Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1649325242 · VIRGINIA BEACH, VA 23462 · Pediatrics Physician · NPI assigned 01/24/2007

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

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

$5.72M
Total Medicaid Paid
169,416
Total Claims
158,296
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABSHIRE, KATHRYN (SENIOR VP/CFO)
Parent OrganizationCHILDRENS MEDICAL GROUP INC
NPI Enumeration Date01/24/2007

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 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
CHILDRENS MEDICAL GROUP INC NORFOLK VA $2.10M
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
2018 12,288 $486K
2019 28,502 $1.04M
2020 27,481 $914K
2021 28,431 $905K
2022 23,681 $803K
2023 28,266 $879K
2024 20,767 $691K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,845 25,864 $1.76M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,704 9,532 $820K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,382 7,933 $786K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,605 7,279 $681K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,251 6,154 $523K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,594 2,545 $233K
90686 9,159 8,927 $114K
90670 4,746 4,557 $106K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,685 2,532 $96K
96110 Developmental screening, with scoring and documentation, per standardized instrument 9,570 8,024 $89K
92551 6,305 6,167 $67K
96127 9,557 8,820 $51K
90651 1,434 1,395 $48K
90698 2,964 2,846 $47K
99188 1,884 1,851 $42K
90680 1,588 1,506 $25K
99174 4,237 4,144 $23K
96161 8,622 8,071 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,453 1,396 $22K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,307 637 $20K
90677 520 486 $17K
96160 7,299 6,553 $16K
90633 1,184 1,164 $15K
90656 503 495 $10K
99173 3,150 3,085 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 391 358 $7K
83655 435 425 $6K
90685 451 443 $6K
80061 Lipid panel 388 372 $5K
90734 223 219 $5K
94010 132 127 $4K
90697 191 181 $4K
1128F 12,003 11,180 $4K
90744 299 282 $4K
99215 Prolong outpt/office vis 25 25 $4K
90619 169 163 $4K
85018 1,295 1,255 $3K
90710 55 55 $3K
94760 3,040 2,842 $2K
99000 972 957 $2K
87428 43 40 $1K
90620 62 60 $1K
1127F 3,446 3,310 $1K
90648 100 98 $1K
90723 93 92 $1K
0071A 22 22 $1K
90696 54 54 $992.26
83718 89 87 $599.54
0072A 12 12 $558.40
90460 Immunization administration through 18 years of age via any route, first or only component 27 25 $546.59
81003 158 149 $411.93
82465 89 87 $318.33
36416 1,708 1,646 $247.22
82962 38 34 $96.41
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 386 371 $39.22
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 27 26 $10.08
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,361 1,253 $0.00
91307 16 16 $0.00
G9920 Screening performed and negative 68 67 $0.00