Childrens Health Care Associates, INC
Childrens Health Care Associates, INC was paid $3.29M by Medicaid between Nov 2018 and Dec 2024, across 25 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 42% of everything it billed.
PHILADELPHIA, PA 19104
Next to other Pediatric Pulmonology 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 | |
|---|---|---|---|
| 2018 | 12 | $2K | |
| 2019 | 42 | $4K | |
| 2020 | 1,153 | $80K | |
| 2021 | 7,946 | $646K | |
| 2022 | 8,689 | $846K | |
| 2023 | 8,583 | $743K | |
| 2024incomplete | 8,899 | $966K |
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 | 42% | 11,975 | 7,112 | $1.37M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 20% | 6,011 | 5,890 | $662K |
| 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 | 17% | 7,299 | 7,205 | $569K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 8.3% | 1,816 | 1,797 | $272K |
| 95782 | 5.5% | 990 | 985 | $181K | |
| 94010 | 2.0% | 4,696 | 4,564 | $67K | |
| 99255 | 1.1% | 235 | 223 | $36K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 446 | 235 | $35K |
| 99418 | Prolong nursin fac eval 15m | <1% | 163 | 100 | $26K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 122 | 120 | $23K |
| 99245 | <1% | 57 | 53 | $10K | |
| 31624 | <1% | 30 | 28 | $8K |
13 more codes
| 99205 | Prolong outpt/office vis | <1% | 71 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 680 | $5K |
| 90686 | <1% | 434 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $3K |
| 99254 | <1% | 32 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 28 | $954.67 |
| 94060 | <1% | 51 | $948.19 | |
| 94799 | <1% | 47 | $346.64 | |
| 90656 | <1% | 44 | $196.20 | |
| 94729 | <1% | 16 | $167.07 | |
| 99243 | <1% | 13 | $153.86 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 39 | $99.98 |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 14 | $72.00 |
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.