Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1275688988 · HAMPTON, VA 23669 · Pediatrics Physician · NPI assigned 01/24/2007

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

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

$4.67M
Total Medicaid Paid
169,139
Total Claims
148,930
Beneficiaries
70
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 Date01/24/2007

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
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 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 10,266 $319K
2019 21,437 $642K
2020 22,888 $660K
2021 26,474 $679K
2022 26,592 $693K
2023 29,387 $795K
2024 32,095 $887K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,774 18,799 $1.26M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,660 9,868 $843K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,017 8,155 $684K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,727 5,431 $455K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,147 4,631 $443K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,107 1,969 $176K
90686 6,692 6,301 $78K
92551 7,794 7,175 $76K
90670 4,707 4,285 $72K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,173 4,570 $54K
96127 8,993 7,606 $43K
90680 3,197 2,845 $40K
90698 2,981 2,710 $35K
99174 6,099 5,584 $32K
90677 1,091 947 $29K
90633 2,403 2,186 $28K
96161 11,971 9,763 $26K
90697 1,277 1,084 $21K
99381 363 270 $20K
90671 834 714 $19K
99215 Prolong outpt/office vis 173 155 $19K
94010 656 565 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 551 473 $18K
83655 1,604 1,454 $17K
96160 7,231 6,462 $15K
90744 1,358 1,241 $15K
90716 828 774 $13K
99383 120 112 $11K
90656 860 845 $11K
90707 741 697 $10K
90651 346 324 $9K
85018 3,685 3,384 $9K
90700 687 644 $8K
99173 2,759 2,536 $7K
0071A 138 128 $5K
99188 219 202 $5K
87428 151 135 $5K
90619 160 154 $4K
1128F 11,849 10,382 $4K
0002A 101 96 $4K
90685 344 311 $4K
0072A 79 71 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 235 104 $3K
90710 155 138 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 219 177 $2K
80061 Lipid panel 174 160 $2K
90696 152 135 $2K
90648 149 144 $2K
1127F 3,203 2,942 $1K
36416 5,308 4,818 $1K
0001A 29 29 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 348 343 $1K
90620 37 36 $1K
99382 17 14 $1K
94760 746 690 $852.64
90715 40 38 $752.68
99000 303 278 $746.31
90734 27 27 $729.62
90713 45 42 $568.89
0154A 14 12 $432.40
90460 Immunization administration through 18 years of age via any route, first or only component 48 39 $340.20
96380 12 12 $221.20
90688 33 13 $220.00
99051 59 53 $7.40
90472 Immunization administration, each additional vaccine (list separately) 78 75 $6.80
91300 163 139 $0.41
91307 184 161 $0.01
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,280 1,903 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 167 138 $0.00
G9920 Screening performed and negative 267 232 $0.00