Hospital
Hospital for Sick Children
Hospital for Sick Children was paid $4.66M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 27% of everything it billed.
33Billing provider infoHOSPITAL FOR SICK CHILDREN
WASHINGTON, DC 20017
WASHINGTON, DC 20017
33aNPI1689656183assigned 11/18/2005
33bProvider typeSpecial Hospital
28Total paid$4.66M
24GClaims39,482
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,198 | $572K | |
| 2019 | 7,598 | $906K | |
| 2020 | 5,064 | $575K | |
| 2021 | 6,194 | $742K | |
| 2022 | 5,476 | $641K | |
| 2023 | 5,533 | $535K | |
| 2024incomplete | 4,419 | $688K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 27% | 11,016 | 4,026 | $1.26M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 26% | 7,988 | 2,964 | $1.19M |
| 92609 | 11% | 3,023 | 1,692 | $525K | |
| 97755 | 8.2% | 3,448 | 3,113 | $381K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 5.5% | 2,329 | 978 | $257K |
| 97116 | 4.7% | 2,471 | 1,211 | $218K | |
| 97760 | 4.1% | 2,058 | 1,884 | $190K | |
| 97763 | 3.9% | 1,882 | 1,738 | $180K | |
| 97542 | 2.5% | 1,448 | 1,282 | $117K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.2% | 921 | 426 | $101K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 1,088 | 960 | $81K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.1% | 576 | 232 | $51K |
9 more codes
| 90837 | Psychotherapy session, about an hour | 1.1% | 287 | $50K |
| 92526 | <1% | 148 | $15K | |
| 97533 | <1% | 79 | $12K | |
| 92523 | <1% | 42 | $8K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 52 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 497 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 77 | $3K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 24 | $2K |
| 99242 | 0% | 28 | $0.00 |
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 officialNELSON, PHILLICIA (EXEC DIR, PAYOR FINANCIAL RELATIONS)
| Provider | Location | Paid |
|---|---|---|
| Children's Hospital | Washington, DC | $242.96M |
| Children's Hospital | Washington, DC | $115.27M |
| Children's Hospital | Washington, DC | $2.75M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.