Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1336229517 · BRYN MAWR, PA 19010 · Pediatrics Physician · NPI assigned 10/16/2006

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

Authorized official STONE, FABIAN controls 20+ related entities in our dataset. Read more

$448K
Total Medicaid Paid
14,782
Total Claims
14,343
Beneficiaries
34
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationCHILDREN'S HOSPITAL OF PHILADELPHIA
NPI Enumeration Date10/16/2006

Related Entities

Other providers sharing the same authorized official: STONE, FABIAN

ProviderCityStateTotal Paid
THE CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $11.89M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $5.67M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $5.56M
CHILDRENS HOSPITAL OF PHILADELPHIA KING OF PRUSSIA PA $2.38M
CHILDREN'S HOSPITAL OF PHILADLEPHIA SPRINGFIELD PA $2.26M
THE CHILDREN'S HOSPITAL OF PHILADELPHIA NORRISTOWN PA $2.21M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $2.17M
CHILDREN'S HOSPITAL OF PHILADELPHIA WEST CHESTER PA $2.08M
CHILDREN'S HOSPITAL OF PHILADELPHIA COATESVILLE PA $1.67M
CHILDREN'S HOSPITAL OF PHILADELPHIA SOUDERTON PA $1.61M
CHOP CLINICAL ASSOCIATES, INC BURLINGTON TOWNSHIP NJ $1.45M
CHILDREN'S HOSPITAL OF PHILADELPHIA ABINGTON PA $1.39M
CHILDREN'S HOSPITAL OF PHILADELPHIA KENNETT SQUARE PA $1.35M
THE CHILDREN'S HOSPITAL OF PHILADLEPHIA CHALFONT PA $1.12M
CHILDREN'S HOSPITAL OF PHILADELPHIA NEWTOWN PA $982K
CHILDREN'S HOSPITAL OF PHILADELPHIA GLEN MILLS PA $914K
CHILDREN'S HOSPITAL OF PHILADELPHIA CHALFONT PA $824K
CHILDREN'S HOSPITAL OF PHILADELPHIA DOYLESTOWN PA $772K
CHOP CLINICAL ASSOCIATES, INC MOORESTOWN NJ $681K
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $676K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 230 $5K
2019 439 $9K
2020 1,133 $18K
2021 3,071 $48K
2022 3,597 $85K
2023 3,215 $142K
2024 3,097 $143K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,353 4,140 $222K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,292 1,228 $106K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 372 371 $19K
90460 Immunization administration through 18 years of age via any route, first or only component 534 484 $18K
90688 1,725 1,708 $12K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 275 272 $12K
90686 848 832 $8K
92551 423 402 $6K
90656 616 613 $6K
90670 797 785 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 70 68 $5K
90648 797 786 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 97 94 $4K
90723 561 557 $3K
96127 305 301 $3K
90633 436 435 $3K
90651 333 332 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 144 141 $2K
90681 292 288 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 24 24 $1K
90461 12 12 $1K
90734 131 131 $921.60
99173 71 69 $917.00
0072A 12 12 $706.95
90620 25 25 $626.30
90672 14 14 $307.86
90716 66 65 $295.10
90707 54 53 $295.10
90700 39 38 $164.71
90715 12 12 $153.60
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $142.44
3008F 15 14 $140.00
90480 12 12 $90.00
90710 12 12 $0.00