Medicaid Provider Spending

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

CHILDRENS MEDICAL GROUP INC

NPI: 1992117527 · VIRGINIA BEACH, VA 23454 · Pediatrics Physician · NPI assigned 06/02/2014

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

Authorized official ABSHIRE, KATHRYN controls 20+ related entities in our dataset. Read more

$617K
Total Medicaid Paid
11,645
Total Claims
10,535
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialABSHIRE, KATHRYN (SENIOR VP/CFO)
Parent OrganizationCHILDRENS MEDICAL GROUP INC
NPI Enumeration Date06/02/2014

Related Entities

Other providers sharing the same authorized official: ABSHIRE, KATHRYN

ProviderCityStateTotal Paid
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $288.16M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $10.18M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $9.18M
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC NORFOLK VA $8.38M
CHILDRENS MEDICAL GROUP INC NEWPORT NEWS VA $7.11M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $5.72M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $4.85M
CHILDRENS MEDICAL GROUP INC HAMPTON VA $4.67M
CHILDREN'S SURGICAL SPECIALTY GROUP, INC NORFOLK VA $3.98M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $3.58M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $3.46M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $3.22M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $3.06M
CHILDREN'S MEDICAL GROUP, INC., D/B/A LIBERTY PEDIATRICS NEWPORT NEWS VA $2.98M
CHILDRENS MEDICAL GROUP INC SUFFOLK VA $2.36M
CHILDRENS MEDICAL GROUP INC VIRGINIA BEACH VA $2.30M
CHILDRENS MEDICAL GROUP INC WILLIAMSBURG VA $2.23M
CHILDRENS MEDICAL GROUP INC NORFOLK VA $2.10M
CHILDREN'S MEDICAL GROUP, INC., D/B/A COURTHOUSE PEDIATRICS GLOUCESTER VA $2.10M
CHILDRENS MEDICAL GROUP INC CHESAPEAKE VA $805K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 552 $29K
2019 1,773 $100K
2020 2,178 $97K
2021 2,595 $126K
2022 2,235 $119K
2023 1,169 $80K
2024 1,143 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,680 2,436 $239K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,534 2,264 $155K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,077 1,048 $91K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 737 629 $56K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 331 320 $27K
99215 Prolong outpt/office vis 191 173 $22K
90686 823 796 $10K
90670 204 196 $3K
96161 959 840 $2K
92551 201 189 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 14 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 131 99 $1K
99174 207 197 $1K
90656 74 73 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 26 $943.25
96127 172 96 $918.04
90698 63 62 $692.65
90685 33 32 $445.71
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 38 16 $359.64
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28 24 $329.65
90677 12 12 $265.00
1128F 842 751 $225.00
90680 13 13 $143.00
90633 13 12 $129.25
99173 48 42 $116.57
99000 12 12 $34.95
94760 64 53 $34.94
1127F 89 83 $25.00
36416 14 14 $6.84
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.00