Medicaid Provider Spending

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

CHOP CLINICAL ASSOCIATES, INC

NPI: 1629158456 · BURLINGTON TOWNSHIP, NJ 08016 · Pediatrics Physician · NPI assigned 10/16/2006

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

Authorized official STONE, FABIAN controls 20+ related entities in our dataset. Read more

$1.45M
Total Medicaid Paid
49,344
Total Claims
48,040
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationCHOP CLINICAL ASSOCIATES, INC
NPI Enumeration Date10/16/2006

Related Entities

Other providers sharing the same authorized official: STONE, FABIAN

ProviderCityStateTotal Paid
THE CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $11.89M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $5.67M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $5.56M
CHILDRENS HOSPITAL OF PHILADELPHIA KING OF PRUSSIA PA $2.38M
CHILDREN'S HOSPITAL OF PHILADLEPHIA SPRINGFIELD PA $2.26M
THE CHILDREN'S HOSPITAL OF PHILADELPHIA NORRISTOWN PA $2.21M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $2.17M
CHILDREN'S HOSPITAL OF PHILADELPHIA WEST CHESTER PA $2.08M
CHILDREN'S HOSPITAL OF PHILADELPHIA COATESVILLE PA $1.67M
CHILDREN'S HOSPITAL OF PHILADELPHIA SOUDERTON PA $1.61M
CHILDREN'S HOSPITAL OF PHILADELPHIA ABINGTON PA $1.39M
CHILDREN'S HOSPITAL OF PHILADELPHIA KENNETT SQUARE PA $1.35M
THE CHILDREN'S HOSPITAL OF PHILADLEPHIA CHALFONT PA $1.12M
CHILDREN'S HOSPITAL OF PHILADELPHIA NEWTOWN PA $982K
CHILDREN'S HOSPITAL OF PHILADELPHIA GLEN MILLS PA $914K
CHILDREN'S HOSPITAL OF PHILADELPHIA CHALFONT PA $824K
CHILDREN'S HOSPITAL OF PHILADELPHIA DOYLESTOWN PA $772K
CHOP CLINICAL ASSOCIATES, INC MOORESTOWN NJ $681K
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $676K
CHILDREN'S HOSPITAL OF PHILADELPHIA WEST GROVE PA $634K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,104 $323K
2019 9,493 $308K
2020 6,982 $163K
2021 6,022 $163K
2022 6,825 $196K
2023 6,445 $183K
2024 3,473 $115K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,283 9,856 $515K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,407 6,145 $414K
90460 Immunization administration through 18 years of age via any route, first or only component 7,335 7,236 $161K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,297 1,294 $82K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,235 1,234 $77K
92551 5,737 5,662 $52K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 708 703 $41K
3008F 5,900 5,820 $36K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 343 338 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,442 1,439 $20K
99173 3,686 3,636 $6K
90656 268 268 $5K
90686 1,279 1,204 $5K
96127 1,209 1,155 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 44 44 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 346 248 $2K
90461 142 142 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 95 95 $668.91
0072A 13 13 $520.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 14 13 $448.22
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $362.80
99177 87 86 $299.60
86580 83 83 $294.84
83655 12 12 $180.00
85018 56 56 $83.15
83718 14 14 $54.47
96161 149 148 $52.78
82465 14 14 $28.99
94760 720 657 $16.92
36416 141 141 $4.77
99000 273 272 $0.00