Medicaid Provider Spending

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

CHILDREN'S HEALTHCARE, INC

NPI: 1447382346 · PROVIDENCE, RI 02904 · Pediatrics Physician · NPI assigned 03/09/2007

$1.48M
Total Medicaid Paid
33,866
Total Claims
30,657
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILLMAN, KELVIN (PRESIDENT)
NPI Enumeration Date03/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,087 $233K
2019 5,675 $222K
2020 4,832 $179K
2021 5,564 $207K
2022 4,179 $217K
2023 4,802 $264K
2024 2,727 $154K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,743 5,809 $441K
92587 3,477 3,438 $195K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,357 2,965 $139K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,244 1,219 $110K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,253 1,109 $108K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,124 1,116 $100K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 977 824 $78K
90461 1,544 1,459 $49K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,971 2,374 $40K
87428 641 619 $39K
90460 Immunization administration through 18 years of age via any route, first or only component 1,619 1,520 $38K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 358 350 $36K
97802 1,612 1,588 $29K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,519 1,497 $29K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,911 2,475 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 399 375 $4K
3725F 208 198 $4K
99050 75 74 $3K
96127 803 698 $2K
96160 369 358 $1K
90472 Immunization administration, each additional vaccine (list separately) 86 82 $968.82
0071A 21 21 $816.84
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 75 31 $736.10
81003 338 316 $574.43
90480 12 12 $476.72
83655 41 41 $187.37
92552 12 12 $159.72
99173 17 17 $36.89
90686 60 60 $33.98