Medicaid Provider Spending

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

THE CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1558676890 · NORRISTOWN, PA 19401 · Pediatrics Physician · NPI assigned 08/11/2010

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

Authorized official STONE, FABIAN controls 20+ related entities in our dataset. Read more

$2.21M
Total Medicaid Paid
68,898
Total Claims
67,602
Beneficiaries
58
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationCHILDREN'S HOSPITAL OF PHILADELPHIA
NPI Enumeration Date08/11/2010

Related Entities

Other providers sharing the same authorized official: STONE, FABIAN

ProviderCityStateTotal Paid
THE CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $11.89M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $5.67M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $5.56M
CHILDRENS HOSPITAL OF PHILADELPHIA KING OF PRUSSIA PA $2.38M
CHILDREN'S HOSPITAL OF PHILADLEPHIA SPRINGFIELD PA $2.26M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $2.17M
CHILDREN'S HOSPITAL OF PHILADELPHIA WEST CHESTER PA $2.08M
CHILDREN'S HOSPITAL OF PHILADELPHIA COATESVILLE PA $1.67M
CHILDREN'S HOSPITAL OF PHILADELPHIA SOUDERTON PA $1.61M
CHOP CLINICAL ASSOCIATES, INC BURLINGTON TOWNSHIP NJ $1.45M
CHILDREN'S HOSPITAL OF PHILADELPHIA ABINGTON PA $1.39M
CHILDREN'S HOSPITAL OF PHILADELPHIA KENNETT SQUARE PA $1.35M
THE CHILDREN'S HOSPITAL OF PHILADLEPHIA CHALFONT PA $1.12M
CHILDREN'S HOSPITAL OF PHILADELPHIA NEWTOWN PA $982K
CHILDREN'S HOSPITAL OF PHILADELPHIA GLEN MILLS PA $914K
CHILDREN'S HOSPITAL OF PHILADELPHIA CHALFONT PA $824K
CHILDREN'S HOSPITAL OF PHILADELPHIA DOYLESTOWN PA $772K
CHOP CLINICAL ASSOCIATES, INC MOORESTOWN NJ $681K
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $676K
CHILDREN'S HOSPITAL OF PHILADELPHIA WEST GROVE PA $634K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54 $916.89
2019 96 $2K
2020 5,770 $89K
2021 14,370 $320K
2022 14,638 $466K
2023 16,630 $613K
2024 17,340 $725K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,580 9,194 $577K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,794 2,727 $286K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,412 5,357 $273K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,448 4,384 $219K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,848 3,821 $181K
90460 Immunization administration through 18 years of age via any route, first or only component 2,653 2,562 $106K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,136 1,128 $75K
92551 3,489 3,455 $48K
90686 4,254 4,242 $45K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,592 2,300 $42K
90648 3,208 3,198 $37K
99177 1,622 1,597 $37K
99499 1,086 1,052 $27K
90723 2,216 2,211 $25K
96127 2,421 2,397 $21K
90670 2,038 2,029 $17K
99188 492 484 $17K
96161 3,135 3,077 $17K
90633 1,359 1,351 $14K
90681 1,163 1,159 $12K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 54 54 $11K
99173 1,083 1,076 $10K
90656 755 755 $10K
0072A 127 127 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 122 121 $9K
90671 585 585 $9K
3008F 794 792 $8K
90651 794 790 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 498 492 $7K
90461 174 152 $6K
0111A 83 83 $6K
0071A 77 77 $5K
90677 516 516 $5K
90688 378 378 $4K
90700 439 436 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 74 74 $3K
90716 413 410 $3K
90707 383 380 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 187 182 $3K
85018 364 360 $2K
0112A 29 29 $2K
90696 240 240 $2K
90710 245 244 $2K
90734 287 287 $2K
0144A 16 16 $1K
83718 88 86 $1K
69210 19 17 $1K
82465 88 86 $968.47
0001A 32 32 $836.31
0002A 15 15 $712.08
99381 12 12 $685.89
90715 139 139 $550.80
90480 31 30 $310.50
90381 31 31 $210.00
90620 26 26 $166.40
91321 26 26 $160.00
99000 511 506 $92.61
36416 217 215 $18.42