Behavioral
Children's Medical Group
Children's Medical Group was paid $2.38M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoCHILDREN'S MEDICAL GROUP
MILWAUKEE, WI 53223
MILWAUKEE, WI 53223
33aNPI1255506598assigned 04/28/2008
33bProvider typeProfessional Counselor
28Total paid$2.38M
24GClaims98,767
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Wisconsin
Rank by total paid#6 of 303
Median peer was paid$11K
This provider vs. median209×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,415 | $315K | |
| 2019 | 15,840 | $348K | |
| 2020 | 10,862 | $234K | |
| 2021 | 14,312 | $318K | |
| 2022 | 15,495 | $370K | |
| 2023 | 16,971 | $395K | |
| 2024incomplete | 11,872 | $403K |
Box 24 · Service lines
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 | 18% | 10,947 | 10,054 | $429K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 6,011 | 5,635 | $328K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 5,637 | 5,155 | $323K |
| 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 | 13% | 4,530 | 4,213 | $299K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 3,665 | 3,462 | $193K |
| 99173 | 4.1% | 6,096 | 5,689 | $99K | |
| 3008F | 3.9% | 10,495 | 9,862 | $92K | |
| 92551 | 2.9% | 6,285 | 5,880 | $69K | |
| 83655 | 2.8% | 5,681 | 5,305 | $68K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 2,473 | 2,271 | $64K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 1,163 | 1,102 | $61K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.3% | 2,989 | 2,756 | $54K |
43 more codes
| 90791 | Psychiatric diagnostic evaluation | 1.9% | 518 | $46K |
| 90832 | Psychotherapy session, about 30 minutes | 1.5% | 818 | $35K |
| 99188 | 1.0% | 2,131 | $24K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 483 | $22K |
| 90686 | <1% | 3,492 | $17K | |
| 90670 | <1% | 3,387 | $15K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 173 | $14K |
| 90723 | <1% | 2,570 | $14K | |
| 90647 | <1% | 2,251 | $14K | |
| 96127 | <1% | 3,881 | $14K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 96 | $13K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 146 | $12K |
| 85018 | <1% | 4,148 | $10K | |
| 90680 | <1% | 1,844 | $10K | |
| 99381 | <1% | 174 | $9K | |
| 90677 | <1% | 338 | $6K | |
| 90633 | <1% | 786 | $4K | |
| 36416 | <1% | 1,691 | $4K | |
| 90656 | <1% | 252 | $3K | |
| 0072A | <1% | 105 | $3K | |
| 0071A | <1% | 82 | $3K | |
| 80061 | Lipid panel | <1% | 199 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 51 | $2K |
| 99000 | <1% | 461 | $1K | |
| 90651 | <1% | 266 | $1K | |
| 90734 | <1% | 159 | $1K | |
| 90648 | <1% | 248 | $811.81 | |
| 96161 | <1% | 168 | $709.80 | |
| 99383 | <1% | 12 | $682.98 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $556.65 |
| 0052A | <1% | 18 | $432.74 | |
| 0001A | <1% | 13 | $425.56 | |
| 90685 | <1% | 98 | $316.04 | |
| 99177 | <1% | 1,282 | $200.37 | |
| 90707 | <1% | 27 | $97.41 | |
| 90716 | <1% | 27 | $89.32 | |
| 90700 | <1% | 24 | $68.01 | |
| 90715 | <1% | 15 | $39.72 | |
| 90710 | <1% | 15 | $34.31 | |
| 91307 | 0% | 224 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 44 | $0.00 |
| 91300 | 0% | 52 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialGUTZEIT, MICHAEL (PRESIDENT, CHILDREN'S MEDICAL GROUP)
Parent organizationCHILDREN'S MEDICAL GROUP