Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1831289222 · COATESVILLE, PA 19320 · 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

$1.67M
Total Medicaid Paid
36,253
Total Claims
35,295
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
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 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
CHILDREN'S HOSPITAL OF PHILADELPHIA WEST GROVE PA $634K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 453 $15K
2019 630 $19K
2020 1,807 $35K
2021 7,669 $309K
2022 8,161 $401K
2023 8,578 $434K
2024 8,955 $457K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,773 10,282 $609K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,903 3,766 $333K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,644 2,619 $181K
90460 Immunization administration through 18 years of age via any route, first or only component 3,875 3,808 $169K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,817 1,793 $119K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,203 1,191 $80K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 524 513 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 480 475 $19K
92551 1,192 1,174 $17K
96127 1,507 1,485 $13K
99188 411 405 $13K
90686 1,509 1,501 $10K
90688 1,013 1,012 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 467 371 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 384 381 $6K
90648 729 722 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 57 56 $5K
90670 693 686 $5K
90656 549 548 $4K
99177 187 187 $4K
96161 494 490 $3K
90723 476 472 $3K
0072A 42 42 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 14 14 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 138 135 $2K
3008F 152 152 $2K
90633 241 240 $1K
90651 133 133 $1K
90461 14 13 $1K
99173 132 132 $1K
90681 131 128 $980.51
90677 103 103 $758.00
99499 24 24 $696.00
90734 48 48 $448.00
90710 12 12 $153.60
90696 12 12 $152.04
90620 12 12 $140.80
85018 13 13 $81.30
90671 26 26 $50.00
90381 13 13 $40.00
99000 67 67 $37.32
90707 13 13 $0.00
90716 13 13 $0.00
36416 13 13 $0.00