Physician
Children's Hospital of Philadelphia
Children's Hospital of Philadelphia was paid $1.61M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF PHILADELPHIA
SOUDERTON, PA 18964
SOUDERTON, PA 18964
33aNPI1386727923assigned 10/24/2006
33bProvider typePediatrics Physician
28Total paid$1.61M
24GClaims40,936
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#59 of 1,257
Median peer was paid$45K
This provider vs. median35×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official STONE, FABIAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 754 | $31K | |
| 2019 | 955 | $31K | |
| 2020 | 3,021 | $48K | |
| 2021 | 7,122 | $169K | |
| 2022 | 8,481 | $354K | |
| 2023 | 10,768 | $485K | |
| 2024incomplete | 9,835 | $488K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 14,304 | 13,435 | $766K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 23% | 4,258 | 4,036 | $363K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 1,739 | 1,687 | $78K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 1,498 | 1,479 | $61K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 917 | 814 | $32K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.0% | 193 | 189 | $32K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.9% | 453 | 442 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 442 | 419 | $24K |
| 92551 | 1.5% | 1,841 | 1,793 | $24K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 469 | 461 | $23K |
| 99499 | 1.3% | 1,157 | 1,082 | $22K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 1,469 | 1,419 | $20K |
33 more codes
| 90688 | 1.0% | 1,749 | $17K | |
| 90686 | <1% | 1,462 | $15K | |
| 0072A | <1% | 198 | $11K | |
| 96127 | <1% | 1,340 | $11K | |
| 0071A | <1% | 143 | $10K | |
| 90656 | <1% | 592 | $7K | |
| 90648 | <1% | 885 | $7K | |
| 90670 | <1% | 831 | $6K | |
| 90461 | <1% | 79 | $6K | |
| 90651 | <1% | 430 | $5K | |
| 85018 | <1% | 973 | $5K | |
| 90723 | <1% | 638 | $5K | |
| 90633 | <1% | 497 | $3K | |
| 3008F | <1% | 319 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 187 | $3K |
| 90681 | <1% | 340 | $3K | |
| 99173 | <1% | 244 | $2K | |
| 90734 | <1% | 199 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 105 | $2K |
| 99177 | <1% | 215 | $1K | |
| 90707 | <1% | 92 | $883.20 | |
| 99188 | <1% | 26 | $828.99 | |
| 90716 | <1% | 77 | $742.40 | |
| 0004A | <1% | 13 | $738.71 | |
| 96161 | <1% | 103 | $656.18 | |
| 90700 | <1% | 86 | $646.17 | |
| 90715 | <1% | 52 | $627.20 | |
| 90671 | <1% | 42 | $502.40 | |
| 90710 | <1% | 106 | $422.40 | |
| 90620 | <1% | 26 | $332.80 | |
| 90696 | <1% | 85 | $278.74 | |
| 90687 | <1% | 14 | $209.68 | |
| 99000 | <1% | 48 | $137.83 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSTONE, FABIAN (VP REVENUE CYCLE)
Parent organizationCHILDREN'S HOSPITAL OF PHILADELPHIA
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.