CHILDREN'S COMMUNITY CARE
NPI: 1609109172
· NORTH HUNTINGDON, PA 15642
· Pediatrics Physician
· NPI assigned 09/15/2009
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MARTINEZ, LORI controls 20+ related entities in our dataset. Read more
$252K
Total Medicaid Paid
Provider Details
| Authorized Official | MARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III) |
| NPI Enumeration Date | 09/15/2009 |
Related Entities
Other providers sharing the same authorized official: MARTINEZ, LORI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$2K |
| 2019 |
270 |
$12K |
| 2020 |
146 |
$8K |
| 2021 |
862 |
$61K |
| 2022 |
846 |
$64K |
| 2023 |
784 |
$48K |
| 2024 |
995 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,188 |
2,922 |
$243K |
| 87426 |
|
45 |
44 |
$2K |
| 99213 |
|
31 |
29 |
$2K |
| 90686 |
|
166 |
162 |
$1K |
| 99392 |
|
14 |
14 |
$1K |
| 99394 |
|
12 |
12 |
$959.79 |
| 87880 |
|
41 |
39 |
$453.00 |
| 90471 |
|
29 |
29 |
$422.30 |
| 99393 |
|
14 |
14 |
$369.70 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
113 |
104 |
$224.60 |
| 90460 |
|
12 |
12 |
$121.00 |
| 96127 |
|
53 |
53 |
$58.58 |
| 96160 |
|
53 |
53 |
$52.07 |
| 96110 |
|
23 |
12 |
$7.69 |
| G9920 |
Screening performed and negative |
78 |
69 |
$0.00 |
| 90661 |
|
19 |
19 |
$0.00 |
| 92551 |
|
40 |
33 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |