Medicaid Provider Spending

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

CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC

NPI: 1306992136 · NORFOLK, VA 23507 · Pediatrics Physician · NPI assigned 01/26/2007

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

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

$8.38M
Total Medicaid Paid
240,280
Total Claims
220,517
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABSHIRE, KATHRYN (SENIOR VP CFO)
Parent OrganizationCHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC
NPI Enumeration Date01/26/2007

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 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 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 24,599 $898K
2019 47,216 $1.63M
2020 47,809 $1.52M
2021 44,668 $1.32M
2022 26,157 $1.01M
2023 28,565 $1.14M
2024 21,266 $860K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35,792 33,787 $1.99M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,094 16,264 $1.40M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16,744 16,373 $1.28M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 18,122 15,140 $1.23M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,020 11,644 $887K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,382 5,237 $436K
90686 13,417 13,053 $162K
92551 10,305 9,953 $111K
90670 6,297 6,069 $108K
96110 Developmental screening, with scoring and documentation, per standardized instrument 9,640 5,655 $89K
90698 6,140 5,920 $86K
96161 28,749 25,976 $65K
96127 11,674 10,559 $62K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,964 1,901 $61K
99205 Prolong outpt/office vis 342 326 $52K
99381 679 598 $51K
90651 1,600 1,564 $37K
90680 2,506 2,403 $35K
99188 1,379 1,352 $32K
99215 Prolong outpt/office vis 266 243 $31K
90633 2,350 2,312 $28K
96160 9,715 8,587 $23K
90744 1,925 1,828 $22K
99417 Prolong home eval add 15m 344 309 $19K
99199 Unlisted special service, procedure or report 2,102 1,115 $15K
99173 4,398 4,219 $11K
90734 412 407 $8K
90672 541 535 $6K
99174 898 889 $5K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 66 66 $5K
90710 234 231 $4K
90696 219 217 $3K
S9083 Global fee urgent care centers 27 27 $2K
90671 74 69 $2K
90707 182 178 $2K
90619 59 56 $2K
90677 37 33 $2K
1128F 11,128 10,306 $2K
90716 102 101 $2K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 66 66 $2K
0072A 36 32 $2K
0001A 59 58 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 89 88 $1K
90715 84 80 $1K
99383 12 12 $1K
94618 41 40 $969.09
90697 31 27 $846.70
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $780.57
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 20 20 $600.40
0002A 14 14 $592.80
91321 18 15 $510.00
0071A 12 12 $507.60
90620 25 24 $459.14
90460 Immunization administration through 18 years of age via any route, first or only component 15 15 $205.46
1127F 2,447 2,325 $75.00
99051 77 75 $52.90
91300 180 171 $0.14
G9920 Screening performed and negative 1,230 1,135 $0.00
G9919 Screening performed and positive and provision of recommendations 82 74 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 40 39 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 616 547 $0.00
91307 135 122 $0.00
J8540 Dexamethasone, oral, 0.25 mg 13 12 $0.00