Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1639259583 · WEST CHESTER, PA 19380 · 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

$2.08M
Total Medicaid Paid
49,115
Total Claims
47,715
Beneficiaries
48
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 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 305 $12K
2019 569 $14K
2020 3,543 $67K
2021 10,883 $378K
2022 11,342 $505K
2023 11,724 $581K
2024 10,749 $519K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,136 13,599 $771K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,365 5,172 $448K
90460 Immunization administration through 18 years of age via any route, first or only component 5,160 4,960 $195K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,167 2,149 $157K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,096 2,047 $134K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,049 1,018 $69K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 870 856 $58K
0072A 511 510 $36K
92551 2,155 2,103 $30K
0071A 439 439 $28K
90686 3,841 3,812 $20K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 234 230 $19K
96127 2,125 2,113 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 749 720 $12K
90670 948 918 $10K
90688 839 824 $8K
90648 1,066 1,039 $7K
90723 695 672 $6K
90656 934 932 $6K
99177 221 221 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 375 366 $5K
0004A 69 69 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 158 157 $4K
90651 386 375 $4K
90633 437 419 $4K
0002A 67 64 $3K
99173 312 298 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 195 166 $3K
90734 252 248 $2K
90681 344 338 $2K
96161 300 292 $1K
90461 13 12 $1K
90716 82 80 $581.65
99499 26 26 $578.00
3008F 49 49 $490.00
90696 29 29 $367.43
90710 28 28 $358.40
90707 67 67 $320.00
90677 54 54 $285.40
90715 18 16 $242.94
90671 25 25 $120.00
81002 13 12 $90.52
94760 62 61 $36.90
99000 64 62 $12.44
36416 14 14 $10.00
90620 14 14 $0.00
90480 37 16 $0.00
90700 25 24 $0.00