Supplier
Children's Hospital of Philadelphia
Children's Hospital of Philadelphia was paid $23.03M by Medicaid between Jun 2019 and Dec 2024, across 32 billing codes. Its largest line is S9342, Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem — 34% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF PHILADELPHIA
KING OF PRUSSIA, PA 19406
KING OF PRUSSIA, PA 19406
33aNPI1235209081assigned 11/09/2006
33bProvider typeHome Infusion Therapy Pharmacy
28Total paid$23.03M
24GClaims99,674
24DCodes billed32
24AFirst – last monthJun 2019 – Dec 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 236 | $80K | |
| 2020 | 3,363 | $932K | |
| 2021 | 11,211 | $3.70M | |
| 2022 | 20,443 | $4.54M | |
| 2023 | 34,671 | $7.86M | |
| 2024incomplete | 29,750 | $5.92M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9342 | Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 34% | 20,747 | 19,191 | $7.73M |
| B9998 | Noc for enteral supplies | 26% | 10,991 | 9,111 | $6.09M |
| S9340 | Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 18% | 35,840 | 7,040 | $4.11M |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 7.8% | 2,886 | 1,103 | $1.79M |
| 99601 | 4.3% | 7,096 | 3,409 | $984K | |
| S9338 | Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 2.9% | 2,115 | 1,534 | $673K |
| S9364 | Home infusion therapy, total parenteral nutrition (tpn); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem (do not use with home infusion codes s9365-s9368 using daily volume scales) | 2.0% | 488 | 109 | $461K |
| S9341 | Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 1.6% | 954 | 897 | $361K |
| 99602 | Nursing care in home rn | 1.1% | 1,770 | 1,092 | $252K |
| J3490 | Unclassified drugs | <1% | 246 | 82 | $144K |
| S5498 | Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem | <1% | 1,651 | 331 | $142K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 781 | 754 | $100K |
20 more codes
| S9343 | Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | <1% | 146 | $52K |
| S9562 | Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 1,014 | $23K |
| B4081 | Nasogastric tubing with stylet | <1% | 569 | $22K |
| A5120 | Skin barrier, wipes or swabs, each | <1% | 810 | $20K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 2,492 | $18K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 100 | $11K |
| A6257 | Transparent film, sterile, 16 sq. in. or less, each dressing | <1% | 693 | $10K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 2,833 | $9K |
| A6234 | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 714 | $9K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 198 | $6K |
| A4250 | Urine test or reagent strips or tablets (100 tablets or strips) | <1% | 597 | $5K |
| A4213 | Syringe, sterile, 20 cc or greater, each | <1% | 2,490 | $3K |
| S5497 | Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 37 | $2K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 105 | $2K |
| E1399 | Durable medical equipment, miscellaneous | <1% | 125 | $1K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 475 | $920.37 |
| A4217 | Sterile water/saline, 500 ml | <1% | 68 | $131.49 |
| A4371 | Ostomy skin barrier, powder, per oz | <1% | 14 | $64.01 |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 36 | $40.31 |
| A4215 | Needle, sterile, any size, each | <1% | 593 | $20.72 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCIARDI, LORI (SR. DIRECTOR HOME CARE)
Parent organizationCHILDREN'S HOSPITAL OF PHILADELPHIA
| Provider | Location | Paid |
|---|---|---|
| Children's Hospital of Philadelphia | King Of Prussia, PA | $27.56M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.