Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

CHMC Community Health Services Network

CHMC Community Health Services Network was paid $119K by Medicaid between Jan 2021 and Sep 2021, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoCHMC COMMUNITY HEALTH SERVICES NETWORK
MASON, OH 45040
33aNPI1942801022assigned 11/04/2020
33bProvider typePediatrics Physician
28Total paid$119K
24GClaims2,599
24DCodes billed9
24AFirst – last monthJan 2021 – Sep 2021
Compared with peers

Next to other Pediatrics Physician providers in Ohio

Rank by total paid#136 of 401
Median peer was paid$30K
This provider vs. median4.0×

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.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20212,599$119K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48% 1,308 1,249 $57K
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 42% 759 729 $50K
90460 Immunization administration through 18 years of age via any route, first or only component 8.2% 321 310 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 12 12 $759.88
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 14 12 $737.59
99177 <1% 70 69 $730.91
99174 <1% 43 41 $436.04
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 12 12 $100.23
90461 <1% 60 55 $54.60

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.

From NPPES

Who's on the registration

Authorized officialGUTHRIE, CATHERINE (DIRECTOR MEDICAL STAFF SERVICES)
Parent organizationCHMC COMMUNITY HEALTH SERVICES NETWORK
Same official

Other billing entities under GUTHRIE, CATHERINE

Full network →
ProviderLocationPaid
Children's Hospital Medical CenterCincinnati, OH$11.56M
CHMC Community Health Services NetworkBatesville, IN$869K
CHMC Community Health Services NetworkCincinnati, OH$7K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.