Medicaid Provider Spending

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

CHILDEN'S COMMUNITY CARE

NPI: 1225541717 · HERMITAGE, PA 16148 · Pediatrics Physician · NPI assigned 11/07/2017

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

Authorized official MARTINEZ, LORI controls 20+ related entities in our dataset. Read more

$276K
Total Medicaid Paid
3,667
Total Claims
3,361
Beneficiaries
16
Codes Billed
2019-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III)
NPI Enumeration Date11/07/2017

Related Entities

Other providers sharing the same authorized official: MARTINEZ, LORI

ProviderCityStateTotal Paid
CHILDREN'S COMMUNITY CARE WEXFORD PA $5.17M
CHILDREN'S COMMUNITY CARE SEWICKLEY PA $3.28M
CHILDREN'S COMMUNITY CARE UNIONTOWN PA $1.02M
CHILDREN'S COMMUNITY CARE PITTSBURGH PA $898K
CHILDEN'S COMMUNITY CARE NEW CASTLE PA $646K
CHILDREN'S COMMUNITY CARE MONONGAHELA PA $628K
CHILDREN'S COMMUNITY CARE ERIE PA $580K
CHILDEN'S COMMUNITY CARE PITTSBURGH PA $535K
CHILDEN'S COMMUNITY CARE HUMMELSTOWN PA $522K
CHILDREN'S COMMUNITY CARE YORK PA $500K
CHILDREN'S COMMUNITY CARE HUNTINGDON PA $470K
CHILDREN'S COMMUNITY CARE WEXFORD PA $467K
CHILDEN'S COMMUNITY CARE CAMP HILL PA $438K
CHILDREN'S COMMUNITY CARE PITTSBURGH PA $414K
CHILDREN'S COMMUNITY CARE NEW CASTLE PA $394K
CHILDREN'S COMMUNITY CARE NORTH HUNTINGDON PA $252K
CHILDREN'S COMMUNITY CARE NATRONA HEIGHTS PA $207K
CHILDREN'S COMMUNITY CARE WHITE OAK PA $181K
CHILDEN'S COMMUNITY CARE GROVE CITY PA $177K
CHILDREN'S COMMUNITY CARE SHIPPENSBURG PA $175K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 73 $5K
2020 196 $16K
2021 1,250 $93K
2022 1,177 $91K
2023 599 $45K
2024 372 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,563 1,381 $147K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 861 786 $52K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 240 237 $24K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 213 211 $22K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 156 149 $13K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 118 117 $12K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 27 27 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 57 37 $1K
90686 176 164 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 102 101 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 19 19 $510.00
96160 26 25 $0.00
99173 13 13 $0.00
92551 71 69 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $0.00
96127 13 13 $0.00