Hospital
Children's Healthcare of Atlanta at Hughes Spalding
Children's Healthcare of Atlanta at Hughes Spalding was paid $5.21M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99283, emergency room visit (moderate) — 41% of everything it billed.
33Billing provider infoCHILDREN'S HEALTHCARE OF ATLANTA AT HUGHES SPALDING
ATLANTA, GA 30303
ATLANTA, GA 30303
33aNPI1619014156assigned 02/01/2007
33bProvider typeChildren's Hospital
28Total paid$5.21M
24GClaims129,481
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
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 | 21,079 | $812K | |
| 2019 | 27,892 | $1.01M | |
| 2020 | 15,466 | $567K | |
| 2021 | 18,745 | $720K | |
| 2022 | 20,426 | $784K | |
| 2023 | 15,405 | $747K | |
| 2024incomplete | 10,468 | $571K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 41% | 38,211 | 37,761 | $2.13M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 7,877 | 7,426 | $557K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 12,222 | 11,882 | $517K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.5% | 18,379 | 16,425 | $440K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 5,320 | 5,101 | $360K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 5.0% | 7,462 | 7,390 | $260K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 6,840 | 6,708 | $236K |
| 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 | 4.4% | 4,025 | 3,838 | $229K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 1,609 | 1,492 | $147K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 836 | 814 | $76K |
| 90461 | <1% | 4,331 | 4,241 | $51K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,550 | 3,328 | $42K |
41 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 482 | $33K |
| 99381 | <1% | 380 | $22K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 306 | $20K |
| 94010 | <1% | 1,250 | $16K | |
| 99051 | <1% | 570 | $11K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,147 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 129 | $11K |
| 94060 | <1% | 308 | $9K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 45 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 386 | $6K |
| 92551 | <1% | 719 | $5K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 146 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 201 | $3K |
| 99284 | Emergency room visit (serious) | <1% | 27 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 144 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 39 | $1K |
| 99384 | <1% | 15 | $834.72 | |
| 90697 | <1% | 970 | $555.39 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 832 | $491.50 |
| J3490 | Unclassified drugs | <1% | 61 | $431.97 |
| 96160 | <1% | 45 | $266.17 | |
| 90620 | <1% | 168 | $177.50 | |
| 85018 | <1% | 25 | $74.50 | |
| 90670 | <1% | 2,615 | $22.00 | |
| 90686 | <1% | 921 | $20.00 | |
| 90700 | 0% | 15 | $0.00 | |
| 90734 | 0% | 612 | $0.00 | |
| 90648 | 0% | 1,682 | $0.00 | |
| 90715 | 0% | 373 | $0.00 | |
| 90707 | 0% | 169 | $0.00 | |
| 90681 | 0% | 866 | $0.00 | |
| 90633 | 0% | 957 | $0.00 | |
| 90671 | 0% | 226 | $0.00 | |
| 90685 | 0% | 252 | $0.00 | |
| 90710 | 0% | 94 | $0.00 | |
| 97803 | 0% | 15 | $0.00 | |
| 90723 | 0% | 1,336 | $0.00 | |
| 90651 | 0% | 40 | $0.00 | |
| 90716 | 0% | 159 | $0.00 | |
| 90696 | 0% | 80 | $0.00 | |
| 90688 | 0% | 12 | $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 officialTHOMAS, TOBY (VICE PRESIDENT, MANAGED CARE)