Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

CRIPPLED CHILDREN'S HOSPITAL

General Acute Care Hospital, Children·RICHMOND, VA·NPI: 1841258589Share
Active Billing Period:2018-01→2022-03(40 months)
Billing appears to have stoppedLast active: 2022-03

Total Paid

$20.9M

$20,947,507

Total Claims

235K

Beneficiaries

114K

2.1 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$7.6M
-7%
2019
$7.0M
-10%
2020
$6.3M
-100%
2021
$2K
+589%
2022
$16K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 23% of total spending.

92507Top 25%

Speech/hearing/language treatment

$4.9M

57K claims · 23.2%

Your Cost: $85.12/claim|Median: $49.45
1.7× median
97530Top 5%

Therapeutic activities, each 15 min

$4.3M

37K claims · 20.3%

Your Cost: $114.09/claim|Median: $33.11
3.4× median
97110Top 5%

Therapeutic exercises, each 15 min

$3.0M

28K claims · 14.3%

Your Cost: $106.02/claim|Median: $24.49
4.3× median
97112Top 5%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$2.5M

29K claims · 12.1%

Your Cost: $88.58/claim|Median: $20.04
4.4× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$1.9M

1,249 claims · 9.3%

Your Cost: $1,552.32/claim|Median: $763.43
2.0× median
92526Top 25%

Treatment of swallowing dysfunction and/or oral function

$897K

11K claims · 4.3%

Your Cost: $84.75/claim|Median: $49.74
1.7× median
97116Top 5%

Gait training

$519K

7,686 claims · 2.5%

Your Cost: $67.47/claim|Median: $12.48
5.4× median
97535Top 10%

Self-care/home management training, per 15 minutes

$393K

4,567 claims · 1.9%

Your Cost: $85.97/claim|Median: $18.18
4.7× median
99309Top 5%

Nursing facility care, subsequent, low complexity

$292K

4,517 claims · 1.4%

Your Cost: $64.68/claim|Median: $14.00
4.6× median
D1120Normal range

Prophylaxis, adult

$205K

6,332 claims · 1.0%

Your Cost: $32.33/claim|Median: $33.86
1.0× median
92523Normal range

Evaluation of speech sound production with language comprehension

$183K

1,982 claims · 0.9%

Your Cost: $92.16/claim|Median: $110.87
0.8× median
D1206Normal range

Topical application of fluoride varnish

$159K

7,956 claims · 0.8%

Your Cost: $20.00/claim|Median: $18.12
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$142K

7,361 claims · 0.7%

Your Cost: $19.35/claim|Median: $24.34
0.8× median
97163Top 25%

PT evaluation, high complexity

$139K

1,329 claims · 0.7%

Your Cost: $104.65/claim|Median: $50.34
2.1× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$138K

2,122 claims · 0.7%

Your Cost: $64.81/claim|Median: $16.79
3.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$129K

957 claims · 0.6%

Your Cost: $134.75/claim|Median: $120.85
1.1× median
90837Top 25%

Psychotherapy, 60 minutes

$121K

1,173 claims · 0.6%

Your Cost: $103.11/claim|Median: $85.66
1.2× median
97167Normal range

OT evaluation, high complexity

$103K

921 claims · 0.5%

Your Cost: $111.70/claim|Median: $70.96
1.6× median
97755Normal range

$101K

1,165 claims · 0.5%

Your Cost: $86.73/claim|Median: $91.92
0.9× median
97760Top 10%

$75K

846 claims · 0.4%

Your Cost: $89.08/claim|Median: $30.29
2.9× median
D1110Normal range

Prophylaxis, adult cleaning

$70K

1,588 claims · 0.3%

Your Cost: $44.19/claim|Median: $43.38
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$57K

1,222 claims · 0.3%

Your Cost: $46.57/claim|Median: $41.28
1.1× median
97166Top 25%

OT evaluation, moderate complexity

$52K

477 claims · 0.2%

Your Cost: $108.90/claim|Median: $48.74
2.2× median
J2704Top 5%

$51K

754 claims · 0.2%

Your Cost: $67.86/claim|Median: $0.76
89.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$51K

