Physician
Children's Medical Group
Children's Medical Group was paid $674K by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoCHILDREN'S MEDICAL GROUP
NEW BERLIN, WI 53151
NEW BERLIN, WI 53151
33aNPI1326213562assigned 04/29/2008
33bProvider typePediatrics Physician
28Total paid$674K
24GClaims27,940
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#19 of 200
Median peer was paid$4K
This provider vs. median155×
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.
Entity ProliferationAuthorized official KHARE, SMRITI controls 20+ related entities in our dataset. Read more
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 | 3,430 | $78K | |
| 2019 | 3,714 | $89K | |
| 2020 | 2,983 | $57K | |
| 2021 | 4,541 | $95K | |
| 2022 | 4,384 | $105K | |
| 2023 | 5,318 | $123K | |
| 2024incomplete | 3,570 | $129K |
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 | 31% | 6,964 | 6,418 | $207K |
| 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 | 30% | 4,102 | 3,801 | $205K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 8.4% | 1,255 | 1,026 | $57K |
| 3008F | 7.1% | 5,928 | 5,623 | $48K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.1% | 1,125 | 1,049 | $48K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 721 | 686 | $32K |
| 92551 | 1.4% | 958 | 896 | $9K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.4% | 120 | 116 | $9K |
| 90686 | 1.4% | 2,589 | 2,478 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 184 | 174 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 150 | 134 | $7K |
| 99173 | 1.0% | 488 | 447 | $7K |
24 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 230 | $6K |
| 96127 | <1% | 1,629 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 95 | $4K |
| 0002A | <1% | 112 | $3K | |
| 0001A | <1% | 98 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 120 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 19 | $2K |
| 90656 | <1% | 124 | $1K | |
| 90672 | <1% | 56 | $812.93 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | $792.43 |
| 0071A | <1% | 21 | $426.94 | |
| 0072A | <1% | 13 | $236.60 | |
| 94760 | <1% | 143 | $175.22 | |
| 90670 | <1% | 70 | $166.63 | |
| 83655 | <1% | 17 | $159.37 | |
| 99000 | <1% | 38 | $95.48 | |
| 90647 | <1% | 12 | $34.95 | |
| 36416 | <1% | 16 | $30.60 | |
| 91300 | <1% | 218 | $0.13 | |
| 91308 | 0% | 33 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 41 | $0.00 |
| 99177 | 0% | 15 | $0.00 | |
| 91307 | 0% | 56 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 139 | $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 officialKHARE, SMRITI (PRESIDENT, CHILDREN'S MEDICAL GROUP)
Parent organizationCHILDREN'S MEDICAL GROUP
| 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.