Medicaid Provider Spending

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

CHILDREN'S COMMUNITY CARE

NPI: 1942993209 · SHIPPENSBURG, PA 17257 · Pediatrics Physician · NPI assigned 06/01/2023

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

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

$175K
Total Medicaid Paid
3,118
Total Claims
2,715
Beneficiaries
16
Codes Billed
2023-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III)
NPI Enumeration Date06/01/2023

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
2023 639 $25K
2024 2,479 $149K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,287 1,068 $102K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 433 399 $35K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 203 201 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 315 295 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 31 31 $3K
90674 58 58 $420.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 577 458 $285.60
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 12 $238.53
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 20 18 $180.18
90648 28 28 $144.00
90677 27 27 $134.00
92551 38 35 $51.43
99173 18 18 $4.56
90661 14 14 $0.00
90723 13 13 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 42 40 $0.00