Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHILDREN'S HEALTH SYSTEM

NPI: 1447599170 · NEW BERLIN, WI 53151 · Pediatrics Physician · NPI assigned 01/31/2013

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

Authorized official CADIEUX, MARC controls 13+ related entities in our dataset. Read more

$370K
Total Medicaid Paid
8,475
Total Claims
7,921
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCADIEUX, MARC (TREASURER/CHIEF FINANCIAL OFFICER)
NPI Enumeration Date01/31/2013

Related Entities

Other providers sharing the same authorized official: CADIEUX, MARC

ProviderCityStateTotal 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 HOSPITAL OF WISCONSIN, INC. MILWAUKEE WI $148K
CHILDREN'S HEALTH SYSTEM MEQUON WI $93K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 253 $10K
2019 251 $10K
2020 220 $9K
2021 776 $21K
2022 2,008 $70K
2023 2,403 $94K
2024 2,564 $155K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,796 6,363 $279K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 618 583 $52K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 512 463 $27K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 263 244 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 70 63 $3K
99000 204 193 $671.54
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $548.12