Johns Hopkins All Children's Hospital INC
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $1.0M (2018) to $33.7M (2019) — a 3128% swing with $32.7M absolute change.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 3128% from 2018 to 2019.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $257.15 per claim for 92507 (Speech/hearing/language treatment) — 5.2× the national median of $49.45.
Bills $223.34 per claim for 99283 (Emergency dept visit, moderate complexity) — 5.3× the national median of $42.48.
Bills $170.48 per claim for 97110 (Therapeutic exercises, each 15 min) — 7.0× the national median of $24.49.
Billing in the top 1% nationally for 7 procedure codes: 92507, 97110, 97530.
This is a statistical summary, not an accusation. See our methodology.
Compared to General Acute Care Hospital Children Peers
Total spending distribution among 16 providers in this specialty
This provider's total spending of $152.8M is at the 25th percentile among 16 General Acute Care Hospital Children providers.
Total Paid
$152.8M
$152,824,919
Total Claims
1.4M
Beneficiaries
1.1M
1.3 claims/patient
Avg Cost/Claim
$107
#704 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Johns Hopkins All Children's Hospital INC is a General Acute Care Hospital Children provider based in St Petersburg, FL. From the 2018–2024 period, this provider received $152.8M in Medicaid payments across 1.4M claims.
Why This Matters
This provider received $152.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,103 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 18% of total spending.
Speech/hearing/language treatment
$27.2M
106K claims · 17.8%
$19.0M
85K claims
$223.34
$42.48
Emergency dept visit, moderate complexity
$19.0M
85K claims · 12.4%
Therapeutic exercises, each 15 min
$13.9M
82K claims · 9.1%
$11.0M
38K claims
$289.62
$69.51
Emergency dept visit, high complexity
$11.0M
38K claims · 7.2%
Therapeutic activities, each 15 min
$8.4M
53K claims · 5.5%
$4.8M
7K claims
$723.31
$112.83
Echocardiography, transthoracic, limited
$4.8M
7K claims · 3.1%
$4.6M
8K claims
$555.82
$54.68
Echocardiography, transthoracic, complete, with Doppler
$4.6M
8K claims · 3.0%
Comprehensive metabolic panel
$4.4M
44K claims · 2.8%
Emergency dept visit, low complexity
$3.3M
16K claims · 2.2%
$2.1M
12K claims
$179.51
$99.39
Hospital observation service, per hour
$2.1M
12K claims · 1.4%
$2.1M
8K claims
$249.79
$110.87
Evaluation of speech sound production with language comprehension
$2.1M
8K claims · 1.4%
$1.9M
8K claims
$248.79
$85.65
Emergency dept visit, high/urgent complexity
$1.9M
8K claims · 1.2%
$1.7M
2K claims
$1,001.41
$233.73
Polysomnography, sleep study, 6+ hours
$1.7M
2K claims · 1.1%
$1.7M
17K claims
$99.74
$63.08
Infectious disease detection (COVID-19)
$1.7M
17K claims · 1.1%
$1.6M
801 claims · 1.0%
$1.6M
11K claims · 1.0%
$1.5M
4K claims
$436.75
$54.77
IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour
$1.5M
4K claims · 1.0%
$1.5M
60K claims
$25.50
$69.56
Targeted case management, per 15 min
$1.5M
60K claims · 1.0%
$1.5M
12K claims
$125.57
$49.74
Treatment of swallowing dysfunction and/or oral function
$1.5M
12K claims · 1.0%
MRI brain without contrast
$1.2M
5K claims · 0.8%
$966K
973 claims · 0.6%
$721K
1K claims · 0.5%
$708K
15K claims
$47.70
$5.31
Urine culture, colony count, with identification
$708K
15K claims · 0.5%
PT evaluation, moderate complexity
$690K
2K claims · 0.5%
$665K
3K claims · 0.4%
$662K
631 claims
$1,048.45
$1,587.53
Injection, infliximab, excludes biosimilar, 10 mg
$662K
631 claims · 0.4%
CT head/brain without contrast
$647K
3K claims · 0.4%
$629K
6K claims
$101.00
$21.76
Therapeutic/prophylactic/diagnostic IV push, single substance
$629K
6K claims · 0.4%
Influenza virus detection, rapid test
$624K
11K claims · 0.4%
$621K
4K claims
$169.84
$61.57
IV infusion, hydration, initial, 31 minutes to 1 hour
$621K
4K claims · 0.4%
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