NP / PA
Children's Medical Group
Children's Medical Group was paid $12K by Medicaid between Jan 2018 and Feb 2020, across 10 billing codes. Its largest line is 3008F, — 29% of everything it billed.
33Billing provider infoCHILDREN'S MEDICAL GROUP
MILWAUKEE, WI 53206
MILWAUKEE, WI 53206
33aNPI1417299488assigned 03/18/2013
33bProvider typeFamily Nurse Practitioner
28Total paid$12K
24GClaims1,042
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Family Nurse Practitioner providers in Wisconsin
Rank by total paid#39 of 180
Median peer was paid$2K
This provider vs. median5.1×
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 | 322 | $4K | |
| 2019 | 654 | $7K | |
| 2020 | 66 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 3008F | 29% | 359 | 340 | $3K | |
| 99173 | 23% | 147 | 139 | $3K | |
| 92551 | 16% | 156 | 147 | $2K | |
| 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 | 8.3% | 13 | 13 | $966.82 |
| 83655 | 7.5% | 57 | 56 | $866.09 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 21 | 18 | $800.01 |
| 90686 | 5.8% | 211 | 205 | $677.93 | |
| 80061 | Lipid panel | 1.7% | 13 | 13 | $203.18 |
| 96127 | 1.5% | 47 | 43 | $170.50 | |
| 99000 | <1% | 18 | 15 | $57.36 |
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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.