Medicaid Provider Spending

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

CHILDRENS HEALTH CARE ASSOCIATES, INC

NPI: 1801981857 · PHILADELPHIA, PA 19104 · Pediatric Gastroenterology 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

$4.68M
Total Medicaid Paid
46,574
Total Claims
42,259
Beneficiaries
21
Codes Billed
2018-01
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 $3.35M
CHILDRENS HEALTH CARE ASSOCIATES, INC PHILADELPHIA PA $3.29M
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 240 $19K
2019 586 $62K
2020 2,122 $165K
2021 10,703 $983K
2022 11,842 $1.19M
2023 11,230 $1.21M
2024 9,851 $1.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,921 21,582 $1.85M
99233 Prolong inpt eval add15 m 9,974 6,328 $1.16M
99215 Prolong outpt/office vis 4,279 4,163 $520K
99244 Office or other outpatient consultation, moderate to high complexity 1,994 1,950 $411K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,693 4,624 $268K
99245 501 491 $133K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 680 664 $114K
99255 708 690 $109K
99243 215 212 $32K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 350 344 $30K
99205 Prolong outpt/office vis 79 76 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 38 38 $10K
77080 745 735 $10K
99418 Prolong nursin fac eval 15m 55 25 $5K
99417 Prolong home eval add 15m 71 68 $4K
99451 56 55 $3K
99223 Prolong inpt eval add15 m 12 12 $2K
90686 82 82 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 80 80 $1K
91065 26 25 $852.80
99238 Hospital discharge day management, 30 minutes or less 15 15 $665.57