Medicaid Provider Spending

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

THE CHILDRENS HOSPITAL OF PHILADELPHIA

NPI: 1225715378 · POTTSTOWN, PA 19464 · Pediatrics Physician · NPI assigned 06/30/2023

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

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

$352K
Total Medicaid Paid
6,988
Total Claims
6,806
Beneficiaries
24
Codes Billed
2023-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationCHILDREN'S HOSPITAL OF PHILADELPHIA
NPI Enumeration Date06/30/2023

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,313 $66K
2024 5,675 $286K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,323 2,241 $147K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 940 901 $88K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 676 664 $33K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 97 97 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 357 351 $16K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 230 227 $9K
90460 Immunization administration through 18 years of age via any route, first or only component 308 299 $9K
92551 555 540 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 102 101 $7K
90656 409 409 $5K
96127 355 349 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 169 163 $2K
90686 129 129 $2K
99188 49 48 $2K
99177 45 45 $1K
99173 49 49 $547.02
90648 33 33 $523.20
96161 73 71 $421.61
90461 17 17 $295.08
90723 16 16 $261.60
83718 12 12 $144.48
82465 12 12 $120.97
90677 19 19 $120.00
90671 13 13 $100.00