Medicaid Provider Spending

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

CHILDREN'S COMMUNITY CARE

NPI: 1386962363 · SEWICKLEY, PA 15143 · Pediatrics Physician · NPI assigned 05/14/2010

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

Authorized official MARTINEZ, LORI controls 20+ related entities in our dataset. Read more

$3.28M
Total Medicaid Paid
70,571
Total Claims
64,949
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III)
NPI Enumeration Date05/14/2010

Related Entities

Other providers sharing the same authorized official: MARTINEZ, LORI

ProviderCityStateTotal Paid
CHILDREN'S COMMUNITY CARE WEXFORD PA $5.17M
CHILDREN'S COMMUNITY CARE UNIONTOWN PA $1.02M
CHILDREN'S COMMUNITY CARE PITTSBURGH PA $898K
CHILDEN'S COMMUNITY CARE NEW CASTLE PA $646K
CHILDREN'S COMMUNITY CARE MONONGAHELA PA $628K
CHILDREN'S COMMUNITY CARE ERIE PA $580K
CHILDEN'S COMMUNITY CARE PITTSBURGH PA $535K
CHILDEN'S COMMUNITY CARE HUMMELSTOWN PA $522K
CHILDREN'S COMMUNITY CARE YORK PA $500K
CHILDREN'S COMMUNITY CARE HUNTINGDON PA $470K
CHILDREN'S COMMUNITY CARE WEXFORD PA $467K
CHILDEN'S COMMUNITY CARE CAMP HILL PA $438K
CHILDREN'S COMMUNITY CARE PITTSBURGH PA $414K
CHILDREN'S COMMUNITY CARE NEW CASTLE PA $394K
CHILDEN'S COMMUNITY CARE HERMITAGE PA $276K
CHILDREN'S COMMUNITY CARE NORTH HUNTINGDON PA $252K
CHILDREN'S COMMUNITY CARE NATRONA HEIGHTS PA $207K
CHILDREN'S COMMUNITY CARE WHITE OAK PA $181K
CHILDEN'S COMMUNITY CARE GROVE CITY PA $177K
CHILDREN'S COMMUNITY CARE SHIPPENSBURG PA $175K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,240 $68K
2019 2,946 $79K
2020 2,054 $76K
2021 11,236 $490K
2022 14,633 $671K
2023 19,593 $948K
2024 18,869 $951K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,604 12,611 $1.14M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,497 17,366 $1.04M
99051 30,010 28,092 $879K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,219 1,195 $73K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,493 1,240 $49K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 485 468 $48K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 159 158 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,482 2,284 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $499.20
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $232.36
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,080 1,051 $151.46
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 12 12 $14.40
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 363 345 $5.23
J0696 Injection, ceftriaxone sodium, per 250 mg 143 103 $0.00