CHILDREN'S MEDICAL GROUP

NPI: 1114192499 · FOX POINT, WI 53217 · Professional Counselor · NPI assigned 04/28/2008

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official KHARE, SMRITI controls 20+ related entities in our dataset. Read more

$642K

Total Medicaid Paid

24,096

Total Claims

22,502

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	KHARE, SMRITI (PRESIDENT, CHILDREN'S MEDICAL GROUP)
Parent Organization	CHILDREN'S MEDICAL GROUP
NPI Enumeration Date	04/28/2008

Related Entities

Other providers sharing the same authorized official: KHARE, SMRITI

Provider	City	State	Total Paid
CHILDREN'S MEDICAL GROUP	MILWAUKEE	WI	$4.58M
CHILDREN'S MEDICAL GROUP	GLENDALE	WI	$3.64M
CHILDREN'S MEDICAL GROUP	MILWAUKEE	WI	$3.11M
CHILDREN'S MEDICAL GROUP	MILWAUKEE	WI	$3.00M
CHILDREN'S MEDICAL GROUP	KENOSHA	WI	$2.65M
CHILDREN'S MEDICAL GROUP	WAUWATOSA	WI	$2.13M
CHILDREN'S MEDICAL GROUP	KENOSHA	WI	$1.46M
CHILDREN'S MEDICAL GROUP	OAK CREEK	WI	$1.26M
CHILDREN'S MEDICAL GROUP	MILWAUKEE	WI	$1.19M
CHILDREN'S MEDICAL GROUP	MILWAUKEE	WI	$915K
CHILDREN'S MEDICAL GROUP	NEW BERLIN	WI	$674K
CHILDREN'S MEDICAL GROUP	FRANKLIN	WI	$557K
CHILDREN'S MEDICAL GROUP	BROOKFIELD	WI	$399K
CHILDREN'S MEDICAL GROUP	BROOKFIELD	WI	$327K
CHILDREN'S MEDICAL GROUP	NEW BERLIN	WI	$284K
CHILDREN'S MEDICAL GROUP	MEQUON	WI	$233K
CHILDREN'S MEDICAL GROUP, INC.	DELAFIELD	WI	$187K
CHILDREN'S MEDICAL GROUP	WEST BEND	WI	$167K
CHILDREN'S MEDICAL GROUP	MOUNT PLEASANT	WI	$142K
CHILDREN'S MEDICAL GROUP	MILWAUKEE	WI	$141K

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	3,047	$84K
2019	3,621	$91K
2020	2,959	$60K
2021	4,024	$91K
2022	4,455	$110K
2023	3,421	$80K
2024	2,569	$125K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7,763	7,080	$280K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1,544	1,405	$100K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1,429	1,350	$74K
3008F		5,121	4,839	$44K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	794	766	$41K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	513	469	$28K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	368	338	$15K
99173		557	532	$9K
90686		2,095	2,020	$8K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	142	136	$7K
92551		651	622	$7K
83655		526	497	$6K
99215	Prolong outpt/office vis	46	41	$5K
96127		1,022	980	$3K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	31	29	$3K
90832	Psychotherapy, 30 minutes with patient	68	56	$2K
0071A		60	53	$2K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	12	12	$1K
0072A		45	41	$1K
90688		330	315	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	64	61	$848.94
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	28	27	$730.29
90656		56	56	$643.80
90670		183	174	$570.24
99000		150	129	$486.03
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13	13	$332.15
36416		129	124	$281.08
90723		31	29	$101.92
90685		15	13	$45.54
90680		14	14	$41.86
90647		14	14	$37.79
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	118	118	$0.00
91307		116	102	$0.00
91300		48	47	$0.00