Medicaid Provider Spending

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

CHILDREN'S COMMUNITY CARE

NPI: 1669489266 · PITTSBURGH, PA 15206 · Pediatrics Physician · NPI assigned 08/03/2006

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

Authorized official MARTINEZ, LORI controls 20+ related entities in our dataset. Read more

$42K
Total Medicaid Paid
3,469
Total Claims
3,296
Beneficiaries
21
Codes Billed
2021-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III)
NPI Enumeration Date08/03/2006

Related Entities

Other providers sharing the same authorized official: MARTINEZ, LORI

ProviderCityStateTotal Paid
CHILDREN'S COMMUNITY CARE WEXFORD PA $5.17M
CHILDREN'S COMMUNITY CARE SEWICKLEY PA $3.28M
CHILDREN'S COMMUNITY CARE UNIONTOWN PA $1.02M
CHILDREN'S COMMUNITY CARE PITTSBURGH PA $898K
CHILDEN'S COMMUNITY CARE NEW CASTLE PA $646K
CHILDREN'S COMMUNITY CARE MONONGAHELA PA $628K
CHILDREN'S COMMUNITY CARE ERIE PA $580K
CHILDEN'S COMMUNITY CARE PITTSBURGH PA $535K
CHILDEN'S COMMUNITY CARE HUMMELSTOWN PA $522K
CHILDREN'S COMMUNITY CARE YORK PA $500K
CHILDREN'S COMMUNITY CARE HUNTINGDON PA $470K
CHILDREN'S COMMUNITY CARE WEXFORD PA $467K
CHILDEN'S COMMUNITY CARE CAMP HILL PA $438K
CHILDREN'S COMMUNITY CARE PITTSBURGH PA $414K
CHILDREN'S COMMUNITY CARE NEW CASTLE PA $394K
CHILDEN'S COMMUNITY CARE HERMITAGE PA $276K
CHILDREN'S COMMUNITY CARE NORTH HUNTINGDON PA $252K
CHILDREN'S COMMUNITY CARE NATRONA HEIGHTS PA $207K
CHILDREN'S COMMUNITY CARE WHITE OAK PA $181K
CHILDEN'S COMMUNITY CARE GROVE CITY PA $177K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 29 $983.24
2022 653 $15K
2023 1,300 $16K
2024 1,487 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 363 346 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 201 193 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 15 15 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $375.36
92551 312 303 $274.94
99173 143 141 $41.82
96110 Developmental screening, with scoring and documentation, per standardized instrument 138 95 $15.92
90723 322 308 $0.00
90686 418 411 $0.00
90677 295 276 $0.00
90680 177 164 $0.00
90651 137 131 $0.00
90696 12 12 $0.00
90656 59 59 $0.00
90619 12 12 $0.00
90670 139 139 $0.00
90648 447 428 $0.00
G9920 Screening performed and negative 77 65 $0.00
90661 96 96 $0.00
90633 81 77 $0.00
90710 13 13 $0.00