Medicaid Provider Spending

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

CITY LINE PEDIATRICS

NPI: 1477588135 · PHILADELPHIA, PA 19131 · Pediatrics Physician · NPI assigned 07/11/2006

$1.49M
Total Medicaid Paid
42,433
Total Claims
39,873
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGIBBONS, KATHLEEN (BILLER)
NPI Enumeration Date07/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34 $934.00
2019 58 $725.20
2020 2,163 $69K
2021 13,327 $374K
2022 11,577 $357K
2023 7,814 $377K
2024 7,460 $308K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,032 10,371 $548K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,275 2,231 $266K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,940 1,866 $198K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,830 1,808 $192K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,399 1,366 $147K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 635 615 $45K
92551 1,991 1,911 $17K
90460 Immunization administration through 18 years of age via any route, first or only component 2,161 2,080 $13K
90698 905 884 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 143 135 $5K
90686 704 691 $5K
99173 1,799 1,723 $5K
90680 688 667 $5K
90670 1,216 1,136 $4K
90633 640 632 $4K
90688 585 552 $4K
90651 388 374 $3K
90716 465 459 $3K
90707 469 465 $3K
90744 446 434 $2K
90677 247 246 $2K
90656 165 163 $2K
97802 230 215 $2K
90461 638 323 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 169 154 $1K
90685 206 198 $1K
96127 202 194 $569.64
90619 52 52 $341.38
90696 74 74 $335.73
90700 27 27 $286.95
96161 149 128 $280.62
36415 Collection of venous blood by venipuncture 88 85 $214.45
90715 79 69 $147.36
90648 13 13 $145.04
99072 7,991 7,189 $91.98
3008F 145 134 $0.00
90734 247 209 $0.00