Childrens Health Care Associates, INC
Childrens Health Care Associates, INC was paid $24.14M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99284, emergency room visit (serious) — 52% of everything it billed.
PHILADELPHIA, PA 19104
Next to other Pediatric Emergency Medicine (Emergency 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 | |
|---|---|---|---|
| 2018 | 1,545 | $126K | |
| 2019 | 2,313 | $172K | |
| 2020 | 5,384 | $370K | |
| 2021 | 42,696 | $3.05M | |
| 2022 | 60,425 | $4.90M | |
| 2023 | 57,637 | $6.81M | |
| 2024incomplete | 54,790 | $8.72M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 52% | 87,551 | 86,361 | $12.49M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 37% | 98,292 | 97,188 | $8.84M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 17,114 | 16,926 | $2.74M |
| 99053 | <1% | 21,137 | 20,767 | $29K | |
| 99224 | <1% | 423 | 330 | $18K | |
| 99220 | <1% | 81 | 81 | $15K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 87 | 77 | $8K |
| 99217 | <1% | 63 | 63 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | 14 | $2K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 28 | 27 | $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.