Physician
Children's Healthcare, INC
Children's Healthcare, INC was paid $1.48M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoCHILDREN'S HEALTHCARE, INC
PROVIDENCE, RI 02904
PROVIDENCE, RI 02904
33aNPI1447382346assigned 03/09/2007
33bProvider typePediatrics Physician
28Total paid$1.48M
24GClaims33,866
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#6 of 265
Median peer was paid$133K
This provider vs. median11×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 2,727 | $154K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 6,743 | 5,809 | $441K |
| 92587 | 13% | 3,477 | 3,438 | $195K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.4% | 3,357 | 2,965 | $139K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 1,244 | 1,219 | $110K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.3% | 1,253 | 1,109 | $108K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 1,124 | 1,116 | $100K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 977 | 824 | $78K |
| 90461 | 3.3% | 1,544 | 1,459 | $49K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 2,971 | 2,374 | $40K |
| 87428 | 2.6% | 641 | 619 | $39K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.6% | 1,619 | 1,520 | $38K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 358 | 350 | $36K |
17 more codes
| 97802 | 2.0% | 1,612 | $29K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.9% | 1,519 | $29K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 2,911 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 399 | $4K |
| 3725F | <1% | 208 | $4K | |
| 99050 | <1% | 75 | $3K | |
| 96127 | <1% | 803 | $2K | |
| 96160 | <1% | 369 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 86 | $968.82 |
| 0071A | <1% | 21 | $816.84 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 75 | $736.10 |
| 81003 | <1% | 338 | $574.43 | |
| 90480 | <1% | 12 | $476.72 | |
| 83655 | <1% | 41 | $187.37 | |
| 92552 | <1% | 12 | $159.72 | |
| 99173 | <1% | 17 | $36.89 | |
| 90686 | <1% | 60 | $33.98 |
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.
From NPPES
Who's on the registration
Authorized officialGILLMAN, KELVIN (PRESIDENT)