Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1770049215 · CHESAPEAKE, VA 23320 · Pediatrics Physician · NPI assigned 02/20/2019

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

Authorized official ABSHIRE, KATHRYN controls 20+ related entities in our dataset. Read more

$805K
Total Medicaid Paid
29,462
Total Claims
24,684
Beneficiaries
53
Codes Billed
2019-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABSHIRE, KATHRYN (SENIOR VP/CFO)
Parent OrganizationCHILDRENS MEDICAL GROUP INC
NPI Enumeration Date02/20/2019

Related Entities

Other providers sharing the same authorized official: ABSHIRE, KATHRYN

ProviderCityStateTotal Paid
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $288.16M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $10.18M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $9.18M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $8.38M
CHILDRENS MEDICAL GROUP INC NEWPORT NEWS VA $7.11M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $5.72M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $4.85M
CHILDRENS MEDICAL GROUP INC HAMPTON VA $4.67M
CHILDREN'S SURGICAL SPECIALTY GROUP, INC NORFOLK VA $3.98M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $3.58M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $3.46M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $3.22M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $3.06M
CHILDREN'S MEDICAL GROUP, INC., D/B/A LIBERTY PEDIATRICS NEWPORT NEWS VA $2.98M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $2.36M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $2.30M
CHILDRENS MEDICAL GROUP INC WILLIAMSBURG VA $2.23M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $2.10M
CHILDREN'S MEDICAL GROUP, INC., D/B/A COURTHOUSE PEDIATRICS GLOUCESTER VA $2.10M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $617K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 5,632 $108K
2020 4,189 $127K
2021 5,129 $149K
2022 5,281 $162K
2023 4,462 $128K
2024 4,769 $131K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,080 3,630 $243K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,865 1,685 $160K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,313 1,220 $102K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,009 939 $78K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 953 749 $67K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 611 581 $53K
96127 3,279 2,029 $17K
90670 577 511 $11K
92551 1,094 1,039 $11K
90688 824 762 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 748 585 $7K
90686 333 322 $4K
96161 1,811 1,325 $4K
99174 737 673 $4K
90651 216 201 $4K
90698 154 136 $3K
90656 129 127 $2K
90633 190 163 $2K
81003 823 785 $2K
83655 164 149 $2K
90680 137 106 $2K
96160 1,049 954 $2K
81002 554 466 $2K
99000 988 876 $1K
90734 80 68 $1K
99188 56 53 $1K
90677 19 18 $1K
90671 72 65 $1K
99173 448 412 $1K
85018 452 417 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 1,058 390 $888.95
90744 73 57 $753.78
1128F 1,377 1,276 $750.00
80061 Lipid panel 51 49 $709.98
90461 295 190 $622.20
90710 25 24 $526.43
36415 Collection of venous blood by venipuncture 196 169 $522.10
90716 19 15 $447.15
90697 32 27 $435.30
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $381.32
90620 13 12 $355.34
83718 44 40 $315.48
90707 18 14 $237.90
90619 17 16 $201.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 12 $190.44
82465 44 40 $167.52
90696 13 12 $145.00
36416 854 801 $137.25
90715 16 12 $130.35
1127F 48 47 $25.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 415 362 $0.00
G9920 Screening performed and negative 48 47 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 14 14 $0.00