Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1568545291 · NEWTOWN, PA 18940 · Pediatrics Physician · NPI assigned 10/24/2006

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

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

$982K
Total Medicaid Paid
24,974
Total Claims
24,048
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationCHILDREN'S HOSPITAL OF PHILADELPHIA
NPI Enumeration Date10/24/2006

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
THE CHILDREN'S HOSPITAL OF PHILADELPHIA NORRISTOWN PA $2.21M
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 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 342 $15K
2019 521 $15K
2020 1,820 $27K
2021 4,805 $98K
2022 6,105 $209K
2023 5,746 $302K
2024 5,635 $316K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,397 5,168 $407K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,195 6,911 $347K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,291 1,278 $62K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 526 507 $35K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 586 574 $22K
90460 Immunization administration through 18 years of age via any route, first or only component 454 431 $17K
90686 1,750 1,727 $15K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 80 80 $12K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 162 162 $8K
90688 840 840 $6K
90670 903 894 $6K
90648 910 901 $5K
90656 635 633 $5K
90723 677 670 $4K
92551 307 300 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 51 50 $3K
99499 128 123 $3K
90633 510 507 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 197 193 $3K
90681 358 355 $3K
90651 220 220 $2K
96127 259 252 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 97 81 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14 14 $1K
3008F 93 93 $922.55
80053 Comprehensive metabolic panel 13 13 $661.86
90716 105 105 $550.40
90734 51 51 $422.40
90696 30 30 $367.43
90710 40 40 $345.60
90700 61 61 $266.07
90707 101 101 $256.00
99173 37 37 $244.90
96161 37 37 $212.32
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $153.54
99000 29 24 $12.68
J3010 Injection, fentanyl citrate, 0.1 mg 14 14 $0.00
J8540 Dexamethasone, oral, 0.25 mg 30 26 $0.00
J3535 Drug administered through a metered dose inhaler 31 27 $0.00
J2704 Injection, propofol, 10 mg 119 115 $0.00
J3490 Unclassified drugs 182 89 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 13 13 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 152 129 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 261 145 $0.00
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 16 15 $0.00