Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1235214875 · WEST GROVE, PA 19390 · Pediatrics Physician · NPI assigned 10/25/2006

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

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

$634K
Total Medicaid Paid
15,028
Total Claims
14,671
Beneficiaries
30
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 Date10/25/2006

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
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
2018 356 $11K
2019 405 $10K
2020 888 $18K
2021 3,167 $105K
2022 3,126 $125K
2023 3,624 $183K
2024 3,462 $182K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,130 4,947 $297K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,175 1,168 $79K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 814 792 $74K
90460 Immunization administration through 18 years of age via any route, first or only component 1,190 1,142 $53K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 760 747 $45K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 320 320 $20K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 189 177 $12K
90688 1,346 1,341 $12K
92551 698 680 $10K
96127 632 628 $5K
90686 425 421 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 218 214 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 33 31 $3K
90648 438 436 $2K
90670 433 429 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 126 99 $2K
90656 259 259 $2K
99188 41 41 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 86 85 $1K
90633 149 149 $1K
90651 120 120 $1K
90461 12 12 $1K
90723 223 222 $908.80
3008F 52 52 $520.00
90734 41 41 $499.20
96161 14 14 $186.50
90687 12 12 $181.12
99173 12 12 $142.20
90671 14 14 $137.20
90681 66 66 $128.00