Medicaid Provider Spending

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

CHILDREN'S MEDICAL GROUP

NPI: 1427223783 · KENOSHA, WI 53142 · Pediatrics Physician · NPI assigned 04/28/2008

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

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

$2.65M
Total Medicaid Paid
102,984
Total Claims
96,692
Beneficiaries
61
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 Date04/28/2008

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 $3.11M
CHILDREN'S MEDICAL GROUP MILWAUKEE WI $3.00M
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 15,803 $377K
2019 19,039 $432K
2020 13,127 $311K
2021 13,943 $309K
2022 11,852 $302K
2023 16,098 $414K
2024 13,122 $506K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,897 13,639 $572K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8,587 8,126 $454K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,112 7,276 $448K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,062 3,740 $299K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,377 4,192 $223K
3008F 13,690 13,060 $119K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,757 5,459 $85K
92551 4,961 4,711 $54K
99173 3,146 2,975 $51K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 728 705 $36K
99215 Prolong outpt/office vis 422 379 $34K
90686 6,265 5,988 $27K
90791 Psychiatric diagnostic evaluation 298 277 $26K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 692 640 $23K
90670 4,576 4,406 $18K
90647 3,191 3,041 $16K
96127 4,773 4,522 $16K
90723 3,131 3,006 $15K
83655 1,141 1,058 $13K
90672 535 520 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 145 136 $11K
90680 2,066 1,987 $10K
90677 437 411 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 326 301 $9K
90832 Psychotherapy, 30 minutes with patient 197 171 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 83 77 $8K
99188 645 597 $7K
99383 75 70 $4K
99460 40 36 $4K
90633 801 760 $4K
0071A 163 119 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 229 208 $3K
90656 259 254 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 74 70 $3K
0072A 91 73 $2K
96161 630 604 $2K
99000 605 565 $2K
0001A 59 53 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 12 12 $2K
0002A 51 48 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 74 40 $1K
36416 509 473 $1K
99381 13 13 $843.37
90651 76 74 $708.52
91319 13 12 $527.12
85018 219 205 $510.91
90707 28 26 $369.07
80061 Lipid panel 28 28 $336.25
90716 38 38 $286.00
90734 56 55 $276.55
90696 34 29 $222.68
90660 12 12 $153.90
90685 33 32 $108.07
99177 753 706 $90.89
90681 25 25 $86.85
90710 13 13 $34.25
90460 Immunization administration through 18 years of age via any route, first or only component 229 221 $20.77
91300 105 93 $0.03
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 101 98 $0.00
91307 262 193 $0.00
91308 34 34 $0.00