Behavioral
Children's Hospital Medical Center
Children's Hospital Medical Center was paid $91.44M by Medicaid between Jan 2018 and Dec 2024, across 271 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 14% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL MEDICAL CENTER
CINCINNATI, OH 45229
CINCINNATI, OH 45229
33aNPI1609915784assigned 02/06/2007
33bProvider typeBehavioral Analyst
28Total paid$91.44M
24GClaims2,318,186
24DCodes billed271
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in Ohio
Rank by total paid#1 of 34
Median peer was paid$534K
This provider vs. median171×
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.
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 | 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 | |
| 2024incomplete | 364,468 | $15.95M |
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 | 14% | 251,443 | 238,647 | $12.43M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 382,001 | 364,981 | $10.82M |
| T2022 | Case management, per month | 6.0% | 9,703 | 9,076 | $5.48M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.7% | 139,365 | 133,510 | $5.24M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.4% | 63,503 | 59,682 | $4.07M |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 3.7% | 11,862 | 2,318 | $3.41M |
| 99460 | 3.4% | 42,988 | 41,086 | $3.10M | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 3.2% | 46,210 | 44,156 | $2.91M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.9% | 59,228 | 22,032 | $2.64M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 74,315 | 32,781 | $2.31M |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 2.4% | 7,426 | 1,254 | $2.17M |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.2% | 56,619 | 53,905 | $2.00M |
259 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 48,565 | $1.86M |
| T2023 | Targeted case management; per month | 1.9% | 1,321 | $1.74M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 41,513 | $1.55M |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 1.5% | 13,258 | $1.40M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 42,867 | $1.39M |
| 99285 | Emergency room visit (most serious) | 1.4% | 13,148 | $1.26M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 1.4% | 13,395 | $1.25M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.3% | 56,929 | $1.21M |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.3% | 7,835 | $1.17M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.2% | 18,712 | $1.09M |
| 99243 | 1.1% | 22,712 | $972K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 25,992 | $968K |
| 92015 | Determination of refractive state | <1% | 50,217 | $860K |
| 01922 | <1% | 7,074 | $853K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 9,202 | $816K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 11,902 | $799K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 13,966 | $775K |
| 95720 | <1% | 4,393 | $692K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 40,499 | $654K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 7,083 | $643K |
| 71045 | Radiologic examination, chest; single view | <1% | 92,458 | $640K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 70,019 | $568K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13,007 | $562K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 2,820 | $548K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 7,002 | $533K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 14,593 | $529K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 8,690 | $508K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 54,301 | $494K |
| 99462 | <1% | 14,910 | $483K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 4,173 | $455K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 6,904 | $437K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29,987 | $429K |
| 31622 | <1% | 3,782 | $347K | |
| 95951 | <1% | 2,271 | $336K | |
| 93325 | <1% | 40,203 | $326K | |
| 31624 | <1% | 2,841 | $294K | |
| 99223 | Prolong inpt eval add15 m | <1% | 3,572 | $293K |
| 31526 | <1% | 2,330 | $275K | |
| 74018 | <1% | 36,533 | $256K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 11,120 | $222K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,477 | $199K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 3,234 | $198K |