784 claims · 0.2%

Your Cost: $65.15/claim|Median: $57.39
1.1× median
92610Top 25%

Evaluation of swallowing function

$51K

599 claims · 0.2%

Your Cost: $85.27/claim|Median: $45.22
1.9× median
00170Normal range

Anesthesia for intraoral procedures

$50K

342 claims · 0.2%

Your Cost: $146.40/claim|Median: $132.89
1.1× median
D9999Top 25%

Unspecified adjunctive procedure, by report

$40K

261 claims · 0.2%

Your Cost: $151.49/claim|Median: $37.60
4.0× median
97162Top 10%

PT evaluation, moderate complexity

$35K

331 claims · 0.2%

Your Cost: $106.88/claim|Median: $46.10
2.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$32K

975 claims · 0.2%

Your Cost: $32.87/claim|Median: $26.24
1.3× median
99070Normal range

$30K

5,233 claims · 0.1%

Your Cost: $5.74/claim|Median: $8.08
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$28K

385 claims · 0.1%

Your Cost: $72.34/claim|Median: $63.65
1.1× median
D0272Normal range

Bitewings, two radiographic images

$27K

1,370 claims · 0.1%

Your Cost: $19.37/claim|Median: $15.81
1.2× median
D9310Top 10%

$24K

293 claims · 0.1%

Your Cost: $82.76/claim|Median: $46.20
1.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$18K

265 claims · 0.1%

Your Cost: $69.32/claim|Median: $54.60
1.3× median
D9630Normal range

$16K

856 claims · 0.1%

Your Cost: $19.10/claim|Median: $17.78
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$15K

504 claims · 0.1%

Your Cost: $30.35/claim|Median: $32.07
0.9× median
D1351Normal range

Sealant, per tooth

$14K

429 claims · 0.1%

Your Cost: $31.68/claim|Median: $26.10
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$12K

151 claims · 0.1%

Your Cost: $77.24/claim|Median: $71.00
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$10K

302 claims · 0.0%

Your Cost: $32.23/claim|Median: $46.33
0.7× median
29405Top 10%

$9K

35 claims · 0.0%

Your Cost: $271.28/claim|Median: $57.27
4.7× median
D0240Normal range

$9K

750 claims · 0.0%

Your Cost: $11.71/claim|Median: $15.24
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$8K

766 claims · 0.0%

Your Cost: $10.69/claim|Median: $10.51
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$8K

342 claims · 0.0%

Your Cost: $23.60/claim|Median: $27.07
0.9× median
D0274Normal range

Bitewings, four radiographic images

$8K

299 claims · 0.0%

Your Cost: $25.38/claim|Median: $22.54
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$7K

682 claims · 0.0%

Your Cost: $10.29/claim|Median: $7.33
1.4× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$7K

349 claims · 0.0%

Your Cost: $19.82/claim|Median: $14.36
1.4× median
99307Top 5%

$7K

216 claims · 0.0%

Your Cost: $31.60/claim|Median: $6.57
4.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$6K

137 claims · 0.0%

Your Cost: $44.61/claim|Median: $23.99
1.9× median
92607Normal range

$5K

56 claims · 0.0%

Your Cost: $82.79/claim|Median: $89.89
0.9× median

Other Top Providers in Virginia

View all →

Virginia Commonwealth University Health System Authority

General Acute Care Hospital

$658.5M

Rector & Visitors of the University of Virginia

General Acute Care Hospital

$500.5M

Wall Residences LLC

Community Based Residential Treatment Facility In

$481.6M

Home Care Delivered, Inc.

Durable Medical Equipment & Medical Supplies

$309.5M

Childrens Hospital of the Kings Daughters INC

Social Worker, Clinical

$288.2M

Similar Providers

Other top providers in General Acute Care Hospital, Children

Dayton Children's Hospital

Dayton, OH

$290.6M

Connecticut Children's Medical Center

Hartford, CT

$248.9M

← All providersAll providers in Virginia →How we detect fraud →