Children's Community Care
Children's Community Care was paid $175K by Medicaid between Oct 2023 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
SHIPPENSBURG, PA 17257
Next to other Pediatrics Physician providers in Pennsylvania
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 | |
|---|---|---|---|
| 2023 | 639 | $25K | |
| 2024incomplete | 2,479 | $149K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 1,287 | 1,068 | $102K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 433 | 399 | $35K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.7% | 203 | 201 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.3% | 315 | 295 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 31 | 31 | $3K |
| 90674 | <1% | 58 | 58 | $420.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 577 | 458 | $285.60 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | 12 | $238.53 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 20 | 18 | $180.18 |
| 90648 | <1% | 28 | 28 | $144.00 | |
| 90677 | <1% | 27 | 27 | $134.00 | |
| 92551 | <1% | 38 | 35 | $51.43 |
4 more codes
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 |
|---|---|---|
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.