Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › CINCINNATI › CHILDREN'S HOSPITAL MEDICAL CENTER

CHILDREN'S HOSPITAL MEDICAL CENTER

NPI: 1609915784 · CINCINNATI, OH 45229 · Behavioral Analyst · NPI assigned 02/06/2007

$91.44M
Total Medicaid Paid
2,318,186
Total Claims
1,994,505
Beneficiaries
271
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGIVENS, KIMBERLY (SR. DIRECTOR MEDICAL STAFF SERVICES)
Parent OrganizationCHILDREN'S HOSPITAL MEDICAL CENTER
NPI Enumeration Date02/06/2007

Related Entities

Other providers sharing the same authorized official: GIVENS, KIMBERLY

ProviderCityStateTotal Paid
CHMC COMMUNITY HEALTH SERVICES NETWORK CINCINNATI OH $3.74M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 341,604 $13.01M
2019 348,565 $13.35M
2020 255,551 $9.39M
2021 321,825 $12.04M
2022 325,342 $12.39M
2023 360,831 $15.31M
2024 364,468 $15.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 251,443 238,647 $12.43M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 382,001 364,981 $10.82M
T2022 Case management, per month 9,703 9,076 $5.48M
99283 Emergency department visit for the evaluation and management, moderate severity 139,365 133,510 $5.24M
99215 Prolong outpt/office vis 63,503 59,682 $4.07M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 11,862 2,318 $3.41M
99460 42,988 41,086 $3.10M
99284 Emergency department visit for the evaluation and management, high severity 46,210 44,156 $2.91M
99233 Prolong inpt eval add15 m 59,228 22,032 $2.64M
99232 Subsequent hospital care, per day, moderate complexity 74,315 32,781 $2.31M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 7,426 1,254 $2.17M
99238 Hospital discharge day management, 30 minutes or less 56,619 53,905 $2.00M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 48,565 47,548 $1.86M
T2023 Targeted case management; per month 1,321 1,233 $1.74M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 41,513 40,661 $1.55M
00170 Anesthesia for intraoral procedures, including biopsy 13,258 12,596 $1.40M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 42,867 41,359 $1.39M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,148 12,489 $1.26M
99479 Subsequent intensive care, per day, very low birth weight infant 13,395 3,011 $1.25M
99282 Emergency department visit for the evaluation and management, low to moderate severity 56,929 55,737 $1.21M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 7,835 7,191 $1.17M
88305 Level IV - Surgical pathology, gross and microscopic examination 18,712 10,801 $1.09M
99243 22,712 21,996 $972K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25,992 24,945 $968K
92015 Determination of refractive state 50,217 47,987 $860K
01922 7,074 6,002 $853K
99480 Subsequent intensive care, per day, low birth weight infant 9,202 2,256 $816K
99244 Office or other outpatient consultation, moderate to high complexity 11,902 11,484 $799K
70551 Magnetic resonance imaging, brain; without contrast material 13,966 12,824 $775K
95720 4,393 2,808 $692K
99231 Subsequent hospital care, per day, straightforward or low complexity 40,499 22,787 $654K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 7,083 6,382 $643K
71045 Radiologic examination, chest; single view 92,458 57,893 $640K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 70,019 60,938 $568K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13,007 12,726 $562K
42820 Tonsillectomy and adenoidectomy; younger than age 12 2,820 2,686 $548K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,002 6,589 $533K
