Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1629158803 · CHALFONT, PA 18914 · 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

$824K
Total Medicaid Paid
22,188
Total Claims
21,457
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationCHILDREN'S HOSPITAL OF PHILADELPHIA
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
CHOP CLINICAL ASSOCIATES, INC BURLINGTON TOWNSHIP NJ $1.45M
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 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 186 $6K
2019 610 $9K
2020 1,586 $22K
2021 4,365 $105K
2022 4,904 $212K
2023 5,890 $265K
2024 4,647 $206K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,356 8,917 $429K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,999 2,901 $221K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 577 575 $24K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 512 508 $20K
90686 2,097 2,088 $18K
90460 Immunization administration through 18 years of age via any route, first or only component 470 408 $17K
0071A 204 204 $15K
0072A 225 225 $14K
92551 729 713 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 171 171 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 84 81 $6K
96127 730 727 $6K
90670 598 579 $4K
90656 459 458 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 333 330 $4K
90648 605 587 $4K
99499 158 151 $3K
90723 427 410 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 52 49 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 184 172 $2K
90688 308 308 $2K
90651 228 228 $2K
90633 200 200 $2K
0004A 20 20 $1K
90681 78 70 $949.56
99173 40 40 $476.83
3008F 38 38 $380.00
90734 31 31 $217.60
90710 13 13 $166.40
90696 13 13 $164.71
90620 12 12 $153.60
99000 213 206 $120.06
96161 12 12 $81.00
90716 12 12 $0.00