Shriners Hospitals for Children
Shriners Hospitals for Children was paid $238K by Medicaid between Mar 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
DAYTON, OH 45404
Next to other Children's Hospital providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 628 | $26K | |
| 2019 | 683 | $31K | |
| 2020 | 220 | $37K | |
| 2021 | 29 | $2K | |
| 2022 | 66 | $2K | |
| 2023 | 423 | $39K | |
| 2024incomplete | 767 | $100K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 1,621 | 1,498 | $116K |
| 16020 | 45% | 760 | 536 | $107K | |
| J3490 | Unclassified drugs | 3.0% | 256 | 78 | $7K |
| 97535 | Self-care/home management training, each 15 minutes | 2.7% | 164 | 122 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 12 | $1K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Shriners Hospitals for Children | Portland, OR | $3.87M |
| Shriners Hospitals for Children | Sacramento, CA | $2.37M |
| Shriners Hospitals for Children | Shreveport, LA | $874K |
| Shriners Hospitals for Children | Greenville, SC | $708K |
| Shriners Hospitals for Children | Portland, OR | $443K |
| Shriners Hospitals for Children | Tampa, FL | $371K |
| Shriners Hospitals for Children | Shreveport, LA | $218K |
| Shriners Hospitals for Children | Salt Lake City, UT | $198K |
| Shriners Hospitals for Children | Philadelphia, PA | $91K |
| Shriners Hospitals for Children | Pasadena, CA | $60K |
| The Shriners' Hospital for Children | Boston, MA | $30K |
| Shriners Hospitals for Children | Saint Louis, MO | $24K |
| Shriners Hospitals for Children | Galveston, TX | $23K |
| Shriners Hospitals for Children | Erie, PA | $16K |
| Shriners Hospitals for Children | Chicago, IL | $9K |
| Shriners Hospitals for Children | Spokane, WA | $4K |
| Shriners Hospitals for Children | Dayton, OH | $3K |
| Shriners Hospitals for Children | Honolulu, HI | $3K |
| Shriners Hospitals for Children | Houston, TX | $2K |
| Shriners Hospitals for Children | Tampa, FL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.