70450 Computed tomography, head or brain; without contrast material 14,593 12,963 $529K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 8,690 7,990 $508K
71046 Radiologic examination, chest; 2 views 54,301 51,522 $494K
99462 14,910 11,657 $483K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,173 1,635 $455K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,904 6,468 $437K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29,987 28,994 $429K
31622 3,782 2,995 $347K
95951 2,271 1,393 $336K
93325 40,203 35,245 $326K
31624 2,841 2,532 $294K
99223 Prolong inpt eval add15 m 3,572 3,393 $293K
31526 2,330 1,855 $275K
74018 36,533 31,969 $256K
76705 Ultrasound, abdominal, real time with image documentation; limited 11,120 10,000 $222K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,477 1,340 $199K
99222 Initial hospital care, per day, moderate complexity 3,234 3,026 $198K
93320 9,089 8,327 $184K
93308 6,389 5,827 $178K
76770 6,600 6,194 $178K
99188 8,268 7,886 $167K
93304 4,793 4,292 $166K
93000 7,733 7,187 $152K
93321 16,708 15,006 $148K
99245 1,522 1,459 $139K
76825 1,678 1,418 $134K
95816 3,446 3,266 $120K
94010 12,593 11,882 $109K
88313 4,798 4,106 $105K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4,753 4,659 $94K
99239 Hospital discharge day management, more than 30 minutes 2,001 1,862 $87K
99205 Prolong outpt/office vis 1,190 1,133 $86K
88307 1,060 897 $69K
99242 2,059 1,983 $62K
88342 1,586 1,340 $61K
H2000 Comprehensive multidisciplinary evaluation 327 255 $59K
00126 1,321 1,251 $59K
74019 6,792 6,102 $58K
99254 748 718 $58K
25600 331 317 $55K
99417 Prolong home eval add 15m 1,756 1,638 $52K
76827 2,123 1,704 $52K
92201 2,718 1,751 $48K
88108 3,079 2,613 $45K
99468 66 59 $42K
88312 2,125 1,803 $37K
99478 380 80 $37K
73100 4,858 4,426 $34K
99219 599 566 $33K
73630 4,315 3,847 $32K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,053 987 $31K
17110 879 810 $29K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 934 858 $29K
D2930 Prefabricated stainless steel crown - primary tooth 144 30 $29K
88300 8,443 8,057 $28K
76820 1,416 1,098 $28K
73610 3,617 3,409 $27K
54150 551 521 $26K
95957 482 359 $25K
95810 Polysomnography; sleep staging with 4 or more additional parameters 308 287 $24K
73090 3,497 2,918 $23K
12011 743 725 $23K
88304 2,604 2,467 $22K
74177 Computed tomography, abdomen and pelvis; with contrast material 357 324 $19K
99255 156 150 $18K
92226 1,430 534 $17K
88348 333 298 $17K
99471 26 26 $16K
99221 416 392 $16K
64642 254 216 $16K
51784 375 326 $15K
99463 190 183 $15K
64643 207 173 $15K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 263 230 $14K
74230 704 669 $13K
94060 910 855 $13K
88104 745 527 $13K
73590 1,747 1,545 $12K
95782 177 170 $12K
73560 1,610 1,468 $12K
12001 407 395 $12K
73070 1,941 1,786 $12K
73140 1,938 1,863 $12K
93018 799 762 $11K
95819 365 330 $10K
93227 415 391 $10K
94621 198 192 $9K
76506 350 236 $9K
99252 245 209 $9K
73521 912 876 $9K
96127 1,738 1,597 $8K
92134 533 475 $8K
51727 119 108 $8K
93244 451 412 $8K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 239 224 $7K
99477 27 26 $7K
90837 Psychotherapy, 53 minutes with patient 251 178 $7K
54163 54 51 $7K
72082 544 515 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete 215 199 $7K
93505 48 37 $7K
96156 139 133 $7K
92133 493 436 $7K
99381 253 242 $6K
99253 114 108 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 104 97 $6K
31575 127 120 $6K
84165 765 707 $6K
93976 196 177 $6K
