Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1629546106 · NORFOLK, VA 23513 · Pediatrics Physician · NPI assigned 11/02/2018

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

Authorized official ABSHIRE, KATHRYN controls 20+ related entities in our dataset. Read more

$2.10M
Total Medicaid Paid
80,212
Total Claims
73,602
Beneficiaries
79
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABSHIRE, KATHRYN (SENIOR VP/CFO)
Parent OrganizationCHILDRENS MEDICAL GROUP INC
NPI Enumeration Date11/02/2018

Related Entities

Other providers sharing the same authorized official: ABSHIRE, KATHRYN

ProviderCityStateTotal Paid
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $288.16M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $10.18M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $9.18M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $8.38M
CHILDRENS MEDICAL GROUP INC NEWPORT NEWS VA $7.11M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $5.72M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $4.85M
CHILDRENS MEDICAL GROUP INC HAMPTON VA $4.67M
CHILDREN'S SURGICAL SPECIALTY GROUP, INC NORFOLK VA $3.98M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $3.58M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $3.46M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $3.22M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $3.06M
CHILDREN'S MEDICAL GROUP, INC., D/B/A LIBERTY PEDIATRICS NEWPORT NEWS VA $2.98M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $2.36M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $2.30M
CHILDRENS MEDICAL GROUP INC WILLIAMSBURG VA $2.23M
CHILDREN'S MEDICAL GROUP, INC., D/B/A COURTHOUSE PEDIATRICS GLOUCESTER VA $2.10M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $805K
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $617K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 7,078 $180K
2020 8,884 $221K
2021 15,298 $398K
2022 17,117 $451K
2023 15,235 $401K
2024 16,600 $446K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,188 8,488 $605K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,018 2,827 $282K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,765 2,635 $233K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,511 2,013 $196K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,124 2,040 $176K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,401 1,341 $125K
92551 5,549 5,297 $59K
90686 3,566 3,355 $43K
90651 1,675 1,601 $42K
96127 6,304 5,479 $34K
90670 1,344 1,277 $22K
99310 Prolong nursin fac eval 15m 229 219 $21K
90633 1,465 1,407 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,767 1,307 $17K
96160 6,253 5,841 $15K
90677 464 411 $14K
99308 Subsequent nursing facility care, per day, straightforward 299 274 $12K
99174 2,161 2,046 $12K
90697 576 509 $11K
99188 490 461 $11K
90698 812 771 $10K
90680 713 663 $10K
96161 4,120 3,568 $10K
99173 3,428 3,266 $9K
90656 455 453 $9K
90734 465 447 $9K
90671 316 263 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 228 221 $8K
0071A 136 130 $6K
99309 Subsequent nursing facility care, per day, low to moderate complexity 87 84 $5K
91321 195 169 $5K
83655 407 386 $5K
90744 446 421 $5K
0001A 112 104 $5K
85018 1,716 1,629 $4K
0002A 91 91 $4K
87428 69 68 $4K
0072A 81 76 $3K
0081A 113 110 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 76 73 $3K
0124A 72 67 $3K
90710 120 115 $3K
91322 77 69 $3K
1128F 5,343 4,773 $3K
99383 29 28 $3K
90620 77 75 $2K
90619 79 69 $1K
0053A 36 34 $1K
0082A 44 42 $1K
90715 97 90 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 70 35 $1K
36416 2,480 2,329 $1K
90696 59 57 $764.44
0073A 15 15 $675.20
99000 367 336 $621.49
69210 24 24 $578.45
0083A 15 14 $492.80
90716 39 37 $479.04
90700 30 28 $337.15
1127F 913 847 $325.00
90648 26 26 $282.22
90707 24 24 $270.05
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 15 $240.89
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 19 15 $192.89
80061 Lipid panel 59 54 $169.63
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 13 13 $154.90
90685 13 12 $142.16
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $89.76
81003 27 27 $77.45
82962 12 12 $34.24
99051 44 42 $23.71
91308 203 193 $1.63
91307 380 341 $1.04
91312 70 66 $0.44
91305 144 137 $0.29
91300 326 287 $0.27
G9920 Screening performed and negative 445 424 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 46 40 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,133 957 $0.00