Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1801986286 · MEDIA, PA 19063 · Pediatrics Physician · NPI assigned 10/13/2006

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

Authorized official STONE, FABIAN controls 20+ related entities in our dataset. Read more

$591K
Total Medicaid Paid
18,148
Total Claims
17,796
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationCHILDREN'S HOSPITAL OF PHILADELPHIA
NPI Enumeration Date10/13/2006

Related Entities

Other providers sharing the same authorized official: STONE, FABIAN

ProviderCityStateTotal Paid
THE CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $11.89M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $5.67M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $5.56M
CHILDRENS HOSPITAL OF PHILADELPHIA KING OF PRUSSIA PA $2.38M
CHILDREN'S HOSPITAL OF PHILADLEPHIA SPRINGFIELD PA $2.26M
THE CHILDREN'S HOSPITAL OF PHILADELPHIA NORRISTOWN PA $2.21M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $2.17M
CHILDREN'S HOSPITAL OF PHILADELPHIA WEST CHESTER PA $2.08M
CHILDREN'S HOSPITAL OF PHILADELPHIA COATESVILLE PA $1.67M
CHILDREN'S HOSPITAL OF PHILADELPHIA SOUDERTON PA $1.61M
CHOP CLINICAL ASSOCIATES, INC BURLINGTON TOWNSHIP NJ $1.45M
CHILDREN'S HOSPITAL OF PHILADELPHIA ABINGTON PA $1.39M
CHILDREN'S HOSPITAL OF PHILADELPHIA KENNETT SQUARE PA $1.35M
THE CHILDREN'S HOSPITAL OF PHILADLEPHIA CHALFONT PA $1.12M
CHILDREN'S HOSPITAL OF PHILADELPHIA NEWTOWN PA $982K
CHILDREN'S HOSPITAL OF PHILADELPHIA GLEN MILLS PA $914K
CHILDREN'S HOSPITAL OF PHILADELPHIA CHALFONT PA $824K
CHILDREN'S HOSPITAL OF PHILADELPHIA DOYLESTOWN PA $772K
CHOP CLINICAL ASSOCIATES, INC MOORESTOWN NJ $681K
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $676K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 190 $4K
2019 275 $6K
2020 1,428 $21K
2021 3,680 $80K
2022 5,045 $156K
2023 3,192 $142K
2024 4,338 $182K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,218 5,066 $310K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 800 787 $36K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 403 390 $34K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 680 658 $29K
0071A 373 364 $27K
0072A 387 377 $25K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 390 390 $17K
90686 1,664 1,659 $14K
90460 Immunization administration through 18 years of age via any route, first or only component 372 351 $12K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 65 65 $10K
90648 1,002 995 $8K
99173 834 818 $8K
92551 562 555 $8K
90656 578 576 $6K
90670 883 876 $6K
90723 689 683 $5K
90688 376 375 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 61 61 $4K
90633 515 513 $4K
0004A 59 58 $3K
96127 378 362 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 40 40 $3K
90651 324 321 $2K
96161 320 306 $2K
99177 68 68 $2K
99460 13 12 $2K
90681 338 333 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 149 146 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 77 66 $1K
90677 84 84 $937.80
3008F 80 80 $800.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 42 42 $612.87
90716 38 38 $332.80
90707 38 38 $320.00
90734 69 69 $281.60
90671 27 27 $240.00
90461 12 12 $69.90
90696 43 43 $0.00
36416 13 12 $0.00
99000 30 26 $0.00
90700 12 12 $0.00
90710 42 42 $0.00