Medicaid Provider Spending

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

CHILDRENS HEALTH CARE ASSOCIATES, INC

NPI: 1184719130 · PHILADELPHIA, PA 19104 · Pediatrics Physician · NPI assigned 10/04/2006

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

Authorized official FLOWERS, CHERISH controls 20+ related entities in our dataset. Read more

$1.42M
Total Medicaid Paid
47,989
Total Claims
46,577
Beneficiaries
41
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLOWERS, CHERISH (ENROLLMENT MANAGER)
NPI Enumeration Date10/04/2006

Related Entities

Other providers sharing the same authorized official: FLOWERS, CHERISH

ProviderCityStateTotal Paid
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $24.14M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $8.80M
RADIOLOGY ASSOCIATES OF CHILDREN'S HOSPITAL, INC PHILADELPHIA PA $6.02M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $4.68M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $3.35M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $3.29M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $2.34M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $2.32M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $2.17M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $2.13M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $1.94M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $1.38M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $1.33M
CHILDEN'S HEALTH CARE ASSOCIATES INC. PHILADELPHIA PA $967K
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $543K
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $514K
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $177K
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $83K
CHILDRENS RADIOLOGY ASSOCIATES OF NEW JERSEY PC VOORHEES NJ $53K
CHILDREN'S ANESTHESIOLOGY ASSOCIATES OF NEW JERSEY, INC VOORHEES NJ $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 369 $9K
2019 809 $22K
2020 1,039 $21K
2021 8,488 $262K
2022 12,939 $383K
2023 13,169 $368K
2024 11,176 $352K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,148 8,649 $465K
90460 Immunization administration through 18 years of age via any route, first or only component 10,099 9,856 $314K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,817 2,799 $201K
92551 5,446 5,320 $86K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 993 953 $74K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 870 826 $70K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,002 993 $62K
99173 4,611 4,504 $53K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 245 232 $18K
90461 1,197 1,166 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 316 311 $13K
96127 994 986 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 734 652 $8K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 43 43 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 459 436 $6K
90686 2,679 2,650 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 48 48 $3K
99177 94 94 $2K
99215 Prolong outpt/office vis 15 15 $2K
99188 84 84 $2K
0071A 25 24 $1K
94760 1,513 1,456 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 72 70 $1K
96161 173 171 $405.89
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 13 $350.00
88720 17 14 $115.00
85018 26 26 $42.60
90670 1,012 1,009 $40.60
90648 949 947 $30.60
90723 682 681 $30.60
90633 359 357 $20.60
90716 79 79 $20.60
90681 325 325 $0.00
90700 54 54 $0.00
90707 90 90 $0.00
90671 68 68 $0.00
91321 31 31 $0.00
90480 161 105 $0.00
90656 407 401 $0.00
90677 26 26 $0.00
90651 13 13 $0.00