Physician
Children's Health System
Children's Health System was paid $553K by Medicaid between Jan 2018 and Mar 2020, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoCHILDREN'S HEALTH SYSTEM
MILWAUKEE, WI 53204
MILWAUKEE, WI 53204
33aNPI1619215621assigned 01/25/2013
33bProvider typePediatrics Physician
28Total paid$553K
24GClaims10,589
24DCodes billed11
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#21 of 200
Median peer was paid$4K
This provider vs. median127×
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.
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 | 4,479 | $203K | |
| 2019 | 4,600 | $253K | |
| 2020 | 1,510 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 3,212 | 3,071 | $209K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 3,678 | 3,492 | $160K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 773 | 717 | $68K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 9.0% | 914 | 847 | $50K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.3% | 791 | 754 | $29K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.2% | 334 | 321 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 350 | 334 | $5K |
| 99000 | <1% | 332 | 307 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 38 | 38 | $1K |
| 94760 | <1% | 128 | 121 | $213.62 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 39 | 36 | $4.49 |
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 officialGAGE, WELDON (TREASURER/CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Texas Children's Hospital | Houston, TX | $277.28M |
| Texas Children's Physician Group | Houston, TX | $160.81M |
| Children's Hospital of Wisconsin | Kenosha, WI | $50K |
| Children's Hospital of Wisconsin | Green Bay, WI | $24K |
| Children's Hospital of Wisconsin | Racine, WI | $10K |
| Children's Hospital of Wisconsin | Appleton, WI | $9K |
| Children's Hospital of Wisconsin | Waukesha, WI | $2K |
| Texas Children's Hospital | Austin, TX | $141.20 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.