Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1598323289 · COLLEGEVILLE, PA 19426 · Pediatrics Physician · NPI assigned 05/29/2019

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

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

$205K
Total Medicaid Paid
4,099
Total Claims
3,920
Beneficiary Records
21
Codes Billed
2021-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationCHILDREN'S HOSPITAL OF PHILADELPHIA
NPI Enumeration Date05/29/2019

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 311 $8K
2022 1,260 $64K
2023 1,764 $89K
2024 764 $43K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,943 1,822 $114K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 491 463 $44K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 58 57 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 126 124 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 168 168 $6K
99499 191 180 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 120 119 $4K
90686 297 297 $4K
92551 185 182 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 69 69 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 116 115 $1K
96127 56 54 $509.41
99177 15 15 $411.01
90656 27 27 $392.40
90460 Immunization administration through 18 years of age via any route, first or only component 17 17 $271.60
99173 16 15 $151.70
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29 28 $105.25
85018 16 16 $88.49
94760 70 64 $87.24
96161 13 12 $74.00
90688 76 76 $0.00