Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1790830487 · SUFFOLK, VA 23434 · Pediatrics Physician · NPI assigned 01/24/2007

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

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

$2.36M
Total Medicaid Paid
99,125
Total Claims
82,058
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABSHIRE, KATHRYN (SENIOR VP/CFO)
Parent OrganizationCHILDRENS MEDICAL GROUP INC
NPI Enumeration Date01/24/2007

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 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 CHESAPEAKE VA $805K
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $617K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,899 $192K
2019 14,292 $371K
2020 12,517 $277K
2021 14,748 $309K
2022 17,475 $424K
2023 16,077 $423K
2024 16,117 $362K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,700 11,557 $775K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,814 4,638 $402K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,945 3,508 $311K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,171 3,055 $255K
96110 Developmental screening, with scoring and documentation, per standardized instrument 12,499 10,406 $116K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,233 1,112 $108K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 697 681 $61K
90686 4,412 4,187 $51K
96160 23,931 14,058 $50K
90698 2,120 2,018 $35K
92551 3,177 3,037 $32K
90670 1,418 1,362 $31K
96127 3,250 2,968 $16K
90680 818 775 $14K
99199 Unlisted special service, procedure or report 2,356 1,343 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 929 860 $13K
96161 5,712 5,344 $13K
90677 460 425 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 390 177 $5K
99174 951 916 $5K
90656 389 381 $5K
90651 140 132 $4K
92583 96 86 $4K
90671 217 203 $4K
83655 282 267 $3K
90633 268 261 $3K
90688 273 269 $3K
90685 250 244 $3K
99173 1,088 1,059 $3K
90744 142 136 $2K
99381 13 12 $987.70
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 252 249 $913.35
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26 26 $846.34
81003 252 249 $688.54
85018 172 170 $452.64
90734 14 13 $392.84
36416 1,139 1,074 $353.12
99000 234 223 $324.82
1128F 2,157 1,994 $306.81
81002 76 74 $249.70
90620 12 12 $121.00
90472 Immunization administration, each additional vaccine (list separately) 12 12 $20.45
91300 26 24 $0.12
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,028 952 $0.00
1127F 59 56 $0.00
G9920 Screening performed and negative 1,513 1,441 $0.00
99051 12 12 $0.00