Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MILWAUKEE › CHILDREN'S MEDICAL GROUP

CHILDREN'S MEDICAL GROUP

NPI: 1366617581 · MILWAUKEE, WI 53227 · Pediatrics Physician · NPI assigned 04/29/2008

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

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

$3.11M
Total Medicaid Paid
124,946
Total Claims
118,610
Beneficiaries
58
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 Date04/29/2008

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 $3.00M
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
CHILDREN'S MEDICAL GROUP MILWAUKEE WI $141K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,334 $352K
2019 16,412 $387K
2020 13,889 $289K
2021 19,428 $438K
2022 21,944 $536K
2023 21,329 $530K
2024 16,610 $580K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,999 8,462 $554K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,367 14,360 $546K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,418 7,125 $408K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,600 5,033 $313K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,662 5,404 $298K
3008F 15,909 15,268 $144K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,440 2,359 $132K
90791 Psychiatric diagnostic evaluation 1,061 960 $94K
92551 7,136 6,815 $81K
99173 4,261 4,053 $71K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,315 1,266 $58K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,250 3,098 $55K
83655 4,172 3,996 $50K
99188 3,617 3,475 $43K
96127 10,913 10,423 $40K
90686 7,946 7,667 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,437 1,353 $34K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 671 637 $22K
90832 Psychotherapy, 30 minutes with patient 466 383 $18K
90670 2,818 2,706 $12K
90647 1,505 1,449 $10K
90723 1,514 1,453 $9K
80061 Lipid panel 674 639 $8K
90656 597 591 $8K
0072A 240 216 $7K
90680 1,046 998 $7K
0071A 220 187 $6K
90677 304 287 $5K
0002A 143 137 $5K
99215 Prolong outpt/office vis 46 42 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 45 42 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 195 185 $3K
36416 1,352 1,296 $3K
99000 864 810 $3K
0001A 90 89 $3K
85018 1,124 1,063 $3K
90651 514 501 $3K
90633 386 368 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 25 24 $2K
90734 330 321 $2K
0082A 61 53 $2K
96161 273 264 $1K
0074A 29 27 $845.62
99383 12 12 $743.96
0081A 27 22 $635.63
0052A 15 13 $464.79
91319 19 13 $351.34
82962 60 58 $178.15
90685 46 45 $142.60
90715 27 26 $131.57
99177 1,529 1,451 $88.00
90620 24 24 $73.71
90648 16 16 $55.28
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 138 138 $40.00
91300 265 245 $0.03
90460 Immunization administration through 18 years of age via any route, first or only component 123 122 $0.00
91308 66 63 $0.00
91307 544 477 $0.00