Childrens Health Care Associates, INC
Childrens Health Care Associates, INC was paid $1.38M by Medicaid between Jan 2020 and Nov 2024, across 22 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 53% of everything it billed.
PHILADELPHIA, PA 19104
Next to other Pediatrics Physician providers in Pennsylvania
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 | |
|---|---|---|---|
| 2020 | 489 | $30K | |
| 2021 | 2,517 | $249K | |
| 2022 | 3,182 | $368K | |
| 2023 | 2,613 | $314K | |
| 2024incomplete | 2,809 | $419K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 53% | 5,800 | 1,900 | $729K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 1,409 | 1,387 | $160K |
| 99223 | Prolong inpt eval add15 m | 9.8% | 537 | 532 | $136K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.6% | 1,176 | 1,160 | $90K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.1% | 351 | 345 | $57K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.9% | 562 | 551 | $54K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.3% | 450 | 200 | $45K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.5% | 250 | 249 | $35K |
| 99217 | 1.4% | 267 | 267 | $19K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 64 | 63 | $13K |
| 99220 | <1% | 56 | 56 | $9K | |
| 99417 | Prolong home eval add 15m | <1% | 361 | 355 | $9K |
10 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 78 | $7K |
| 99418 | Prolong nursin fac eval 15m | <1% | 26 | $5K |
| 99460 | <1% | 54 | $4K | |
| 01922 | <1% | 14 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 24 | $2K |
| 90686 | <1% | 45 | $936.54 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 46 | $779.30 |
| 99462 | <1% | 12 | $775.30 | |
| 90648 | <1% | 14 | $267.80 | |
| 90670 | <1% | 14 | $267.80 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.