Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1245386341 · VIRGINIA BEACH, VA 23456 · Pediatrics Physician · NPI assigned 01/25/2007

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

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

$2.30M
Total Medicaid Paid
58,398
Total Claims
53,774
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABSHIRE, KATHRYN (SENIOR VP/CFO)
Parent OrganizationCHILDRENS MEDICAL GROUP INC
NPI Enumeration Date01/25/2007

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
CHILDREN'S SURGICAL SPECIALTY GROUP, INC NORFOLK VA $3.98M
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 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 2,536 $120K
2019 6,468 $306K
2020 7,702 $286K
2021 11,446 $393K
2022 10,412 $401K
2023 11,444 $462K
2024 8,390 $336K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,420 13,406 $915K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,064 4,763 $470K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,087 3,963 $339K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,961 2,525 $230K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,725 1,661 $138K
90686 4,027 3,896 $51K
90670 1,147 1,093 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,410 1,929 $22K
96127 3,428 2,624 $17K
92551 1,589 1,539 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 151 147 $13K
99188 569 551 $13K
90698 552 526 $8K
96161 3,055 2,859 $7K
90656 270 265 $5K
99174 789 772 $4K
90680 257 247 $4K
90633 215 209 $3K
1128F 7,106 6,499 $3K
90671 140 134 $2K
90677 94 88 $2K
90651 53 46 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 104 51 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 40 39 $1K
90685 109 101 $1K
99173 447 435 $1K
90744 91 88 $1K
99000 702 672 $1K
0002A 21 21 $935.60
90697 53 51 $861.60
0001A 23 22 $858.00
1127F 1,576 1,489 $625.01
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 39 $559.41
87428 13 13 $428.51
83655 28 27 $378.05
80061 Lipid panel 13 13 $184.88
85018 67 66 $174.07
90619 15 12 $134.75
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $119.87
96160 42 42 $98.23
36416 363 355 $86.74
91300 67 61 $0.52
G8510 Screening for depression is documented as negative, a follow-up plan is not required 451 411 $0.00
G9920 Screening performed and negative 13 12 $0.00