $75K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,382 1,268 $51K
90686 3,907 3,760 $47K
90698 3,224 3,095 $47K
90670 2,744 2,640 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,587 1,227 $38K
96127 6,882 5,836 $35K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,452 1,368 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,188 1,656 $20K
90651 1,019 918 $20K
99174 3,329 3,200 $18K
96161 6,173 5,818 $16K
99173 5,272 4,960 $14K
99188 547 535 $13K
90633 1,001 960 $13K
83655 876 843 $11K
90680 712 686 $11K
96160 4,594 3,858 $10K
90677 291 281 $8K
85018 3,234 3,032 $8K
90710 406 384 $8K
90619 193 189 $5K
90734 259 218 $4K
90656 256 254 $4K
90671 212 206 $4K
90744 283 266 $4K
90685 229 227 $3K
90697 137 133 $2K
90715 150 140 $2K
36416 3,709 3,478 $1K
99000 659 631 $1K
90696 87 81 $1K
1128F 5,064 4,663 $825.00
90620 52 42 $686.91
81003 93 82 $209.39
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 34 32 $194.90
1127F 492 450 $50.00
99051 64 60 $16.31
G9920 Screening performed and negative 150 144 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 857 822 $0.00