Medicaid Provider Spending

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

CHILDEN'S COMMUNITY CARE

NPI: 1992364475 · HUMMELSTOWN, PA 17036 · Pediatrics Physician · NPI assigned 06/10/2019

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

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

$522K
Total Medicaid Paid
14,512
Total Claims
13,399
Beneficiaries
31
Codes Billed
2022-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTINEZ, LORI (EXECUTIVE ADMINISTRATOR III)
NPI Enumeration Date06/10/2019

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
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
CHILDREN'S COMMUNITY CARE SHIPPENSBURG PA $175K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 35 $1K
2023 7,859 $263K
2024 6,618 $258K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 4,396 4,072 $232K
99392 920 900 $83K
99214 783 746 $65K
99391 554 540 $48K
99393 485 470 $44K
99051 828 767 $28K
99394 218 207 $20K
87880 102 98 $932.21
87426 14 14 $803.86
87804 26 14 $534.48
96110 1,702 1,428 $423.31
96127 462 388 $361.87
92551 749 682 $108.97
96160 407 341 $89.02
99177 202 193 $36.39
90680 306 292 $0.00
90723 344 330 $0.00
90686 310 289 $0.00
90677 314 295 $0.00
96161 94 92 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 34 26 $0.00
90651 169 161 $0.00
90656 53 53 $0.00
90696 14 14 $0.00
90619 26 26 $0.00
90670 202 195 $0.00
90648 518 493 $0.00
90633 190 183 $0.00
90710 15 15 $0.00
99173 13 13 $0.00
90661 62 62 $0.00