Medicaid Provider Spending

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

CHILDREN'S SURGICAL SPECIALTY GROUP, INC

NPI: 1245248947 · NORFOLK, VA 23507 · Pediatric Surgery Physician · NPI assigned 08/04/2006

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

Authorized official ABSHIRE, KATHRYN controls 20+ related entities in our dataset. Read more

$3.98M
Total Medicaid Paid
64,516
Total Claims
59,968
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABSHIRE, KATHRYN (SENIOR VP/CFO)
NPI Enumeration Date08/04/2006

Related Entities

Other providers sharing the same authorized official: ABSHIRE, KATHRYN

ProviderCityStateTotal Paid
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $288.16M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $10.18M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $9.18M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $8.38M
CHILDRENS MEDICAL GROUP INC NEWPORT NEWS VA $7.11M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $5.72M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $4.85M
CHILDRENS MEDICAL GROUP INC HAMPTON VA $4.67M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $3.58M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $3.46M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $3.22M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $3.06M
CHILDREN'S MEDICAL GROUP, INC., D/B/A LIBERTY PEDIATRICS NEWPORT NEWS VA $2.98M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $2.36M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $2.30M
CHILDRENS MEDICAL GROUP INC WILLIAMSBURG VA $2.23M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $2.10M
CHILDREN'S MEDICAL GROUP, INC., D/B/A COURTHOUSE PEDIATRICS GLOUCESTER VA $2.10M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $805K
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $617K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 9,478 $523K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25,644 24,342 $1.95M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,408 22,802 $1.32M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,625 2,482 $195K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,385 1,272 $139K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,572 1,443 $52K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 816 789 $44K
D7240 Removal of impacted tooth - completely bony 186 62 $41K
99215 Prolong outpt/office vis 383 368 $39K
D7140 Extraction, erupted tooth or exposed root 374 94 $29K
43762 506 478 $27K
99232 Subsequent hospital care, per day, moderate complexity 500 237 $26K
72082 2,023 1,899 $22K
25600 53 51 $15K
72081 1,603 1,542 $15K
99244 Office or other outpatient consultation, moderate to high complexity 99 94 $14K
99307 495 488 $13K
99243 106 106 $11K
99231 Subsequent hospital care, per day, straightforward or low complexity 379 163 $10K
D0330 Panoramic radiographic image 77 72 $4K
D9310 46 43 $4K
73100 428 387 $3K
73521 308 295 $3K
54161 14 14 $3K
99223 Prolong inpt eval add15 m 18 15 $2K
99205 Prolong outpt/office vis 14 14 $2K
99222 Initial hospital care, per day, moderate complexity 12 12 $1K
D0140 Limited oral evaluation - problem focused 33 30 $903.84
99242 12 12 $556.08
77077 39 39 $547.30
64430 108 99 $475.30
76000 41 40 $391.25
Q4008 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass 25 24 $315.21
73070 45 42 $309.49
73090 39 36 $261.78
51741 12 12 $208.42
73620 40 25 $205.20
73610 18 15 $83.88
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 15 15 $38.14
Q4050 Cast supplies, for unlisted types and materials of casts 15 15 $35.00