Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1538214713 · NORFOLK, VA 23502 · Pediatrics Physician · NPI assigned 01/25/2007

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

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

$9.18M
Total Medicaid Paid
287,576
Total Claims
264,624
Beneficiaries
67
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 Date01/25/2007

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 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
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 17,968 $701K
2019 39,653 $1.46M
2020 39,631 $1.31M
2021 48,538 $1.36M
2022 47,448 $1.46M
2023 50,715 $1.56M
2024 43,623 $1.32M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56,185 52,755 $3.52M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16,137 15,722 $1.33M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,815 11,171 $1.07M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13,062 11,178 $1.02M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9,891 9,687 $795K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,862 2,817 $252K
90686 18,604 18,084 $227K
90670 5,572 5,324 $112K
96127 17,995 15,390 $94K
99199 Unlisted special service, procedure or report 10,114 5,161 $62K
87428 1,548 1,495 $57K
96160 21,531 20,189 $53K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,314 3,229 $49K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,252 3,957 $48K
92551 4,504 4,387 $47K
90651 1,211 1,174 $42K
90698 2,579 2,451 $40K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,113 1,045 $40K
96161 12,618 11,679 $31K
90677 745 701 $26K
90680 1,547 1,466 $24K
90656 1,225 1,222 $24K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,562 753 $23K
99174 3,594 3,500 $20K
90671 646 604 $17K
80061 Lipid panel 1,170 1,131 $16K
90633 1,125 1,094 $14K
85018 5,483 5,314 $14K
90697 630 590 $13K
1128F 27,927 26,276 $12K
99173 3,922 3,839 $10K
90685 809 781 $10K
83655 762 741 $10K
90744 573 533 $7K
90619 202 193 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 181 180 $6K
0071A 118 117 $5K
99188 199 194 $4K
0072A 104 99 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 220 200 $4K
36416 9,358 9,062 $3K
99000 1,477 1,436 $2K
0001A 57 56 $2K
90734 79 77 $2K
90710 63 56 $1K
0002A 31 31 $1K
1127F 3,503 3,372 $1K
90715 56 54 $937.23
81003 405 380 $930.29
91321 26 25 $830.92
90620 12 12 $796.25
90696 47 39 $559.95
90460 Immunization administration through 18 years of age via any route, first or only component 48 48 $367.55
90716 27 27 $311.85
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31 30 $298.63
90707 15 15 $178.75
99051 138 131 $168.44
90700 14 14 $164.27
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $136.68
94760 125 119 $92.75
J1100 Injection, dexamethasone sodium phosphate, 1 mg 26 25 $34.45
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 62 57 $8.40
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 14 14 $1.80
91300 240 225 $1.58
G9920 Screening performed and negative 28 28 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,756 2,592 $0.00
91307 274 264 $0.00