Childrens Health Care
Childrens Health Care was paid $25.45M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 15% of everything it billed.
MINNEAPOLIS, MN 55404
Next to other Multi-Specialty Clinic/Center providers in Minnesota
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 61,984 | $1.42M | |
| 2019 | 66,606 | $4.16M | |
| 2020 | 60,988 | $4.66M | |
| 2021 | 80,831 | $5.86M | |
| 2022 | 61,876 | $4.51M | |
| 2023 | 36,170 | $2.57M | |
| 2024incomplete | 31,785 | $2.26M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 65,360 | 17,972 | $3.88M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 50,955 | 43,909 | $3.70M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 8.3% | 25,280 | 4,863 | $2.11M |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 7.9% | 7,807 | 1,282 | $2.00M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 7.7% | 24,603 | 4,880 | $1.95M |
| 99223 | Prolong inpt eval add15 m | 5.3% | 12,372 | 11,050 | $1.34M |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.2% | 20,800 | 19,731 | $1.33M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.7% | 25,308 | 23,700 | $1.20M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 23,130 | 21,770 | $929K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 3.4% | 3,461 | 609 | $854K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.2% | 20,574 | 8,573 | $827K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 9,375 | 9,051 | $526K |
76 more codes
| 99468 | 1.5% | 648 | $391K | |
| 99205 | Prolong outpt/office vis | 1.4% | 3,891 | $367K |
| 99243 | 1.3% | 5,564 | $320K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.2% | 3,712 | $309K |
| 99220 | 1.2% | 2,866 | $298K | |
| 99417 | Prolong home eval add 15m | 1.1% | 7,522 | $269K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.0% | 3,314 | $264K |
| 99356 | <1% | 4,569 | $245K | |
| 99477 | <1% | 993 | $230K | |
| 99254 | <1% | 2,237 | $229K | |
| 99253 | <1% | 3,094 | $205K | |
| 92567 | <1% | 22,637 | $187K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 1,563 | $180K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,871 | $138K |
| 92579 | <1% | 5,640 | $136K | |
| 95251 | <1% | 5,693 | $114K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 5,386 | $109K |
| 99217 | <1% | 2,033 | $80K | |
| 99605 | <1% | 1,589 | $72K | |
| 99245 | <1% | 852 | $69K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,930 | $63K |
| 92582 | <1% | 1,792 | $58K | |
| 92555 | <1% | 3,464 | $39K | |
| 92587 | <1% | 3,428 | $33K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 189 | $32K |
| 99607 | <1% | 1,258 | $29K | |
| 99354 | <1% | 468 | $24K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 493 | $23K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 318 | $22K |
| 99242 | <1% | 455 | $21K | |
| 92557 | <1% | 1,071 | $20K | |
| 99606 | <1% | 598 | $18K | |
| 99255 | <1% | 123 | $16K | |
| V5264 | Ear mold/insert, not disposable, any type | <1% | 423 | $15K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 414 | $14K |
| 99418 | Prolong nursin fac eval 15m | <1% | 391 | $14K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,917 | $13K |
| 99464 | <1% | 265 | $12K | |
| 99443 | <1% | 183 | $12K | |
| 99219 | <1% | 168 | $12K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 182 | $12K |
| 92652 | <1% | 165 | $11K | |
| 99252 | <1% | 188 | $8K | |
| 99221 | <1% | 164 | $6K | |
| 69210 | <1% | 270 | $6K | |
| 92585 | <1% | 148 | $5K | |
| 92552 | <1% | 346 | $4K | |
| 31575 | <1% | 41 | $3K | |
| 42830 | <1% | 28 | $3K | |
| 94060 | <1% | 524 | $3K | |
| 96450 | <1% | 51 | $2K | |
| 99283 | Emergency room visit (moderate) | <1% | 53 | $2K |
| 99236 | Prolong inpt eval add15 m | <1% | 14 | $2K |
| 92586 | <1% | 40 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 28 | $2K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 74 | $2K |
| 92593 | <1% | 94 | $1K | |
| 95782 | <1% | 13 | $1K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 144 | $958.65 |
| 31526 | <1% | 16 | $834.46 | |
| 99460 | <1% | 12 | $724.27 | |
| 71045 | Radiologic examination, chest; single view | <1% | 131 | $688.96 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $681.89 |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 14 | $598.27 |
| 92551 | <1% | 110 | $567.97 | |
| 99188 | <1% | 55 | $540.76 | |
| 31622 | <1% | 15 | $478.83 | |
| 62252 | <1% | 20 | $368.03 | |
| 92553 | <1% | 14 | $277.16 | |
| 92650 | <1% | 13 | $245.96 | |
| 93320 | <1% | 14 | $171.38 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | $105.12 |
| 99173 | <1% | 91 | $70.50 | |
| 93325 | <1% | 28 | $56.02 | |
| 96160 | <1% | 27 | $0.15 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 41 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Childrens Health Care | Minneapolis, MN | $99.95M |
| Childrens Health Care | Minneapolis, MN | $18.63M |
| Children's Health Care | Minneapolis, MN | $17.32M |
| Children's Clinic Network | Maple Grove, MN | $9.97M |
| Childrens Health Care | Minneapolis, MN | $2.88M |
| Children's Clinic Network | Edina, MN | $2.88M |
| Children's Health Care | Minneapolis, MN | $2.50M |
| Children's Health Care | Minneapolis, MN | $2.43M |
| Children's Clinic Network | West St Paul, MN | $2.37M |
| Childrens Health Care | Minneapolis, MN | $1.96M |
| Childrens Health Care Services INC | Minnetonka, MN | $792K |
| Childrens Health Care | Minneapolis, MN | $557K |
| Children's Clinic Network | Hugo, MN | $453K |
| Children's Health Care | Minneapolis, MN | $397K |
| Children's Health Care | Minneapolis, MN | $120K |
| Childrens Health Care Services INC | Minnetonka, MN | $64K |
| Children's Health Care | Minneapolis, MN | $48K |
| Children's Health Care | Minneapolis, MN | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.