Physician
Children's Surgical Specialty Group, INC
Children's Surgical Specialty Group, INC was paid $3.98M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 49% of everything it billed.
33Billing provider infoCHILDREN'S SURGICAL SPECIALTY GROUP, INC
NORFOLK, VA 23507
NORFOLK, VA 23507
33aNPI1245248947assigned 08/04/2006
33bProvider typePediatric Surgery Physician
28Total paid$3.98M
24GClaims64,516
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ABSHIRE, KATHRYN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 7,141 | $426K | |
| 2019 | 10,236 | $684K | |
| 2020 | 7,664 | $543K | |
| 2021 | 9,169 | $568K | |
| 2022 | 9,707 | $582K | |
| 2023 | 11,121 | $660K | |
| 2024incomplete | 9,478 | $523K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 49% | 25,644 | 24,342 | $1.95M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 24,408 | 22,802 | $1.32M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.9% | 2,625 | 2,482 | $195K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.5% | 1,385 | 1,272 | $139K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,572 | 1,443 | $52K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.1% | 816 | 789 | $44K |
| D7240 | Removal of impacted tooth - completely bony | 1.0% | 186 | 62 | $41K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 383 | 368 | $39K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 374 | 94 | $29K |
| 43762 | <1% | 506 | 478 | $27K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 500 | 237 | $26K |
| 72082 | <1% | 2,023 | 1,899 | $22K |
27 more codes
| 25600 | <1% | 53 | $15K | |
| 72081 | <1% | 1,603 | $15K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 99 | $14K |
| 99307 | <1% | 495 | $13K | |
| 99243 | <1% | 106 | $11K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 379 | $10K |
| D0330 | Panoramic radiographic image | <1% | 77 | $4K |
| D9310 | <1% | 46 | $4K | |
| 73100 | <1% | 428 | $3K | |
| 73521 | <1% | 308 | $3K | |
| 54161 | <1% | 14 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 18 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 14 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 33 | $903.84 |
| 99242 | <1% | 12 | $556.08 | |
| 77077 | <1% | 39 | $547.30 | |
| 64430 | <1% | 108 | $475.30 | |
| 76000 | <1% | 41 | $391.25 | |
| Q4008 | Cast supplies, long arm cast, pediatric (0-10 years), fiberglass | <1% | 25 | $315.21 |
| 73070 | <1% | 45 | $309.49 | |
| 73090 | <1% | 39 | $261.78 | |
| 51741 | <1% | 12 | $208.42 | |
| 73620 | <1% | 40 | $205.20 | |
| 73610 | <1% | 18 | $83.88 | |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 15 | $38.14 |
| Q4050 | Cast supplies, for unlisted types and materials of casts | <1% | 15 | $35.00 |
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 officialABSHIRE, KATHRYN (SENIOR VP/CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.