| 93320 | <1% | 9,089 | $184K | |
| 93308 | <1% | 6,389 | $178K | |
| 76770 | <1% | 6,600 | $178K | |
| 99188 | <1% | 8,268 | $167K | |
| 93304 | <1% | 4,793 | $166K | |
| 93000 | <1% | 7,733 | $152K | |
| 93321 | <1% | 16,708 | $148K | |
| 99245 | <1% | 1,522 | $139K | |
| 76825 | <1% | 1,678 | $134K | |
| 95816 | <1% | 3,446 | $120K | |
| 94010 | <1% | 12,593 | $109K | |
| 88313 | <1% | 4,798 | $105K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 4,753 | $94K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 2,001 | $87K |
| 99205 | Prolong outpt/office vis | <1% | 1,190 | $86K |
| 88307 | <1% | 1,060 | $69K | |
| 99242 | <1% | 2,059 | $62K | |
| 88342 | <1% | 1,586 | $61K | |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 327 | $59K |
| 00126 | <1% | 1,321 | $59K | |
| 74019 | <1% | 6,792 | $58K | |
| 99254 | <1% | 748 | $58K | |
| 25600 | <1% | 331 | $55K | |
| 99417 | Prolong home eval add 15m | <1% | 1,756 | $52K |
| 76827 | <1% | 2,123 | $52K | |
| 92201 | <1% | 2,718 | $48K | |
| 88108 | <1% | 3,079 | $45K | |
| 99468 | <1% | 66 | $42K | |
| 88312 | <1% | 2,125 | $37K | |
| 99478 | <1% | 380 | $37K | |
| 73100 | <1% | 4,858 | $34K | |
| 99219 | <1% | 599 | $33K | |
| 73630 | <1% | 4,315 | $32K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,053 | $31K |
| 17110 | <1% | 879 | $29K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 934 | $29K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 144 | $29K |
| 88300 | <1% | 8,443 | $28K | |
| 76820 | <1% | 1,416 | $28K | |
| 73610 | <1% | 3,617 | $27K | |
| 54150 | <1% | 551 | $26K | |
| 95957 | <1% | 482 | $25K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 308 | $24K |
| 73090 | <1% | 3,497 | $23K | |
| 12011 | <1% | 743 | $23K | |
| 88304 | <1% | 2,604 | $22K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 357 | $19K |
| 99255 | <1% | 156 | $18K | |
| 92226 | <1% | 1,430 | $17K | |
| 88348 | <1% | 333 | $17K | |
| 99471 | <1% | 26 | $16K | |
| 99221 | <1% | 416 | $16K | |
| 64642 | <1% | 254 | $16K | |
| 51784 | <1% | 375 | $15K | |
| 99463 | <1% | 190 | $15K | |
| 64643 | <1% | 207 | $15K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 263 | $14K |
| 74230 | <1% | 704 | $13K | |
| 94060 | <1% | 910 | $13K | |
| 88104 | <1% | 745 | $13K | |
| 73590 | <1% | 1,747 | $12K | |
| 95782 | <1% | 177 | $12K | |
| 73560 | <1% | 1,610 | $12K | |
| 12001 | <1% | 407 | $12K | |
| 73070 | <1% | 1,941 | $12K | |
| 73140 | <1% | 1,938 | $12K | |
| 93018 | <1% | 799 | $11K | |
| 95819 | <1% | 365 | $10K | |
| 93227 | <1% | 415 | $10K | |
| 94621 | <1% | 198 | $9K | |
| 76506 | <1% | 350 | $9K | |
| 99252 | <1% | 245 | $9K | |
| 73521 | <1% | 912 | $9K | |
| 96127 | <1% | 1,738 | $8K | |
| 92134 | <1% | 533 | $8K | |
| 51727 | <1% | 119 | $8K | |
| 93244 | <1% | 451 | $8K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 239 | $7K |
| 99477 | <1% | 27 | $7K | |
| 90837 | Psychotherapy session, about an hour | <1% | 251 | $7K |
| 54163 | <1% | 54 | $7K | |
| 72082 | <1% | 544 | $7K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 215 | $7K |
| 93505 | <1% | 48 | $7K | |
| 96156 | <1% | 139 | $7K | |
| 92133 | <1% | 493 | $7K | |
| 99381 | <1% | 253 | $6K | |
| 99253 | <1% | 114 | $6K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 104 | $6K |
| 31575 | <1% | 127 | $6K | |
| 84165 | <1% | 765 | $6K | |
| 93976 | <1% | 196 | $6K | |
| 99354 | <1% | 135 | $6K | |
| 73130 | <1% | 781 | $6K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 50 | $6K |
| 74183 | <1% | 70 | $6K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 249 | $6K |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 1,136 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 335 | $5K |
| 92551 | <1% | 823 | $5K | |
| 94680 | <1% | 420 | $5K | |
| 70360 | <1% | 748 | $5K | |
| 92002 | <1% | 262 | $5K | |
| 29450 | <1% | 80 | $4K | |
| 95974 | <1% | 89 | $4K | |
| 74712 | <1% | 46 | $4K | |
| 76937 | <1% | 360 | $4K | |
| 72141 | <1% | 59 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 398 | $4K |
| 00731 | <1% | 41 | $4K | |
| 74240 | <1% | 125 | $4K | |
| 42830 | <1% | 43 | $3K | |
| 99384 | <1% | 81 | $3K | |
| 69210 | <1% | 232 | $3K | |
