Medicaid Provider Spending

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

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1952481897 · PHILADELPHIA, PA 19128 · Pediatrics Physician · NPI assigned 10/16/2006

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

Authorized official STONE, FABIAN controls 20+ related entities in our dataset. Read more

$676K
Total Medicaid Paid
19,266
Total Claims
18,541
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationCHILDREN'S HOSPITAL OF PHILADELPHIA
NPI Enumeration Date10/16/2006

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 $5.67M
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 WEST GROVE PA $634K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 188 $5K
2019 251 $5K
2020 1,848 $28K
2021 4,708 $123K
2022 5,170 $163K
2023 4,241 $207K
2024 2,860 $145K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,804 5,586 $323K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 900 881 $79K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,246 1,225 $64K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 989 941 $62K
90460 Immunization administration through 18 years of age via any route, first or only component 547 485 $21K
90686 2,200 2,162 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 414 409 $19K
90670 1,143 1,088 $18K
90723 881 825 $11K
90648 1,165 1,099 $8K
90681 504 465 $8K
92551 556 541 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 72 71 $5K
90633 533 513 $4K
90651 202 200 $3K
90656 317 317 $3K
96127 293 290 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 13 13 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 107 91 $2K
96161 292 283 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 154 143 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 25 25 $2K
90734 108 105 $1K
3008F 141 140 $1K
90688 93 90 $1K
0072A 13 13 $907.92
99499 33 30 $858.00
90620 40 40 $855.89
85018 78 78 $600.90
99177 24 24 $527.38
90716 70 67 $388.15
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 32 32 $293.12
90671 46 40 $200.00
90715 14 14 $179.20
90700 46 46 $177.38
90710 13 13 $166.40
90696 13 13 $164.71
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $139.50
94760 23 21 $0.00
36416 13 13 $0.00
99000 12 12 $0.00
99173 13 13 $0.00
90707 70 70 $0.00