Physician
Children's Hospital of Philadelphia
Children's Hospital of Philadelphia was paid $13K by Medicaid between Jan 2018 and Jan 2020, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF PHILADELPHIA
WEST CHESTER, PA 19380
WEST CHESTER, PA 19380
33aNPI1740360791assigned 10/16/2006
33bProvider typePediatrics Physician
28Total paid$13K
24GClaims540
24DCodes billed9
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#837 of 1,257
Median peer was paid$45K
This provider vs. median0.3×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 194 | $5K | |
| 2019 | 292 | $7K | |
| 2020 | 54 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 195 | 180 | $5K |
| 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 | 21% | 75 | 67 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 103 | 99 | $2K |
| 90688 | 7.8% | 57 | 56 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.3% | 12 | 12 | $707.22 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.6% | 50 | 49 | $620.07 |
| 90686 | 2.8% | 19 | 19 | $370.44 | |
| 96127 | 1.3% | 16 | 16 | $167.58 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 13 | $114.26 |
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.
From NPPES
Who's on the registration
Authorized officialTODOROW, THOMAS (VP FINANCE)
Parent organizationCHILDREN'S HOSPITAL OF PHILADELPHIA
| Provider | Location | Paid |
|---|---|---|
| Children's Hospital of Philadelphia | Pottstown, PA | $838K |
| Childrens Hospital of Philadelphia | Bryn Mawr, PA | $393K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.