Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1538214309 · CHESAPEAKE, VA 23320 · 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

$3.06M
Total Medicaid Paid
118,222
Total Claims
97,732
Beneficiaries
44
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 NORFOLK VA $4.85M
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
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 5,903 $210K
2019 11,924 $450K
2020 12,551 $366K
2021 19,196 $463K
2022 26,939 $563K
2023 26,014 $592K
2024 15,695 $415K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,710 22,826 $1.49M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,293 5,054 $434K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,245 4,479 $412K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,922 1,803 $168K
99199 Unlisted special service, procedure or report 25,770 13,786 $141K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,455 1,404 $115K
90686 5,558 5,324 $61K
96160 18,743 16,632 $45K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 327 310 $28K
90670 1,456 1,349 $28K
90698 1,580 1,495 $25K
96127 3,527 2,791 $18K
96161 6,026 5,245 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,064 797 $9K
90677 209 203 $8K
99188 338 326 $7K
90671 248 234 $7K
90680 472 446 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 190 176 $7K
90656 484 469 $6K
99174 941 912 $5K
92551 459 445 $4K
1128F 9,352 8,600 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 257 240 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 232 216 $3K
90685 209 197 $2K
90744 152 145 $2K
90633 150 144 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 103 50 $1K
0001A 18 18 $808.00
90651 14 13 $738.22
0002A 15 15 $729.20
83655 40 37 $543.51
99000 307 293 $481.70
90619 14 13 $386.29
85018 102 97 $249.15
80061 Lipid panel 14 13 $190.52
90688 12 12 $118.25
36416 362 334 $85.55
99173 14 12 $29.09
1127F 188 175 $25.01
91300 103 102 $0.42
G8510 Screening for depression is documented as negative, a follow-up plan is not required 521 476 $0.00
G9920 Screening performed and negative 26 24 $0.00