Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1932299617 · PHILADELPHIA, PA 19139 · Non-Surgical Family Planning Clinic/Center · 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

$5.67M
Total Medicaid Paid
167,994
Total Claims
164,796
Beneficiaries
68
Codes Billed
2018-02
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 $5.56M
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
CHILDREN'S HOSPITAL OF PHILADELPHIA WEST GROVE PA $634K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 666 $18K
2019 1,694 $25K
2020 15,065 $223K
2021 37,042 $767K
2022 42,363 $1.48M
2023 39,098 $1.67M
2024 32,066 $1.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,875 19,299 $1.21M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,212 9,923 $1.04M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,066 9,009 $446K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,611 7,540 $400K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,274 8,217 $384K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,895 3,852 $249K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,139 1,130 $212K
90460 Immunization administration through 18 years of age via any route, first or only component 5,034 4,908 $182K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,520 2,498 $179K
92551 11,294 11,193 $149K
99499 5,175 5,019 $132K
90686 11,595 11,565 $126K
99173 8,444 8,368 $84K
99215 Prolong outpt/office vis 459 444 $72K
0072A 965 960 $72K
96127 8,735 8,681 $67K
99188 2,028 2,014 $63K
90648 6,443 6,395 $61K
0071A 805 803 $59K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,294 2,377 $43K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 943 920 $40K
90670 4,977 4,934 $39K
90723 4,247 4,204 $35K
90651 3,020 3,008 $28K
90656 1,788 1,783 $24K
96161 4,298 4,249 $22K
99177 938 934 $22K
90633 2,793 2,768 $21K
90620 964 927 $14K
90681 2,108 2,070 $14K
3008F 1,426 1,426 $13K
0002A 221 211 $13K
90734 1,803 1,796 $12K
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs 77 54 $11K
0001A 207 207 $11K
90688 682 681 $9K
81025 399 391 $8K
90715 1,056 1,055 $7K
90700 1,122 1,119 $7K
90677 778 777 $7K
90716 1,110 1,107 $7K
90707 1,104 1,101 $7K
90671 525 525 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 487 483 $6K
0052A 82 82 $6K
90710 1,049 944 $6K
90696 925 922 $6K
90461 143 139 $6K
0112A 69 69 $5K
0004A 64 64 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 287 280 $3K
0051A 45 45 $3K
0111A 43 42 $3K
94664 100 99 $3K
0054A 35 35 $3K
99381 34 32 $2K
0074A 16 16 $1K
90480 206 169 $1K
0144A 13 13 $958.98
91321 62 62 $630.00
36415 Collection of venous blood by venipuncture 123 117 $572.76
94760 555 545 $479.85
90672 20 20 $439.80
90713 61 61 $435.20
81002 12 12 $89.20
86580 71 60 $48.43
82947 13 13 $15.52
99000 30 30 $12.68