Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHILDREN'S MEDICAL GROUP

NPI: 1174999262 · MOUNT PLEASANT, WI 53406 · Pediatrics Physician · NPI assigned 08/12/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$142K
Total Medicaid Paid
5,984
Total Claims
5,595
Beneficiaries
21
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialKHARE, SMRITI (PRESIDENT - CHILDREN'S MEDICAL GROU)
Parent OrganizationCHILDREN'S MEDICAL GROUP
NPI Enumeration Date08/12/2015

Related Entities

Other providers sharing the same authorized official: KHARE, SMRITI

ProviderCityStateTotal 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 MILWAUKEE WI $141K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,103 $26K
2019 2,142 $49K
2020 996 $28K
2021 1,743 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,682 1,509 $50K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 607 567 $32K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 347 330 $19K
3008F 1,114 1,058 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 144 125 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 90 87 $5K
99173 192 187 $3K
92551 259 251 $3K
83655 185 176 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 23 22 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 45 43 $2K
90686 598 574 $2K
96127 347 334 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 31 27 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 41 41 $584.65
90688 129 120 $405.15
90670 83 80 $249.15
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $190.80
90647 27 26 $112.99
99000 14 13 $49.65
90723 13 13 $45.73