Childrens Health Care Associates, INC
Childrens Health Care Associates, INC was paid $8.80M by Medicaid between Nov 2019 and Nov 2024, across 12 billing codes. Its largest line is 99472, Subsequent inpatient pediatric critical care, per day, 2-5 years — 72% of everything it billed.
PHILADELPHIA, PA 19104
Next to other Neonatal-Perinatal Medicine Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 62 | $19K | |
| 2020 | 2,010 | $223K | |
| 2021 | 13,002 | $1.76M | |
| 2022 | 11,852 | $2.63M | |
| 2023 | 11,417 | $2.37M | |
| 2024incomplete | 8,277 | $1.80M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 72% | 14,131 | 3,413 | $6.33M |
| 99460 | 8.0% | 8,361 | 7,907 | $707K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 7.6% | 10,606 | 10,230 | $673K |
| 99462 | 4.0% | 8,926 | 7,593 | $355K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 3.2% | 732 | 321 | $286K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 2.2% | 1,475 | 613 | $197K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 1,278 | 1,259 | $142K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 561 | 200 | $70K |
| 99464 | <1% | 435 | 385 | $30K | |
| 99468 | <1% | 14 | 12 | $11K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | 12 | $2K |
| 99417 | Prolong home eval add 15m | <1% | 89 | 87 | $2K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.