Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1902986995 · PAOLI, PA 19301 · Pediatrics Physician · NPI assigned 10/16/2006

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

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

$320K
Total Medicaid Paid
7,392
Total Claims
7,134
Beneficiaries
20
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 Date10/16/2006

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 103 $4K
2019 39 $1K
2020 275 $5K
2021 1,058 $28K
2022 1,622 $68K
2023 2,339 $114K
2024 1,956 $101K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,858 3,679 $193K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,101 1,062 $86K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 221 214 $11K
90460 Immunization administration through 18 years of age via any route, first or only component 179 164 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 120 114 $7K
90686 841 839 $6K
96127 298 296 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 37 37 $2K
90656 251 251 $2K
92551 114 107 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $940.88
90688 77 77 $820.04
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 24 24 $352.24
90651 44 44 $345.60
90648 69 69 $332.80
90670 82 81 $332.80
90734 27 27 $166.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $139.26
90723 13 13 $0.00
90620 12 12 $0.00