Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1427148808 · DOYLESTOWN, PA 18901 · Pediatrics Physician · NPI assigned 10/13/2006

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

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

$772K
Total Medicaid Paid
20,991
Total Claims
20,161
Beneficiaries
37
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 Date10/13/2006

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
CHILDREN'S HOSPITAL OF PHILADELPHIA SOUDERTON PA $1.61M
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
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 381 $12K
2019 479 $14K
2020 1,428 $22K
2021 3,982 $76K
2022 4,352 $157K
2023 5,899 $269K
2024 4,470 $222K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,843 9,391 $463K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,152 2,040 $159K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 578 555 $25K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 478 476 $20K
90460 Immunization administration through 18 years of age via any route, first or only component 453 397 $18K
90686 1,487 1,468 $9K
92551 781 747 $9K
90688 526 524 $7K
90461 86 66 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 121 109 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 393 372 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 39 36 $5K
99215 Prolong outpt/office vis 39 36 $5K
90670 647 622 $4K
90648 628 624 $4K
90656 375 374 $3K
99499 146 140 $3K
90723 426 422 $3K
90680 411 407 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 164 162 $2K
96127 291 278 $2K
90651 156 156 $2K
90633 274 274 $2K
99173 151 139 $1K
3008F 127 127 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16 16 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 26 26 $881.62
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $580.88
90734 54 54 $460.80
90715 14 14 $179.20
90696 13 13 $164.71
90716 12 12 $153.60
90707 24 24 $153.60
90710 12 12 $153.60
90700 12 12 $152.04
99177 12 12 $29.10
96161 12 12 $23.95