Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1538214275 · NORFOLK, VA 23517 · Pediatrics Physician · NPI assigned 01/24/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ABSHIRE, KATHRYN controls 20+ related entities in our dataset. Read more

$4.85M
Total Medicaid Paid
138,021
Total Claims
126,889
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABSHIRE, KATHRYN (SENIOR VP/CFO)
Parent OrganizationCHILDRENS MEDICAL GROUP INC
NPI Enumeration Date01/24/2007

Related Entities

Other providers sharing the same authorized official: ABSHIRE, KATHRYN

ProviderCityStateTotal Paid
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $288.16M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $10.18M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $9.18M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $8.38M
CHILDRENS MEDICAL GROUP INC NEWPORT NEWS VA $7.11M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $5.72M
CHILDRENS MEDICAL GROUP INC HAMPTON VA $4.67M
CHILDREN'S SURGICAL SPECIALTY GROUP, INC NORFOLK VA $3.98M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $3.58M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $3.46M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $3.22M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $3.06M
CHILDREN'S MEDICAL GROUP, INC., D/B/A LIBERTY PEDIATRICS NEWPORT NEWS VA $2.98M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $2.36M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $2.30M
CHILDRENS MEDICAL GROUP INC WILLIAMSBURG VA $2.23M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $2.10M
CHILDREN'S MEDICAL GROUP, INC., D/B/A COURTHOUSE PEDIATRICS GLOUCESTER VA $2.10M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $805K
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $617K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,042 $406K
2019 20,913 $765K
2020 20,074 $685K
2021 22,740 $748K
2022 21,651 $751K
2023 24,360 $805K
2024 18,241 $688K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,128 22,857 $1.53M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,955 9,475 $812K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,646 7,213 $666K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,359 5,837 $561K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,926 5,771 $483K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,043 2,005 $183K
90686 9,108 8,597 $108K
92551 7,810 7,527 $81K
90670 3,323 3,040 $66K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,052 5,567 $64K
90698 3,025 2,744 $46K
96127 7,032 6,324 $37K
90677 569 550 $23K
90671 770 753 $18K
90680 1,057 986 $16K
96161 6,574 6,142 $16K
90697 772 751 $15K
99174 2,615 2,523 $14K
99188 629 592 $14K
90651 417 394 $12K
99173 3,854 3,730 $10K
90656 498 495 $9K
90633 725 696 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 420 191 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 148 141 $6K
83655 442 421 $5K
90744 441 397 $5K
85018 2,014 1,913 $5K
1128F 11,720 10,900 $4K
90685 430 346 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 218 179 $3K
91321 75 65 $2K
90734 126 119 $2K
99000 1,201 1,130 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 54 54 $2K
36416 2,653 2,473 $1K
1127F 2,045 1,928 $825.00
0001A 20 20 $778.80
0071A 17 17 $727.20
90688 71 70 $706.71
0002A 19 18 $686.40
90710 12 12 $637.85
0072A 14 14 $636.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 26 25 $451.65
96160 147 143 $343.08
90696 12 12 $231.77
90707 13 12 $135.85
90716 13 12 $135.85
90715 12 12 $133.65
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 12 $1.12
91300 39 38 $0.32
G9920 Screening performed and negative 79 77 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00
91307 14 14 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,614 1,543 $0.00