Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1386727923 · SOUDERTON, PA 18964 · Pediatrics Physician · NPI assigned 10/24/2006

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

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

$1.61M
Total Medicaid Paid
40,936
Total Claims
39,319
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationCHILDREN'S HOSPITAL OF PHILADELPHIA
NPI Enumeration Date10/24/2006

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
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
CHILDREN'S HOSPITAL OF PHILADELPHIA WEST GROVE PA $634K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 754 $31K
2019 955 $31K
2020 3,021 $48K
2021 7,122 $169K
2022 8,481 $354K
2023 10,768 $485K
2024 9,835 $488K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,304 13,435 $766K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,258 4,036 $363K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,739 1,687 $78K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,498 1,479 $61K
90460 Immunization administration through 18 years of age via any route, first or only component 917 814 $32K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 193 189 $32K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 453 442 $31K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 442 419 $24K
92551 1,841 1,793 $24K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 469 461 $23K
99499 1,157 1,082 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,469 1,419 $20K
90688 1,749 1,743 $17K
90686 1,462 1,456 $15K
0072A 198 194 $11K
96127 1,340 1,328 $11K
0071A 143 141 $10K
90656 592 590 $7K
90648 885 881 $7K
90670 831 827 $6K
90461 79 65 $6K
90651 430 429 $5K
85018 973 939 $5K
90723 638 637 $5K
90633 497 494 $3K
3008F 319 319 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 187 176 $3K
90681 340 339 $3K
99173 244 222 $2K
90734 199 199 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 105 105 $2K
99177 215 213 $1K
90707 92 90 $883.20
99188 26 26 $828.99
90716 77 77 $742.40
0004A 13 12 $738.71
96161 103 103 $656.18
90700 86 86 $646.17
90715 52 52 $627.20
90671 42 42 $502.40
90710 106 106 $422.40
90620 26 26 $332.80
90696 85 85 $278.74
90687 14 14 $209.68
99000 48 47 $137.83