Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1366597114 · VIRGINIA BEACH, VA 23456 · 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

$3.22M
Total Medicaid Paid
95,327
Total Claims
87,824
Beneficiaries
58
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
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 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 6,291 $250K
2019 13,847 $532K
2020 11,993 $418K
2021 14,101 $428K
2022 17,000 $516K
2023 17,557 $526K
2024 14,538 $547K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,446 18,702 $1.27M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,119 6,597 $648K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,588 4,396 $379K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,109 3,018 $254K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,860 2,560 $222K
92551 9,803 9,463 $102K
90686 7,223 6,830 $87K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 543 537 $49K
90670 1,377 1,300 $27K
96160 8,617 8,198 $22K
96127 3,694 3,209 $19K
90698 1,036 976 $16K
99199 Unlisted special service, procedure or report 2,184 1,163 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,271 994 $12K
99174 2,027 1,936 $11K
90656 643 634 $10K
99173 2,694 2,614 $7K
99188 308 296 $7K
90677 229 206 $7K
96161 2,554 2,361 $6K
90651 139 132 $6K
90680 390 356 $6K
90671 267 237 $5K
1128F 7,403 6,771 $5K
90633 293 278 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 292 130 $4K
0072A 63 51 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 70 64 $2K
90685 208 189 $2K
90744 187 173 $2K
0071A 55 55 $2K
83655 128 117 $2K
99000 755 714 $1K
0002A 38 29 $1K
0001A 32 31 $1K
90619 49 44 $1K
90710 25 24 $988.85
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 53 51 $777.19
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 20 19 $674.80
1127F 418 395 $600.00
0081A 13 13 $592.40
85018 189 164 $427.35
90696 25 24 $408.84
90734 12 12 $294.61
90688 19 19 $254.75
36416 848 783 $197.65
80061 Lipid panel 13 12 $187.98
90716 13 13 $162.40
90715 14 13 $158.76
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 16 $142.96
90707 12 12 $134.75
94760 106 93 $79.01
99051 33 31 $44.40
91300 59 56 $0.52
91308 31 31 $0.27
G9920 Screening performed and negative 14 13 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 629 601 $0.00
91307 71 68 $0.00