Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1629168232 · PHILADELPHIA, PA 19145 · Pediatrics Physician · NPI assigned 10/13/2006

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

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

$5.56M
Total Medicaid Paid
157,753
Total Claims
155,559
Beneficiaries
57
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 Date10/13/2006

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
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 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 1,160 $29K
2019 2,280 $48K
2020 17,181 $250K
2021 38,296 $865K
2022 41,455 $1.73M
2023 34,978 $1.64M
2024 22,403 $997K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,333 15,037 $1.48M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,596 22,195 $1.32M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,108 7,069 $525K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,488 7,451 $345K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,480 6,430 $288K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,310 4,261 $220K
99499 6,745 6,652 $161K
90686 14,844 14,816 $161K
92551 12,469 12,341 $153K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,071 2,045 $129K
90460 Immunization administration through 18 years of age via any route, first or only component 3,288 3,175 $112K
0072A 918 917 $70K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 348 348 $68K
99173 7,074 7,002 $65K
0071A 824 824 $61K
96127 5,226 5,210 $37K
90648 4,718 4,683 $36K
90670 4,483 4,392 $31K
90651 3,074 2,867 $29K
90656 1,881 1,880 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,051 2,024 $27K
90723 3,259 3,231 $22K
90633 2,429 2,414 $17K
3008F 1,566 1,564 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 885 800 $15K
90734 1,663 1,653 $14K
90681 1,888 1,867 $12K
90620 1,016 975 $11K
96161 2,035 2,006 $9K
90715 1,049 1,045 $8K
90710 1,140 1,056 $8K
99177 449 449 $8K
90696 1,047 1,038 $8K
90688 427 422 $8K
90707 1,090 1,084 $7K
90716 1,077 1,073 $7K
90700 1,019 1,017 $7K
0111A 82 82 $6K
0002A 126 114 $6K
99188 180 176 $5K
90461 72 64 $5K
0004A 73 73 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 381 374 $4K
0054A 38 38 $3K
0001A 62 62 $3K
99215 Prolong outpt/office vis 13 13 $2K
90671 157 157 $1K
36415 Collection of venous blood by venipuncture 180 171 $1K
90677 102 102 $760.00
94760 570 555 $309.36
90480 153 97 $221.00
90713 13 13 $166.40
86580 70 58 $122.87
0003A 41 26 $110.88
82947 13 13 $102.12
91321 46 46 $70.00
81002 13 12 $13.86