Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1194808733 · KENNETT SQUARE, PA 19348 · Pediatrics Physician · NPI assigned 10/24/2006

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

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

$1.35M
Total Medicaid Paid
36,554
Total Claims
35,417
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationCHILDREN'S HOSPITAL OF PHILADELPHIA
NPI Enumeration Date10/24/2006

Related Entities

Other providers sharing the same authorized official: STONE, FABIAN

ProviderCityStateTotal Paid
THE CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $11.89M
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
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 700 $17K
2019 603 $17K
2020 2,698 $51K
2021 7,431 $209K
2022 8,015 $285K
2023 8,804 $388K
2024 8,303 $380K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,793 7,426 $417K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,668 2,570 $243K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,526 2,498 $149K
90460 Immunization administration through 18 years of age via any route, first or only component 3,044 2,876 $115K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,754 1,700 $95K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,218 1,200 $77K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 917 879 $60K
90688 3,134 3,131 $26K
92551 1,967 1,906 $26K
96110 Developmental screening, with scoring and documentation, per standardized instrument 933 765 $15K
96127 1,588 1,569 $14K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 184 179 $13K
90686 1,158 1,150 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 700 693 $10K
90656 748 748 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 538 524 $8K
90648 953 947 $7K
99177 370 368 $5K
90670 812 805 $5K
99499 219 209 $5K
90723 635 629 $5K
0072A 52 52 $4K
96161 663 644 $3K
3008F 321 320 $3K
99188 63 63 $2K
90651 232 232 $2K
90681 269 267 $2K
90461 28 28 $2K
90633 285 285 $2K
0002A 29 26 $2K
99173 81 70 $971.50
0111A 14 14 $959.78
90734 109 109 $844.80
69210 13 13 $814.87
0071A 12 12 $813.60
90677 94 94 $637.20
0001A 13 13 $466.40
90672 14 14 $307.86
90671 37 37 $240.00
83718 12 12 $136.29
94760 163 149 $120.82
82465 12 12 $117.00
99000 82 82 $62.56
90700 28 28 $0.00
90707 27 27 $0.00
90716 28 28 $0.00
36416 14 14 $0.00