Childrens Hospital of the Kings Daughters INC
Social Worker, Clinical
Norfolk, Virginia
NPI: 1912919481
Risk Tier
Elevated
Total Paid
$288.2M
$288,158,032
Total Claims
3.7M
Beneficiaries
3.0M
Avg Cost/Claim
$76.86
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 182 procedure codes: 92507 at 2.6× median, 99283 at 4.5× median.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024