Medicaid Provider Spending

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

CHILDREN'S MEDICAL GROUP, INC., D/B/A COURTHOUSE PEDIATRICS

NPI: 1215940507 · GLOUCESTER, VA 23061 · Pediatrics Physician · NPI assigned 08/15/2006

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

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

$2.10M
Total Medicaid Paid
55,672
Total Claims
49,966
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABSHIRE, KATHRYN (SENIOR VP/CFO)
NPI Enumeration Date08/15/2006

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 SUFFOLK VA $3.46M
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
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $805K
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $617K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,681 $219K
2019 6,498 $272K
2020 5,841 $237K
2021 8,204 $279K
2022 9,466 $353K
2023 10,882 $370K
2024 10,100 $366K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,549 10,609 $750K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,331 4,930 $493K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,292 3,210 $273K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,835 2,516 $223K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,074 1,047 $85K
90686 3,147 3,076 $38K
96127 6,799 4,750 $38K
90670 1,221 1,184 $31K
90698 1,277 1,238 $22K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,240 1,796 $20K
92551 1,912 1,862 $20K
99188 755 731 $16K
90680 644 618 $11K
96161 3,358 2,884 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 422 245 $8K
90677 122 120 $7K
99215 Prolong outpt/office vis 43 41 $6K
99173 2,316 2,258 $6K
90671 205 195 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 51 50 $5K
87428 105 104 $4K
90633 287 282 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 88 73 $3K
90685 222 219 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 185 169 $3K
90656 113 111 $2K
99000 866 832 $2K
90744 160 155 $2K
90651 69 68 $2K
0072A 30 28 $1K
1128F 2,823 2,602 $1K
90697 90 85 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 29 29 $961.53
90619 30 28 $619.28
99174 113 111 $609.09
0071A 15 14 $585.63
90734 12 12 $563.97
96160 176 164 $376.25
1127F 283 266 $250.00
36416 391 381 $145.82
90460 Immunization administration through 18 years of age via any route, first or only component 16 15 $90.76
85018 29 29 $80.37
36415 Collection of venous blood by venipuncture 12 12 $38.19
G8510 Screening for depression is documented as negative, a follow-up plan is not required 715 611 $0.00
91307 29 28 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 100 91 $0.00
91300 46 42 $0.00
G9920 Screening performed and negative 45 45 $0.00