Medicaid Provider Spending

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

HOSPITAL FOR SICK CHILDREN

NPI: 1689656183 · WASHINGTON, DC 20017 · Special Hospital · NPI assigned 11/18/2005

$4.66M
Total Medicaid Paid
39,482
Total Claims
21,350
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNELSON, PHILLICIA (EXEC DIR, PAYOR FINANCIAL RELATIONS)
NPI Enumeration Date11/18/2005

Related Entities

Other providers sharing the same authorized official: NELSON, PHILLICIA

ProviderCityStateTotal Paid
CHILDREN'S HOSPITAL WASHINGTON DC $242.96M
CHILDREN'S HOSPITAL WASHINGTON DC $115.27M
CHILDREN'S HOSPITAL WASHINGTON DC $2.75M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,419 $688K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 11,016 4,026 $1.26M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 7,988 2,964 $1.19M
92609 3,023 1,692 $525K
97755 3,448 3,113 $381K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,329 978 $257K
97116 2,471 1,211 $218K
97760 2,058 1,884 $190K
97763 1,882 1,738 $180K
97542 1,448 1,282 $117K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 921 426 $101K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,088 960 $81K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 576 232 $51K
90837 Psychotherapy, 53 minutes with patient 287 127 $50K
92526 148 50 $15K
97533 79 39 $12K
92523 42 42 $8K
90834 Psychotherapy, 45 minutes with patient 52 24 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 497 454 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 77 76 $3K
97535 Self-care/home management training, each 15 minutes 24 12 $2K
99242 28 20 $0.00