Medicaid Provider Spending

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

CHILDREN'S COMMUNITY CARE

NPI: 1922430966 · HOLLIDAYSBURG, PA 16648 · Pediatrics Physician · NPI assigned 08/01/2013

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

Authorized official MARTINEZ, LORI controls 20+ related entities in our dataset. Read more

$147K
Total Medicaid Paid
4,621
Total Claims
4,354
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III)
NPI Enumeration Date08/01/2013

Related Entities

Other providers sharing the same authorized official: MARTINEZ, LORI

ProviderCityStateTotal Paid
CHILDREN'S COMMUNITY CARE WEXFORD PA $5.17M
CHILDREN'S COMMUNITY CARE SEWICKLEY PA $3.28M
CHILDREN'S COMMUNITY CARE UNIONTOWN PA $1.02M
CHILDREN'S COMMUNITY CARE PITTSBURGH PA $898K
CHILDEN'S COMMUNITY CARE NEW CASTLE PA $646K
CHILDREN'S COMMUNITY CARE MONONGAHELA PA $628K
CHILDREN'S COMMUNITY CARE ERIE PA $580K
CHILDEN'S COMMUNITY CARE PITTSBURGH PA $535K
CHILDEN'S COMMUNITY CARE HUMMELSTOWN PA $522K
CHILDREN'S COMMUNITY CARE YORK PA $500K
CHILDREN'S COMMUNITY CARE HUNTINGDON PA $470K
CHILDREN'S COMMUNITY CARE WEXFORD PA $467K
CHILDEN'S COMMUNITY CARE CAMP HILL PA $438K
CHILDREN'S COMMUNITY CARE PITTSBURGH PA $414K
CHILDREN'S COMMUNITY CARE NEW CASTLE PA $394K
CHILDEN'S COMMUNITY CARE HERMITAGE PA $276K
CHILDREN'S COMMUNITY CARE NORTH HUNTINGDON PA $252K
CHILDREN'S COMMUNITY CARE NATRONA HEIGHTS PA $207K
CHILDREN'S COMMUNITY CARE WHITE OAK PA $181K
CHILDEN'S COMMUNITY CARE GROVE CITY PA $177K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30 $1K
2019 32 $1K
2020 104 $5K
2021 1,137 $58K
2022 573 $15K
2023 1,535 $42K
2024 1,210 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,370 1,258 $73K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 699 660 $56K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 91 91 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 57 54 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 41 36 $4K
92551 944 894 $2K
90686 216 201 $603.16
99177 635 610 $530.90
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 13 $126.00
96127 125 123 $98.78
96160 126 124 $80.52
90677 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 52 51 $0.00
G9920 Screening performed and negative 227 215 $0.00
90648 12 12 $0.00