CHILDRENS COMMUNITY CARE

NPI: 1497495634 · SENECA, PA 16346 · Pediatrics Physician · NPI assigned 03/29/2022

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official MARTINEZ, LORI controls 20+ related entities in our dataset. Read more

$44K

Total Medicaid Paid

844

Total Claims

760

Beneficiaries

Codes Billed

2023-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	MARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III)
NPI Enumeration Date	03/29/2022

Other providers sharing the same authorized official: MARTINEZ, LORI

Provider	City	State	Total Paid
CHILDREN'S COMMUNITY CARE	WEXFORD	PA	$5.17M
CHILDREN'S COMMUNITY CARE	SEWICKLEY	PA	$3.28M
CHILDREN'S COMMUNITY CARE	UNIONTOWN	PA	$1.02M
CHILDREN'S COMMUNITY CARE	PITTSBURGH	PA	$898K
CHILDEN'S COMMUNITY CARE	NEW CASTLE	PA	$646K
CHILDREN'S COMMUNITY CARE	MONONGAHELA	PA	$628K
CHILDREN'S COMMUNITY CARE	ERIE	PA	$580K
CHILDEN'S COMMUNITY CARE	PITTSBURGH	PA	$535K
CHILDEN'S COMMUNITY CARE	HUMMELSTOWN	PA	$522K
CHILDREN'S COMMUNITY CARE	YORK	PA	$500K
CHILDREN'S COMMUNITY CARE	HUNTINGDON	PA	$470K
CHILDREN'S COMMUNITY CARE	WEXFORD	PA	$467K
CHILDEN'S COMMUNITY CARE	CAMP HILL	PA	$438K
CHILDREN'S COMMUNITY CARE	PITTSBURGH	PA	$414K
CHILDREN'S COMMUNITY CARE	NEW CASTLE	PA	$394K
CHILDEN'S COMMUNITY CARE	HERMITAGE	PA	$276K
CHILDREN'S COMMUNITY CARE	NORTH HUNTINGDON	PA	$252K
CHILDREN'S COMMUNITY CARE	NATRONA HEIGHTS	PA	$207K
CHILDREN'S COMMUNITY CARE	WHITE OAK	PA	$181K
CHILDEN'S COMMUNITY CARE	GROVE CITY	PA	$177K

Year	Claims	Total Paid
2023	399	$11K
2024	445	$33K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	230	215	$18K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	410	348	$16K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	83	77	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	72	71	$4K
96127		12	12	$26.96
96160		12	12	$24.35
92551		13	13	$0.00
G9920	Screening performed and negative	12	12	$0.00