99354 135 113 $6K
73130 781 750 $6K
D7140 Extraction, erupted tooth or exposed root 50 15 $6K
74183 70 54 $6K
90834 Psychotherapy, 45 minutes with patient 249 186 $6K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 1,136 496 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 335 332 $5K
92551 823 776 $5K
94680 420 407 $5K
70360 748 705 $5K
92002 262 243 $5K
29450 80 37 $4K
95974 89 69 $4K
74712 46 42 $4K
76937 360 302 $4K
72141 59 54 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 398 376 $4K
00731 41 38 $4K
74240 125 116 $4K
42830 43 38 $3K
99384 81 80 $3K
69210 232 219 $3K
77072 451 433 $3K
72081 316 302 $3K
90792 Psychiatric diagnostic evaluation with medical services 33 33 $3K
88341 57 48 $3K
93224 25 25 $3K
00920 54 53 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 66 65 $3K
87210 690 650 $2K
49452 12 12 $2K
78816 16 14 $2K
92083 157 145 $2K
88344 78 68 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 123 115 $2K
00520 15 15 $2K
88311 234 187 $2K
93975 44 37 $2K
0358T 7,469 7,311 $2K
93568 46 37 $2K
76942 97 78 $2K
36415 Collection of venous blood by venipuncture 518 512 $2K
54161 12 12 $2K
72197 17 12 $2K
24640 40 40 $2K
72146 26 25 $2K
31615 27 25 $2K
72170 215 199 $1K
94770 395 376 $1K
93248 70 67 $1K
99307 75 74 $1K
74455 86 82 $1K
86334 139 127 $1K
64644 12 12 $1K
26720 12 12 $1K
99220 13 13 $1K
99217 29 27 $1K
99308 Subsequent nursing facility care, per day, straightforward 38 25 $1K
76499 38 28 $1K
74270 42 38 $991.33
58300 25 25 $947.86
99375 90 81 $937.50
90832 Psychotherapy, 30 minutes with patient 127 99 $915.70
99358 Prolong nursin fac eval 15m 69 65 $915.60
74241 31 28 $795.65
91122 12 12 $794.12
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 14 12 $761.93
96158 25 12 $750.20
93784 33 24 $747.75
D0150 Comprehensive oral evaluation - new or established patient 14 14 $704.90
95813 20 14 $647.44
95939 12 12 $612.09
77080 132 125 $609.02
72040 70 64 $595.23
90791 Psychiatric diagnostic evaluation 30 30 $579.99
41010 14 12 $566.21
76821 26 24 $550.52
94726 80 72 $539.89
99383 13 12 $539.52
43762 14 13 $528.33
92567 37 37 $527.76
95861 13 12 $527.40
91200 35 33 $518.47
70486 13 12 $475.59
99140 50 36 $469.02
73030 57 55 $458.07
92228 40 40 $432.21
D1120 Prophylaxis - child 12 12 $420.42
99464 18 13 $396.57
H2019 Therapeutic behavioral services, per 15 minutes 24 23 $386.56
99401 38 38 $382.07
99421 38 37 $368.58
99251 14 13 $349.45
94618 14 14 $334.34
99100 70 63 $326.70
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 133 132 $270.79
D0272 Bitewings - two radiographic images 13 13 $255.45
98962 27 21 $250.90
92060 14 13 $219.10
73552 28 25 $208.23
84166 15 15 $194.25
73660 32 32 $193.60
95938 12 12 $188.19
94729 29 24 $158.51
95937 15 14 $146.13
73564 14 14 $137.40
92250 14 12 $124.08
11900 12 12 $119.37
77085 12 12 $118.30
77081 16 14 $117.99
77073 14 13 $114.27
72100 12 12 $104.02
73060 13 13 $102.57
90472 Immunization administration, each additional vaccine (list separately) 29 29 $10.45
3078F 23,757 22,219 $0.00
G9002 Coordinated care fee, maintenance rate 1,871 1,061 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,965 1,935 $0.00
4004F 59 57 $0.00
3074F 24,266 22,697 $0.00
G9006 Coordinated care fee, home monitoring 39,455 9,988 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,978 1,945 $0.00
1036F 3,671 3,562 $0.00
G9009 Coordinated care fee, risk adjusted maintenance, level 3 596 528 $0.00
G9007 Coordinated care fee, scheduled team conference 2,584 1,401 $0.00
3075F 28 28 $0.00