Medicaid Provider Spending

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

CHILDRENS HEALTH CARE ASSOCIATES, INC

NPI: 1760577712 · PHILADELPHIA, PA 19104 · Pediatric Pulmonology Physician · NPI assigned 10/04/2006

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

Authorized official FLOWERS, CHERISH controls 20+ related entities in our dataset. Read more

$3.29M
Total Medicaid Paid
35,324
Total Claims
29,748
Beneficiaries
25
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLOWERS, CHERISH (ENROLLMENT MANAGER)
NPI Enumeration Date10/04/2006

Related Entities

Other providers sharing the same authorized official: FLOWERS, CHERISH

ProviderCityStateTotal Paid
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $24.14M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $8.80M
RADIOLOGY ASSOCIATES OF CHILDREN'S HOSPITAL, INC PHILADELPHIA PA $6.02M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $4.68M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $3.35M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $2.34M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $2.32M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $2.17M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $2.13M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $1.94M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $1.42M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $1.38M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $1.33M
CHILDEN'S HEALTH CARE ASSOCIATES INC. PHILADELPHIA PA $967K
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $543K
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $514K
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $177K
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $83K
CHILDRENS RADIOLOGY ASSOCIATES OF NEW JERSEY PC VOORHEES NJ $53K
CHILDREN'S ANESTHESIOLOGY ASSOCIATES OF NEW JERSEY, INC VOORHEES NJ $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $2K
2019 42 $4K
2020 1,153 $80K
2021 7,946 $646K
2022 8,689 $846K
2023 8,583 $743K
2024 8,899 $966K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 11,975 7,112 $1.37M
99215 Prolong outpt/office vis 6,011 5,890 $662K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,299 7,205 $569K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,816 1,797 $272K
95782 990 985 $181K
94010 4,696 4,564 $67K
99255 235 223 $36K
99232 Subsequent hospital care, per day, moderate complexity 446 235 $35K
99418 Prolong nursin fac eval 15m 163 100 $26K
99244 Office or other outpatient consultation, moderate to high complexity 122 120 $23K
99245 57 53 $10K
31624 30 28 $8K
99205 Prolong outpt/office vis 71 71 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 680 647 $5K
90686 434 433 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 13 $3K
99254 32 30 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28 27 $954.67
94060 51 51 $948.19
94799 47 42 $346.64
90656 44 42 $196.20
94729 16 14 $167.07
99243 13 13 $153.86
A7015 Aerosol mask, used with dme nebulizer 39 39 $99.98
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 14 14 $72.00