Medicaid Provider Spending

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

CHILDEN'S COMMUNITY CARE

NPI: 1619495926 · GROVE CITY, PA 16127 · Pediatrics Physician · NPI assigned 09/07/2017

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

Authorized official MARTINEZ, LORI controls 20+ related entities in our dataset. Read more

$177K
Total Medicaid Paid
2,540
Total Claims
2,271
Beneficiaries
13
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III)
NPI Enumeration Date09/07/2017

Related Entities

Other providers sharing the same authorized official: MARTINEZ, LORI

ProviderCityStateTotal Paid
CHILDREN'S COMMUNITY CARE WEXFORD PA $5.17M
CHILDREN'S COMMUNITY CARE SEWICKLEY PA $3.28M
CHILDREN'S COMMUNITY CARE UNIONTOWN PA $1.02M
CHILDREN'S COMMUNITY CARE PITTSBURGH PA $898K
CHILDEN'S COMMUNITY CARE NEW CASTLE PA $646K
CHILDREN'S COMMUNITY CARE MONONGAHELA PA $628K
CHILDREN'S COMMUNITY CARE ERIE PA $580K
CHILDEN'S COMMUNITY CARE PITTSBURGH PA $535K
CHILDEN'S COMMUNITY CARE HUMMELSTOWN PA $522K
CHILDREN'S COMMUNITY CARE YORK PA $500K
CHILDREN'S COMMUNITY CARE HUNTINGDON PA $470K
CHILDREN'S COMMUNITY CARE WEXFORD PA $467K
CHILDEN'S COMMUNITY CARE CAMP HILL PA $438K
CHILDREN'S COMMUNITY CARE PITTSBURGH PA $414K
CHILDREN'S COMMUNITY CARE NEW CASTLE PA $394K
CHILDEN'S COMMUNITY CARE HERMITAGE PA $276K
CHILDREN'S COMMUNITY CARE NORTH HUNTINGDON PA $252K
CHILDREN'S COMMUNITY CARE NATRONA HEIGHTS PA $207K
CHILDREN'S COMMUNITY CARE WHITE OAK PA $181K
CHILDREN'S COMMUNITY CARE SHIPPENSBURG PA $175K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $1K
2019 127 $5K
2020 84 $7K
2021 369 $32K
2022 612 $47K
2023 627 $39K
2024 706 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,453 1,265 $125K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 564 512 $30K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 111 107 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 75 70 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 61 61 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15 15 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 75 71 $681.89
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 23 14 $523.24
90460 Immunization administration through 18 years of age via any route, first or only component 30 24 $420.00
96127 34 33 $102.78
96160 33 33 $84.68
92551 52 52 $51.20
99173 14 14 $0.00