Shriners Hospitals for Children

Shriners Hospitals for Children was paid $3.12M by Medicaid between Dec 2022 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoSHRINERS HOSPITALS FOR CHILDREN
PHILADELPHIA, PA 19140

33aNPI1275271462assigned 05/26/2022

33bProvider typeOral & Maxillofacial Surgery (D.M.D.)

28Total paid$3.12M

24GClaims81,676

24DCodes billed38

24AFirst – last monthDec 2022 – Dec 2024

Compared with peers

Next to other Oral & Maxillofacial Surgery (D.M.D.) providers in Pennsylvania

Rank by total paid#1 of 16

Median peer was paid$38K

This provider vs. median83×

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

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
2022	1,205	$37K
2023	33,863	$1.18M
2024incomplete	46,608	$1.90M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	53%	39,597	36,665	$1.67M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	29%	14,913	14,065	$898K
72082		4.3%	5,924	5,592	$133K
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	3.8%	1,726	1,607	$119K
77073		1.6%	3,434	3,264	$50K
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	1.2%	391	367	$36K
72170		1.1%	3,088	2,901	$34K
72081		1.0%	2,008	1,890	$32K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,027	972	$28K
73620		<1%	2,041	1,046	$12K
64642		<1%	183	168	$9K
64643		<1%	159	144	$9K

26 more codes

73110		<1%	513	$8K
73630		<1%	544	$8K
73610		<1%	526	$7K
73551		<1%	803	$7K
73100		<1%	803	$7K
73130		<1%	336	$6K
73090		<1%	548	$6K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	123	$5K
73590		<1%	828	$5K
73564		<1%	255	$5K
77072		<1%	341	$5K
96004		<1%	94	$5K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	75	$3K
73080		<1%	178	$3K
72190		<1%	155	$3K
29450		<1%	32	$1K
73120		<1%	197	$1K
73140		<1%	222	$1K
73600		<1%	281	$936.34
73070		<1%	109	$531.77
99215	Doctor's office visit, returning patient (complex)	<1%	16	$473.30
76770		<1%	14	$405.37
76000		<1%	46	$396.53
73560		<1%	72	$335.82
74018		<1%	34	$318.27
36415	Collection of venous blood by venipuncture	<1%	40	$77.63

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 officialMCCABE, JOHN (EXECUTIVE VICE PRESIDENT)

Same official

Other billing entities under MCCABE, JOHN

Full network →

Provider	Location	Paid
Shriners Hospitals for Children	Honolulu, HI	$67K
John S. Mccabe, M.D., Apc	Alexandria, LA	$16K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.