Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › NORFOLK › CHILDRENS SPECIALTY GROUP PLLC

CHILDRENS SPECIALTY GROUP PLLC

NPI: 1255354130 · NORFOLK, VA 23507 · Pediatrics Physician · NPI assigned 07/25/2006

$87.76M
Total Medicaid Paid
999,166
Total Claims
807,512
Beneficiaries
147
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARINO, BRAD (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date07/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 87,820 $7.09M
2019 131,670 $11.24M
2020 113,969 $10.79M
2021 133,559 $11.56M
2022 154,142 $13.15M
2023 199,637 $17.62M
2024 178,369 $16.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 171,894 161,281 $15.01M
99284 Emergency department visit for the evaluation and management, high severity 97,495 92,200 $8.68M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 30,861 8,928 $8.36M
J0585 Injection, onabotulinumtoxina, 1 unit 3,547 2,989 $6.81M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 25,842 8,452 $6.67M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 37,391 35,658 $4.82M
99479 Subsequent intensive care, per day, very low birth weight infant 48,014 13,520 $4.16M
99283 Emergency department visit for the evaluation and management, moderate severity 81,381 76,051 $4.04M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 28,581 27,109 $3.70M
99480 Subsequent intensive care, per day, low birth weight infant 36,806 11,732 $3.09M
99215 Prolong outpt/office vis 24,967 23,399 $2.95M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46,940 44,681 $2.95M
99238 Hospital discharge day management, 30 minutes or less 29,331 21,544 $1.57M
99232 Subsequent hospital care, per day, moderate complexity 21,763 8,570 $1.17M
99460 17,191 11,653 $1.16M
88305 Level IV - Surgical pathology, gross and microscopic examination 8,876 8,355 $1.01M
99233 Prolong inpt eval add15 m 11,348 4,061 $847K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 9,306 8,795 $789K
99244 Office or other outpatient consultation, moderate to high complexity 4,374 4,233 $661K
99205 Prolong outpt/office vis 3,399 3,138 $537K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,387 5,111 $473K
95810 Polysomnography; sleep staging with 4 or more additional parameters 3,742 3,581 $393K
99222 Initial hospital care, per day, moderate complexity 3,630 3,348 $374K
96112 2,537 2,324 $314K
99462 10,424 6,608 $310K
85060 17,868 16,033 $306K
90792 Psychiatric diagnostic evaluation with medical services 1,536 1,466 $298K
64642 2,958 2,683 $298K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,794 1,281 $283K
64643 2,943 2,695 $267K
92579 5,944 5,701 $244K
93304 8,574 7,514 $243K
92587 11,721 11,140 $235K
96139 1,411 733 $223K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,402 3,228 $209K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3,257 3,001 $207K
00170 Anesthesia for intraoral procedures, including biopsy 1,474 1,316 $199K
92567 13,972 13,302 $196K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,888 1,714 $188K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 24,822 22,131 $172K
96132 1,736 1,353 $172K
96130 1,710 1,363 $170K
95782 1,604 1,525 $169K
99464 3,067 2,181 $163K
99243 1,571 1,527 $161K
90791 Psychiatric diagnostic evaluation 904 856 $133K
88312 5,317 4,992 $127K
95819 2,241 2,141 $113K
00731 1,038 873 $104K
96133 1,289 1,050 $104K
94010 12,935 12,302 $93K
99235 657 607 $89K
96116 1,002 957 $84K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,183 661 $83K
99223 Prolong inpt eval add15 m 558 497 $71K
01922 287 272 $71K
93321 12,071 10,647 $69K
90836 979 878 $65K
96127 12,334 11,904 $63K
99417 Prolong home eval add 15m 1,347 1,262 $58K
90838 800 688 $58K
88108 2,723 2,341 $53K
83020 2,876 2,719 $47K
93325 17,977 15,329 $45K
17110 447 418 $42K
96137 368 299 $42K
99219 397 356 $41K
95117 3,293 2,220 $37K
99220 258 236 $36K
92552 1,245 1,185 $36K
90837 Psychotherapy, 53 minutes with patient 255 128 $35K
96160 15,528 14,845 $35K
99239 Hospital discharge day management, more than 30 minutes 445 417 $35K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 709 619 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 892 862 $34K
90853 Group psychotherapy (other than of a multiple-family group) 1,278 405 $29K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 173 152 $29K
92556 807 764 $29K
99231 Subsequent hospital care, per day, straightforward or low complexity 886 367 $28K
96111 239 232 $27K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 27 26 $27K
V5020 Conformity evaluation 87 79 $26K
96138 820 729 $24K
96040 380 343 $22K
96131 252 217 $20K
V5011 Fitting/orientation/checking of hearing aid 238 225 $20K
99468 36 28 $19K
88304 1,626 1,564 $18K
99478 178 63 $17K
88300 2,599 2,418 $17K
93227 1,147 1,061 $17K
99221 226 212 $15K
31231 87 80 $13K
93320 889 761 $12K
96121 167 157 $12K
99217 203 187 $12K
96136 291 260 $11K
V5264 Ear mold/insert, not disposable, any type 147 137 $9K
92557 225 204 $9K
99418 Prolong nursin fac eval 15m 157 80 $8K
42820 Tonsillectomy and adenoidectomy; younger than age 12 39 37 $8K
99282 Emergency department visit for the evaluation and management, low to moderate severity 235 230 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 549 525 $7K
93272 312 298 $6K
96118 13 12 $6K
90834 Psychotherapy, 45 minutes with patient 68 43 $6K
64644 45 41 $5K
99292 55 36 $5K
92582 76 69 $5K
92555 210 192 $5K
99236 Prolong inpt eval add15 m 29 28 $5K
42830 32 27 $4K
11981 27 26 $4K
90846 Family psychotherapy without the patient present, 50 minutes 27 26 $3K
81025 351 323 $3K
00140 31 17 $3K
93308 113 109 $2K
99288 14 12 $2K
93790 137 134 $2K
V5266 Battery for use in hearing device 340 303 $2K
90785 163 145 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 149 119 $2K
88302 260 250 $2K
99350 Prolong home eval add 15m 15 12 $2K
69210 56 51 $2K
88342 29 27 $950.34
87101 236 229 $822.10
99318 16 14 $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) 97 97 $655.26
95812 14 13 $640.99
V5267 Hearing aid or assistive listening device/supplies/accessories, not otherwise specified 14 12 $495.48
92650 16 14 $405.51
95251 12 12 $356.97
94060 27 25 $263.54
99140 16 12 $184.59
95115 17 13 $174.27
89055 15 14 $68.52
90686 13 13 $44.54
94760 27 26 $24.07
J1050 Injection, medroxyprogesterone acetate, 1 mg 225 221 $2.12
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,152 1,093 $0.00
92551 13 13 $0.00
36416 18 18 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 18 18 $0.00
85018 18 18 $0.00
99173 13 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 15 12 $0.00