Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Childrens Health Care Associates, INC

Childrens Health Care Associates, INC was paid $6.85M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 18% of everything it billed.

33Billing provider infoCHILDRENS HEALTH CARE ASSOCIATES, INC
PHILADELPHIA, PA 19104
33aNPI1639264682assigned 10/04/2006
28Total paid$6.85M
24GClaims172,879
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Cardiology Physician providers in Pennsylvania

Rank by total paid#1 of 43
Median peer was paid$20K
This provider vs. median340×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SANTA, MIXZA controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20182,472$69K
20192,503$68K
20207,862$260K
202135,044$1.51M
202239,993$1.58M
202346,454$1.68M
2024incomplete38,551$1.68M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 18% 10,173 9,971 $1.23M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 18% 9,056 8,834 $1.21M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 15% 76,080 68,822 $1.02M
93325 7.4% 28,641 27,247 $506K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6.7% 5,615 5,478 $458K
93320 6.2% 9,683 9,375 $427K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.7% 2,619 924 $319K
99244 Office or other outpatient consultation, moderate to high complexity 3.8% 1,445 1,434 $261K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.1% 1,978 1,898 $214K
93321 2.4% 9,493 9,092 $165K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.4% 605 291 $163K
93000 2.2% 4,353 4,290 $149K
25 more codes
93304 1.7% 3,153 $117K
99243 1.7% 945 $116K
93308 1.2% 2,420 $84K
99213 Doctor's office visit, returning patient (routine) 1.2% 1,313 $82K
93227 1.2% 2,049 $80K
99245 <1% 135 $38K
76827 <1% 526 $29K
76821 <1% 537 $29K
99204 Doctor's office visit, new patient (more involved) <1% 183 $26K
99418 Prolong nursin fac eval 15m <1% 182 $25K
76825 <1% 523 $23K
76820 <1% 518 $23K
93224 <1% 132 $18K
94621 <1% 175 $15K
99203 Doctor's office visit, new patient (routine) <1% 71 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 141 $6K
99205 Prolong outpt/office vis <1% 12 $2K
99232 Hospital visit by a doctor, follow-up day <1% 28 $2K
99238 Hospital discharge day management, 30 minutes or less <1% 14 $993.12
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 $910.38
99283 Emergency room visit (moderate) <1% 13 $852.28
93016 <1% 13 $561.31
99242 <1% 17 $482.87
93018 <1% 13 $430.25
93294 <1% 12 $420.95

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSANTA, MIXZA (ENROLLMENT MANAGER)
Same official

Other billing entities under SANTA, MIXZA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.