Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1447305057 · WILLIAMSBURG, VA 23188 · Pediatrics Physician · NPI assigned 01/24/2007

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

Authorized official ABSHIRE, KATHRYN controls 20+ related entities in our dataset. Read more

$2.23M
Total Medicaid Paid
52,903
Total Claims
48,630
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABSHIRE, KATHRYN (SENIOR VP/CFO)
Parent OrganizationCHILDRENS MEDICAL GROUP INC
NPI Enumeration Date01/24/2007

Related Entities

Other providers sharing the same authorized official: ABSHIRE, KATHRYN

ProviderCityStateTotal Paid
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $288.16M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $10.18M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $9.18M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $8.38M
CHILDRENS MEDICAL GROUP INC NEWPORT NEWS VA $7.11M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $5.72M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $4.85M
CHILDRENS MEDICAL GROUP INC HAMPTON VA $4.67M
CHILDREN'S SURGICAL SPECIALTY GROUP, INC NORFOLK VA $3.98M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $3.58M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $3.46M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $3.22M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $3.06M
CHILDREN'S MEDICAL GROUP, INC., D/B/A LIBERTY PEDIATRICS NEWPORT NEWS VA $2.98M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $2.36M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $2.30M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $2.10M
CHILDREN'S MEDICAL GROUP, INC., D/B/A COURTHOUSE PEDIATRICS GLOUCESTER VA $2.10M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $805K
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $617K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,666 $211K
2019 7,019 $325K
2020 5,880 $251K
2021 8,930 $366K
2022 8,467 $350K
2023 9,864 $388K
2024 8,077 $340K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,705 8,040 $763K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,218 10,401 $690K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,432 3,302 $276K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,188 1,934 $165K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,476 1,425 $116K
90686 3,869 3,685 $47K
90670 874 820 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 227 212 $19K
92551 1,723 1,658 $18K
87428 430 392 $17K
96127 3,269 2,902 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,083 1,007 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 795 373 $11K
99188 357 344 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument 722 548 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 169 164 $6K
90677 119 104 $4K
90698 226 214 $4K
96160 1,816 1,617 $4K
96161 1,338 1,217 $3K
90656 150 150 $3K
90685 252 235 $3K
99173 1,068 1,022 $3K
1128F 5,081 4,672 $2K
99000 942 913 $2K
90651 77 73 $2K
99174 241 232 $1K
90633 95 90 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 26 $1K
90680 64 63 $1K
0072A 19 17 $808.26
90744 34 26 $461.53
0071A 12 12 $425.20
90697 31 25 $370.30
90660 12 12 $313.51
90734 13 12 $264.99
90672 12 12 $227.15
90696 12 12 $173.97
36415 Collection of venous blood by venipuncture 61 56 $165.84
90619 13 13 $162.65
36416 61 55 $46.44
81003 12 12 $23.23
99051 32 30 $14.80
94760 23 22 $13.68
91300 25 25 $0.13
91307 46 42 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 384 352 $0.00
1127F 67 60 $0.00