Behavioral
The Childrens Hospital of Philadelphia Practice Association
The Childrens Hospital of Philadelphia Practice Association was paid $2.42M by Medicaid between Apr 2019 and Dec 2024, across 24 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 19% of everything it billed.
33Billing provider infoTHE CHILDRENS HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION
PHILADELPHIA, PA 19139
PHILADELPHIA, PA 19139
33aNPI1477645232assigned 09/29/2006
33bProvider typeClinical Psychologist
28Total paid$2.42M
24GClaims27,761
24DCodes billed24
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Clinical Psychologist providers in Pennsylvania
Rank by total paid#4 of 99
Median peer was paid$86K
This provider vs. median28×
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 | |
|---|---|---|---|
| 2019 | 42 | $5K | |
| 2020 | 1,161 | $35K | |
| 2021 | 3,320 | $98K | |
| 2022 | 6,232 | $503K | |
| 2023 | 8,048 | $834K | |
| 2024incomplete | 8,958 | $943K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 19% | 4,420 | 2,873 | $451K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 2,668 | 1,945 | $352K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 13% | 4,404 | 3,547 | $312K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 486 | 469 | $255K |
| 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 | 8.2% | 2,368 | 1,579 | $199K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 8.0% | 2,226 | 2,182 | $193K |
| 96156 | 6.8% | 2,756 | 2,713 | $164K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.0% | 3,074 | 2,426 | $146K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.6% | 412 | 402 | $111K |
| 96167 | 2.2% | 1,006 | 850 | $54K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 1,408 | 532 | $37K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.4% | 347 | 141 | $34K |
12 more codes
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 750 | $23K |
| 96158 | <1% | 421 | $20K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 148 | $20K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 272 | $16K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 377 | $15K |
| 99283 | Emergency room visit (moderate) | <1% | 14 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 124 | $2K |
| 96154 | <1% | 12 | $1K | |
| 96168 | <1% | 26 | $1K | |
| 96151 | <1% | 12 | $1K | |
| 96116 | <1% | 15 | $1K |
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 officialHOLDER, SOPHIA (EVP & CHIEF FINANCIAL OFFICER)
Parent organizationTHE CHILDRENS HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION
| Provider | Location | Paid |
|---|---|---|
| Children's Hospital of Philadelphia | Drexel Hill, PA | $2.04M |
| Children's Hospital of Philadelphia | Philadelphia, PA | $105K |
| Children's Hospital of Philadelphia | Philadelphia, PA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.