| 77072 | <1% | 451 | $3K | |
| 72081 | <1% | 316 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 33 | $3K |
| 88341 | <1% | 57 | $3K | |
| 93224 | <1% | 25 | $3K | |
| 00920 | <1% | 54 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 66 | $3K |
| 87210 | <1% | 690 | $2K | |
| 49452 | <1% | 12 | $2K | |
| 78816 | <1% | 16 | $2K | |
| 92083 | <1% | 157 | $2K | |
| 88344 | <1% | 78 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 123 | $2K |
| 00520 | <1% | 15 | $2K | |
| 88311 | <1% | 234 | $2K | |
| 93975 | <1% | 44 | $2K | |
| 0358T | <1% | 7,469 | $2K | |
| 93568 | <1% | 46 | $2K | |
| 76942 | <1% | 97 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 518 | $2K |
| 54161 | <1% | 12 | $2K | |
| 72197 | <1% | 17 | $2K | |
| 24640 | <1% | 40 | $2K | |
| 72146 | <1% | 26 | $2K | |
| 31615 | <1% | 27 | $2K | |
| 72170 | <1% | 215 | $1K | |
| 94770 | <1% | 395 | $1K | |
| 93248 | <1% | 70 | $1K | |
| 99307 | <1% | 75 | $1K | |
| 74455 | <1% | 86 | $1K | |
| 86334 | <1% | 139 | $1K | |
| 64644 | <1% | 12 | $1K | |
| 26720 | <1% | 12 | $1K | |
| 99220 | <1% | 13 | $1K | |
| 99217 | <1% | 29 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 38 | $1K |
| 76499 | <1% | 38 | $1K | |
| 74270 | <1% | 42 | $991.33 | |
| 58300 | <1% | 25 | $947.86 | |
| 99375 | <1% | 90 | $937.50 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 127 | $915.70 |
| 99358 | Prolong nursin fac eval 15m | <1% | 69 | $915.60 |
| 74241 | <1% | 31 | $795.65 | |
| 91122 | <1% | 12 | $794.12 | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 14 | $761.93 |
| 96158 | <1% | 25 | $750.20 | |
| 93784 | <1% | 33 | $747.75 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 14 | $704.90 |
| 95813 | <1% | 20 | $647.44 | |
| 95939 | <1% | 12 | $612.09 | |
| 77080 | <1% | 132 | $609.02 | |
| 72040 | <1% | 70 | $595.23 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 30 | $579.99 |
| 41010 | <1% | 14 | $566.21 | |
| 76821 | <1% | 26 | $550.52 | |
| 94726 | <1% | 80 | $539.89 | |
| 99383 | <1% | 13 | $539.52 | |
| 43762 | <1% | 14 | $528.33 | |
| 92567 | <1% | 37 | $527.76 | |
| 95861 | <1% | 13 | $527.40 | |
| 91200 | <1% | 35 | $518.47 | |
| 70486 | <1% | 13 | $475.59 | |
| 99140 | <1% | 50 | $469.02 | |
| 73030 | <1% | 57 | $458.07 | |
| 92228 | <1% | 40 | $432.21 | |
| D1120 | Dental cleaning, child | <1% | 12 | $420.42 |
| 99464 | <1% | 18 | $396.57 | |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 24 | $386.56 |
| 99401 | <1% | 38 | $382.07 | |
| 99421 | <1% | 38 | $368.58 | |
| 99251 | <1% | 14 | $349.45 | |
| 94618 | <1% | 14 | $334.34 | |
| 99100 | <1% | 70 | $326.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 133 | $270.79 |
| D0272 | Bitewings - two radiographic images | <1% | 13 | $255.45 |
| 98962 | <1% | 27 | $250.90 | |
| 92060 | <1% | 14 | $219.10 | |
| 73552 | <1% | 28 | $208.23 | |
| 84166 | <1% | 15 | $194.25 | |
| 73660 | <1% | 32 | $193.60 | |
| 95938 | <1% | 12 | $188.19 | |
| 94729 | <1% | 29 | $158.51 | |
| 95937 | <1% | 15 | $146.13 | |
| 73564 | <1% | 14 | $137.40 | |
| 92250 | <1% | 14 | $124.08 | |
| 11900 | <1% | 12 | $119.37 | |
| 77085 | <1% | 12 | $118.30 | |
| 77081 | <1% | 16 | $117.99 | |
| 77073 | <1% | 14 | $114.27 | |
| 72100 | <1% | 12 | $104.02 | |
| 73060 | <1% | 13 | $102.57 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 29 | $10.45 |
| 3078F | 0% | 23,757 | $0.00 | |
| G9002 | Coordinated care fee, maintenance rate | 0% | 1,871 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,965 | $0.00 |
| 4004F | 0% | 59 | $0.00 | |
| 3074F | 0% | 24,266 | $0.00 | |
| G9006 | Coordinated care fee, home monitoring | 0% | 39,455 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,978 | $0.00 |
| 1036F | 0% | 3,671 | $0.00 | |
| G9009 | Coordinated care fee, risk adjusted maintenance, level 3 | 0% | 596 | $0.00 |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 2,584 | $0.00 |
| 3075F | 0% | 28 | $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 officialGIVENS, KIMBERLY (SR. DIRECTOR MEDICAL STAFF SERVICES)
Parent organizationCHILDREN'S HOSPITAL MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| CHMC Community Health Services Network | Cincinnati, OH | $3.74M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.