Children's Medical Group
Children's Medical Group was paid $25K by Medicaid between Mar 2018 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
CEDARBURG, WI 53012
Next to other Mental Health Counselor providers in Wisconsin
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 89 | $2K | |
| 2019 | 89 | $525.08 | |
| 2020 | 189 | $3K | |
| 2021 | 101 | $1K | |
| 2022 | 227 | $4K | |
| 2023 | 362 | $9K | |
| 2024incomplete | 331 | $6K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 74% | 627 | 583 | $19K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.9% | 47 | 43 | $2K |
| 3008F | 6.9% | 205 | 197 | $2K | |
| 99421 | 6.8% | 237 | 157 | $2K | |
| 90686 | 3.0% | 229 | 225 | $755.73 | |
| 96127 | <1% | 14 | 12 | $36.87 | |
| 91307 | 0% | 29 | 27 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | 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 | Fox Point, WI | $642K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.