Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Childrens Specialty Group PLLC

Childrens Specialty Group PLLC was paid $87.76M by Medicaid between Jan 2018 and Dec 2024, across 147 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.

33Billing provider infoCHILDRENS SPECIALTY GROUP PLLC
NORFOLK, VA 23507
33aNPI1255354130assigned 07/25/2006
33bProvider typePediatrics Physician
28Total paid$87.76M
24GClaims999,166
24DCodes billed147
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#1 of 817
Median peer was paid$29K
This provider vs. median2,997×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
201887,820$7.09M
2019131,670$11.24M
2020113,969$10.79M
2021133,559$11.56M
2022154,142$13.15M
2023199,637$17.62M
2024incomplete178,369$16.30M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 17% 171,894 161,281 $15.01M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.9% 97,495 92,200 $8.68M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 9.5% 30,861 8,928 $8.36M
J0585 Injection, onabotulinumtoxina, 1 unit 7.8% 3,547 2,989 $6.81M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 7.6% 25,842 8,452 $6.67M
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 5.5% 37,391 35,658 $4.82M
99479 Subsequent intensive care, per day, very low birth weight infant 4.7% 48,014 13,520 $4.16M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.6% 81,381 76,051 $4.04M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.2% 28,581 27,109 $3.70M
99480 Subsequent intensive care, per day, low birth weight infant 3.5% 36,806 11,732 $3.09M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.4% 24,967 23,399 $2.95M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.4% 46,940 44,681 $2.95M
135 more codes
99238 Hospital discharge day management, 30 minutes or less 1.8% 29,331 $1.57M
99232 Hospital visit by a doctor, follow-up day 1.3% 21,763 $1.17M
99460 1.3% 17,191 $1.16M
88305 Level IV - Surgical pathology, gross and microscopic examination 1.1% 8,876 $1.01M
99233 Hospital visit by a doctor, follow-up day (complex) <1% 11,348 $847K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 9,306 $789K
99244 Office or other outpatient consultation, moderate to high complexity <1% 4,374 $661K
99205 Prolong outpt/office vis <1% 3,399 $537K
99203 Doctor's office visit, new patient (routine) <1% 5,387 $473K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 3,742 $393K
99222 Initial hospital care, per day, moderate complexity <1% 3,630 $374K
96112 <1% 2,537 $314K
99462 <1% 10,424 $310K
85060 <1% 17,868 $306K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,536 $298K
64642 <1% 2,958 $298K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,794 $283K
64643 <1% 2,943 $267K
92579 <1% 5,944 $244K
93304 <1% 8,574 $243K
92587 <1% 11,721 $235K
96139 <1% 1,411 $223K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 3,402 $209K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 3,257 $207K
00170 Anesthesia for intraoral procedures, including biopsy <1% 1,474 $199K
92567 <1% 13,972 $196K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,888 $188K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 24,822 $172K
96132 <1% 1,736 $172K
96130 <1% 1,710 $170K
95782 <1% 1,604 $169K
99464 <1% 3,067 $163K
99243 <1% 1,571 $161K
90791 Psychiatric diagnostic evaluation <1% 904 $133K
88312 <1% 5,317 $127K
95819 <1% 2,241 $113K
00731 <1% 1,038 $104K
96133 <1% 1,289 $104K
94010 <1% 12,935 $93K
99235 <1% 657 $89K
96116 <1% 1,002 $84K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 1,183 $83K
99223 Prolong inpt eval add15 m <1% 558 $71K
01922 <1% 287 $71K
93321 <1% 12,071 $69K
90836 <1% 979 $65K
96127 <1% 12,334 $63K
99417 Prolong home eval add 15m <1% 1,347 $58K
90838 <1% 800 $58K
88108 <1% 2,723 $53K
83020 <1% 2,876 $47K
93325 <1% 17,977 $45K
17110 <1% 447 $42K
96137 <1% 368 $42K
99219 <1% 397 $41K
95117 <1% 3,293 $37K
99220 <1% 258 $36K
92552 <1% 1,245 $36K
90837 Psychotherapy session, about an hour <1% 255 $35K
96160 <1% 15,528 $35K
99239 Hospital discharge day management, more than 30 minutes <1% 445 $35K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 709 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 892 $34K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,278 $29K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 173 $29K
92556 <1% 807 $29K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 886 $28K
96111 <1% 239 $27K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 27 $27K
V5020 Conformity evaluation <1% 87 $26K
96138 <1% 820 $24K
96040 <1% 380 $22K
96131 <1% 252 $20K
V5011 Fitting/orientation/checking of hearing aid <1% 238 $20K
99468 <1% 36 $19K
88304 <1% 1,626 $18K
99478 <1% 178 $17K
88300 <1% 2,599 $17K
93227 <1% 1,147 $17K
99221 <1% 226 $15K
31231 <1% 87 $13K
93320 <1% 889 $12K
96121 <1% 167 $12K
99217 <1% 203 $12K
96136 <1% 291 $11K
V5264 Ear mold/insert, not disposable, any type <1% 147 $9K
92557 <1% 225 $9K
99418 Prolong nursin fac eval 15m <1% 157 $8K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 39 $8K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 235 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 549 $7K
93272 <1% 312 $6K
96118 <1% 13 $6K
90834 Psychotherapy session, about 45 minutes <1% 68 $6K
64644 <1% 45 $5K
99292 <1% 55 $5K
92582 <1% 76 $5K
92555 <1% 210 $5K
99236 Prolong inpt eval add15 m <1% 29 $5K
42830 <1% 32 $4K
11981 <1% 27 $4K
90846 Family psychotherapy without the patient present, 50 minutes <1% 27 $3K
81025 <1% 351 $3K
00140 <1% 31 $3K
93308 <1% 113 $2K
99288 <1% 14 $2K
93790 <1% 137 $2K
V5266 Battery for use in hearing device <1% 340 $2K
90785 <1% 163 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 149 $2K
88302 <1% 260 $2K
99350 Prolong home eval add 15m <1% 15 $2K
69210 <1% 56 $2K
88342 <1% 29 $950.34
87101 <1% 236 $822.10
99318 <1% 16 $775.33
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 97 $655.26
95812 <1% 14 $640.99
V5267 Hearing aid or assistive listening device/supplies/accessories, not otherwise specified <1% 14 $495.48
92650 <1% 16 $405.51
95251 <1% 12 $356.97
94060 <1% 27 $263.54
99140 <1% 16 $184.59
95115 <1% 17 $174.27
89055 <1% 15 $68.52
90686 <1% 13 $44.54
94760 <1% 27 $24.07
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 225 $2.12
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,152 $0.00
92551 0% 13 $0.00
36416 0% 18 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 18 $0.00
85018 0% 18 $0.00
99173 0% 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 15 $0.00

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 officialMARINO, BRAD (CHIEF EXECUTIVE OFFICER)