Medicaid Provider Spending

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

CHILDREN'S COMMUNITY CARE

NPI: 1700292133 · WHITE OAK, PA 15131 · Pediatrics Physician · NPI assigned 07/07/2014

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

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

$181K
Total Medicaid Paid
4,106
Total Claims
3,846
Beneficiaries
19
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III)
NPI Enumeration Date07/07/2014

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
CHILDEN'S COMMUNITY CARE GROVE CITY PA $177K
CHILDREN'S COMMUNITY CARE SHIPPENSBURG PA $175K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 84 $2K
2021 594 $30K
2022 724 $32K
2023 1,263 $50K
2024 1,441 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 990 919 $94K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 907 845 $55K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 227 227 $24K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 51 50 $5K
90686 420 395 $1K
90670 191 190 $468.00
90648 268 263 $468.00
90633 25 25 $156.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $134.82
96110 Developmental screening, with scoring and documentation, per standardized instrument 244 183 $21.67
99173 78 78 $6.60
92551 184 177 $0.00
90723 91 91 $0.00
90677 92 87 $0.00
90680 51 51 $0.00
90656 37 37 $0.00
96161 19 19 $0.00
G9920 Screening performed and negative 184 164 $0.00
90661 34 33 $0.00