Children's Health System
Children's Health System was paid $93K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
MEQUON, WI 53092
Next to other Pediatrics Physician providers in Wisconsin
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 172 | $6K | |
| 2019 | 91 | $4K | |
| 2020 | 95 | $4K | |
| 2021 | 620 | $20K | |
| 2022 | 579 | $21K | |
| 2023 | 601 | $21K | |
| 2024incomplete | 314 | $16K |
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 | 69% | 1,722 | 1,607 | $64K |
| 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 | 14% | 244 | 233 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.2% | 71 | 64 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.6% | 88 | 82 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.2% | 97 | 94 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.0% | 24 | 24 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.6% | 41 | 28 | $1K |
| 99000 | <1% | 164 | 158 | $550.86 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 21 | 12 | $27.44 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Children's Hospital and Health System, INC. | Milwaukee, WI | $17.92M |
| Children's Specialty Group, INC. | Milwaukee, WI | $10.36M |
| Surgicenter of Greater Milwaukee, LLC | Milwaukee, WI | $4.44M |
| Children's Hospital of Wisconsin, INC. | Neenah, WI | $3.37M |
| Children's Health System | Milwaukee, WI | $2.34M |
| Children's Health System, INC. | Kenosha, WI | $1.81M |
| Children's Health System | Milwaukee, WI | $651K |
| Children's Health System | New Berlin, WI | $370K |
| Children's Hospital of Wisconsin, INC. | Milwaukee, WI | $148K |
| Children's Health System, INC. | Oak Creek, WI | $88K |
| Children's Hospital of Wisconsin, INC. | Milwaukee, WI | $66K |
| Children's Health System | Delafield, WI | $23K |
| West Allis Prescription Center INC | West Allis, WI | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.