Medicaid Provider Spending

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

CHILDREN'S MEDICAL GROUP

NPI: 1205001468 · WAUWATOSA, WI 53222 · Mental Health 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

$2.13M
Total Medicaid Paid
83,460
Total Claims
78,506
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKHARE, SMRITI (PRESIDENT, CHILDREN'S MEDICAL GROUP)
Parent OrganizationCHILDREN'S MEDICAL GROUP
NPI Enumeration Date04/28/2008

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 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
CHILDREN'S MEDICAL GROUP MILWAUKEE WI $141K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,915 $262K
2019 12,845 $301K
2020 10,596 $220K
2021 11,382 $275K
2022 12,017 $294K
2023 14,103 $345K
2024 12,602 $438K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,495 11,554 $464K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,642 6,253 $360K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,185 5,605 $350K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,297 4,923 $340K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,704 2,553 $139K
3008F 11,453 10,875 $101K
99173 2,576 2,440 $42K
90791 Psychiatric diagnostic evaluation 487 446 $41K
92551 3,558 3,361 $40K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,366 2,258 $35K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 746 710 $33K
90686 6,170 5,921 $29K
83655 2,371 2,246 $28K
99188 1,240 1,192 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 284 276 $15K
90670 3,496 3,353 $14K
90832 Psychotherapy, 30 minutes with patient 328 271 $13K
96127 3,339 3,133 $12K
90723 2,193 2,102 $10K
90647 1,922 1,841 $10K
90680 1,431 1,378 $6K
90677 348 330 $6K
90656 416 410 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 167 156 $5K
36416 1,328 1,224 $3K
85018 1,057 1,013 $3K
90633 410 387 $2K
99000 586 515 $2K
96161 443 434 $2K
0002A 36 36 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 14 14 $999.37
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 39 36 $837.82
0071A 29 28 $812.05
99381 12 12 $756.16
91319 14 12 $614.90
0081A 24 19 $584.38
0083A 15 15 $501.80
0072A 14 12 $388.47
90710 26 24 $347.55
94760 274 259 $325.42
0082A 15 12 $305.28
80061 Lipid panel 27 26 $297.80
90651 29 28 $289.20
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 13 $218.95
90700 12 12 $153.90
99421 18 15 $122.27
90648 20 14 $66.01
90685 17 14 $49.55
99177 359 345 $30.39
91308 55 55 $0.00
91300 66 64 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 183 179 $0.00
91307 110 102 $0.00