Physician
Childrens Health Care Associates, INC
Childrens Health Care Associates, INC was paid $1.42M by Medicaid between May 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoCHILDRENS HEALTH CARE ASSOCIATES, INC
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
33aNPI1184719130assigned 10/04/2006
33bProvider typePediatrics Physician
28Total paid$1.42M
24GClaims47,989
24DCodes billed41
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#69 of 1,257
Median peer was paid$45K
This provider vs. median31×
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 FLOWERS, CHERISH 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 | 369 | $9K | |
| 2019 | 809 | $22K | |
| 2020 | 1,039 | $21K | |
| 2021 | 8,488 | $262K | |
| 2022 | 12,939 | $383K | |
| 2023 | 13,169 | $368K | |
| 2024incomplete | 11,176 | $352K |
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 | 33% | 9,148 | 8,649 | $465K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 22% | 10,099 | 9,856 | $314K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 2,817 | 2,799 | $201K |
| 92551 | 6.1% | 5,446 | 5,320 | $86K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 993 | 953 | $74K |
| 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 | 5.0% | 870 | 826 | $70K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 1,002 | 993 | $62K |
| 99173 | 3.7% | 4,611 | 4,504 | $53K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 245 | 232 | $18K |
| 90461 | 1.0% | 1,197 | 1,166 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 316 | 311 | $13K |
| 96127 | <1% | 994 | 986 | $9K |
29 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 734 | $8K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 43 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 459 | $6K |
| 90686 | <1% | 2,679 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 48 | $3K |
| 99177 | <1% | 94 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $2K |
| 99188 | <1% | 84 | $2K | |
| 0071A | <1% | 25 | $1K | |
| 94760 | <1% | 1,513 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 72 | $1K |
| 96161 | <1% | 173 | $405.89 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $350.00 |
| 88720 | <1% | 17 | $115.00 | |
| 85018 | <1% | 26 | $42.60 | |
| 90670 | <1% | 1,012 | $40.60 | |
| 90648 | <1% | 949 | $30.60 | |
| 90723 | <1% | 682 | $30.60 | |
| 90633 | <1% | 359 | $20.60 | |
| 90716 | <1% | 79 | $20.60 | |
| 90681 | 0% | 325 | $0.00 | |
| 90700 | 0% | 54 | $0.00 | |
| 90707 | 0% | 90 | $0.00 | |
| 90671 | 0% | 68 | $0.00 | |
| 91321 | 0% | 31 | $0.00 | |
| 90480 | 0% | 161 | $0.00 | |
| 90656 | 0% | 407 | $0.00 | |
| 90677 | 0% | 26 | $0.00 | |
| 90651 | 0% | 13 | $0.00 |
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 officialFLOWERS, CHERISH (ENROLLMENT MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.