Physician
Children's Hospital of Philadelphia
Children's Hospital of Philadelphia was paid $982K by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF PHILADELPHIA
NEWTOWN, PA 18940
NEWTOWN, PA 18940
33aNPI1568545291assigned 10/24/2006
33bProvider typePediatrics Physician
28Total paid$982K
24GClaims24,974
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#106 of 1,257
Median peer was paid$45K
This provider vs. median22×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official STONE, FABIAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 342 | $15K | |
| 2019 | 521 | $15K | |
| 2020 | 1,820 | $27K | |
| 2021 | 4,805 | $98K | |
| 2022 | 6,105 | $209K | |
| 2023 | 5,746 | $302K | |
| 2024incomplete | 5,635 | $316K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 41% | 5,397 | 5,168 | $407K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 7,195 | 6,911 | $347K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 1,291 | 1,278 | $62K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.5% | 526 | 507 | $35K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 586 | 574 | $22K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 454 | 431 | $17K |
| 90686 | 1.6% | 1,750 | 1,727 | $15K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.2% | 80 | 80 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 162 | 162 | $8K |
| 90688 | <1% | 840 | 840 | $6K | |
| 90670 | <1% | 903 | 894 | $6K | |
| 90648 | <1% | 910 | 901 | $5K |
33 more codes
| 90656 | <1% | 635 | $5K | |
| 90723 | <1% | 677 | $4K | |
| 92551 | <1% | 307 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 51 | $3K |
| 99499 | <1% | 128 | $3K | |
| 90633 | <1% | 510 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 197 | $3K |
| 90681 | <1% | 358 | $3K | |
| 90651 | <1% | 220 | $2K | |
| 96127 | <1% | 259 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 97 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $1K |
| 3008F | <1% | 93 | $922.55 | |
| 80053 | Comprehensive metabolic panel | <1% | 13 | $661.86 |
| 90716 | <1% | 105 | $550.40 | |
| 90734 | <1% | 51 | $422.40 | |
| 90696 | <1% | 30 | $367.43 | |
| 90710 | <1% | 40 | $345.60 | |
| 90700 | <1% | 61 | $266.07 | |
| 90707 | <1% | 101 | $256.00 | |
| 99173 | <1% | 37 | $244.90 | |
| 96161 | <1% | 37 | $212.32 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $153.54 |
| 99000 | <1% | 29 | $12.68 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 14 | $0.00 |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 30 | $0.00 |
| J3535 | Drug administered through a metered dose inhaler | 0% | 31 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 119 | $0.00 |
| J3490 | Unclassified drugs | 0% | 182 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 13 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 152 | $0.00 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 261 | $0.00 |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | 0% | 16 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSTONE, FABIAN (VP REVENUE CYCLE)
Parent organizationCHILDREN'S HOSPITAL OF PHILADELPHIA
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.