Children's Health Care
Children's Health Care was paid $17.32M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is S0302, Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) — 21% of everything it billed.
MINNEAPOLIS, MN 55404
Next to other Primary Care Clinic/Center providers in Minnesota
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 | 152,968 | $1.34M | |
| 2019 | 147,242 | $3.36M | |
| 2020 | 110,415 | $3.14M | |
| 2021 | 89,314 | $2.80M | |
| 2022 | 73,996 | $2.13M | |
| 2023 | 76,316 | $2.48M | |
| 2024incomplete | 70,405 | $2.07M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 21% | 70,802 | 68,196 | $3.60M |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 20% | 134,019 | 107,357 | $3.43M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 64,355 | 60,631 | $2.32M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.8% | 25,460 | 24,159 | $1.35M |
| X5622 | 6.1% | 24,383 | 23,020 | $1.06M | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 22,608 | 21,763 | $988K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 21,891 | 21,128 | $899K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 15,399 | 14,568 | $590K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 12,630 | 12,029 | $569K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 2.3% | 14,885 | 14,315 | $394K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 4,740 | 4,379 | $354K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 13,818 | 13,266 | $271K |
41 more codes
| 99188 | 1.4% | 33,394 | $249K | |
| 92551 | 1.4% | 45,307 | $236K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 34,538 | $183K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16,092 | $167K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 10,829 | $163K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17,473 | $129K |
| 99381 | <1% | 2,327 | $97K | |
| 96127 | <1% | 18,593 | $54K | |
| 99173 | <1% | 48,474 | $52K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 468 | $27K |
| 99383 | <1% | 566 | $25K | |
| 90474 | <1% | 3,375 | $19K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 961 | $14K |
| 99382 | <1% | 308 | $13K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 269 | $12K |
| 90670 | <1% | 6,778 | $10K | |
| 90651 | <1% | 3,567 | $9K | |
| 90461 | <1% | 1,330 | $5K | |
| 96161 | <1% | 3,048 | $5K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 172 | $4K |
| 90734 | <1% | 2,468 | $4K | |
| 99417 | Prolong home eval add 15m | <1% | 166 | $4K |
| 99384 | <1% | 55 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 104 | $3K |
| 90723 | <1% | 5,306 | $2K | |
| 90686 | <1% | 9,889 | $2K | |
| 90681 | <1% | 2,835 | $1K | |
| 90647 | <1% | 5,285 | $1K | |
| 90716 | <1% | 1,755 | $1K | |
| 90633 | <1% | 3,767 | $722.45 | |
| 90707 | <1% | 1,166 | $484.83 | |
| 98960 | <1% | 17 | $251.37 | |
| 90700 | <1% | 1,386 | $222.58 | |
| 17110 | <1% | 15 | $129.69 | |
| 90696 | <1% | 1,297 | $107.95 | |
| 90715 | <1% | 1,698 | $104.84 | |
| 99401 | <1% | 17 | $79.01 | |
| 96160 | <1% | 9,403 | $68.27 | |
| 90710 | 0% | 799 | $0.00 | |
| 90680 | 0% | 357 | $0.00 | |
| 90620 | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Childrens Health Care | Minneapolis, MN | $99.95M |
| Childrens Health Care | Minneapolis, MN | $25.45M |
| Childrens Health Care | Minneapolis, MN | $18.63M |
| Children's Clinic Network | Maple Grove, MN | $9.97M |
| Childrens Health Care | Minneapolis, MN | $2.88M |
| Children's Clinic Network | Edina, MN | $2.88M |
| Children's Health Care | Minneapolis, MN | $2.50M |
| Children's Health Care | Minneapolis, MN | $2.43M |
| Children's Clinic Network | West St Paul, MN | $2.37M |
| Childrens Health Care | Minneapolis, MN | $1.96M |
| Childrens Health Care Services INC | Minnetonka, MN | $792K |
| Childrens Health Care | Minneapolis, MN | $557K |
| Children's Clinic Network | Hugo, MN | $453K |
| Children's Health Care | Minneapolis, MN | $397K |
| Children's Health Care | Minneapolis, MN | $120K |
| Childrens Health Care Services INC | Minnetonka, MN | $64K |
| Children's Health Care | Minneapolis, MN | $48K |
| Children's Health Care | Minneapolis, MN | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.