Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1730279118 · DREXEL HILL, PA 19026 · Pediatrics Physician · NPI assigned 10/13/2006

$2.04M
Total Medicaid Paid
75,557
Total Claims
73,741
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialHOLDER, SOPHIA (EVP & CHIEF FINANCIAL OFFICER)
Parent OrganizationCHILDREN'S HOSPITAL OF PHILADELPHIA
NPI Enumeration Date10/13/2006

Related Entities

Other providers sharing the same authorized official: HOLDER, SOPHIA

ProviderCityStateTotal Paid
THE CHILDRENS HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION PHILADELPHIA PA $2.42M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $105K
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 694 $18K
2019 1,136 $29K
2020 8,405 $130K
2021 22,455 $480K
2022 21,289 $585K
2023 16,061 $583K
2024 5,517 $216K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,841 9,637 $587K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,475 5,417 $257K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,735 4,586 $245K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,784 1,751 $160K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,685 2,649 $120K
90460 Immunization administration through 18 years of age via any route, first or only component 2,376 2,187 $88K
90686 5,590 5,533 $51K
99173 5,274 5,190 $51K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 748 735 $45K
92551 3,548 3,479 $45K
90670 3,712 3,617 $45K
90648 4,122 4,025 $38K
90723 3,044 2,956 $33K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,921 1,700 $29K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 342 340 $25K
90688 1,450 1,441 $20K
90681 1,756 1,693 $20K
99499 621 614 $16K
96127 2,079 2,057 $16K
90633 1,831 1,791 $16K
99177 697 686 $15K
96161 2,706 2,609 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 60 60 $12K
90651 1,143 1,131 $11K
90734 744 736 $7K
3008F 706 705 $7K
90716 828 798 $6K
90707 815 784 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 397 381 $5K
0111A 76 76 $5K
90700 716 709 $5K
69210 89 89 $5K
90620 404 403 $4K
90710 534 531 $4K
90696 533 530 $4K
90461 120 91 $3K
90671 218 218 $3K
90715 345 339 $3K
85018 426 419 $3K
0112A 27 27 $2K
90677 130 130 $2K
99188 59 56 $2K
0002A 18 18 $1K
0072A 16 16 $1K
0144A 13 13 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 85 85 $1K
0001A 26 26 $593.53
94760 288 283 $455.90
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 48 47 $420.36
99000 165 160 $37.56
36416 191 187 $28.14