Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADLEPHIA

NPI: 1205916152 · SPRINGFIELD, PA 19064 · Pediatrics Physician · NPI assigned 10/16/2006

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

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

$2.26M
Total Medicaid Paid
68,833
Total Claims
67,111
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 Date10/16/2006

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
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 613 $18K
2019 456 $14K
2020 4,891 $74K
2021 13,714 $290K
2022 13,615 $395K
2023 16,403 $670K
2024 19,141 $795K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,465 14,910 $888K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,230 5,180 $256K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,666 2,592 $248K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,894 3,815 $215K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,587 2,565 $113K
90460 Immunization administration through 18 years of age via any route, first or only component 2,360 2,195 $89K
92551 4,411 4,335 $58K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 594 592 $36K
90688 3,713 3,659 $34K
90648 3,151 3,079 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 849 823 $28K
90670 2,176 2,107 $25K
90723 2,123 2,069 $23K
90686 1,526 1,515 $21K
96127 2,295 2,272 $20K
90656 1,470 1,463 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,122 1,014 $18K
99188 390 388 $13K
96161 2,134 2,076 $13K
90681 1,059 1,019 $11K
90651 1,048 1,038 $9K
99173 951 940 $8K
90633 976 939 $8K
3008F 739 735 $7K
99177 333 329 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 103 103 $7K
99499 255 251 $6K
90671 396 396 $5K
90734 587 581 $5K
85018 640 631 $4K
90677 500 500 $4K
90707 470 449 $4K
90716 442 421 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 213 203 $3K
90620 239 238 $3K
90700 398 378 $3K
90715 298 294 $3K
90710 303 300 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 179 177 $2K
90696 286 283 $2K
90461 37 37 $2K
0111A 14 14 $835.94
99381 12 12 $801.61
83718 37 37 $340.83
82465 37 37 $309.93
99000 113 108 $100.39
90381 12 12 $80.00