Medicaid Provider Spending

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

CHILDREN'S MEDICAL GROUP

NPI: 1659546877 · OAK CREEK, WI 53154 · Pediatrics Physician · NPI assigned 04/29/2008

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

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

$1.26M
Total Medicaid Paid
47,664
Total Claims
44,639
Beneficiaries
45
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 Date04/29/2008

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 KENOSHA WI $2.65M
CHILDREN'S MEDICAL GROUP WAUWATOSA WI $2.13M
CHILDREN'S MEDICAL GROUP KENOSHA WI $1.46M
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 5,244 $138K
2019 6,176 $154K
2020 4,924 $96K
2021 6,807 $158K
2022 8,288 $203K
2023 8,779 $224K
2024 7,446 $291K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,656 11,611 $429K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,979 4,580 $275K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,923 2,779 $155K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,795 1,657 $98K
3008F 7,631 7,284 $66K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 989 954 $50K
90832 Psychotherapy, 30 minutes with patient 688 606 $28K
90791 Psychiatric diagnostic evaluation 338 314 $28K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 444 427 $19K
92551 1,605 1,529 $18K
90686 4,301 4,122 $18K
99173 797 764 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 625 596 $10K
96127 2,482 2,365 $9K
0072A 276 247 $8K
0071A 208 172 $6K
83655 501 472 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 204 197 $6K
90656 332 331 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 80 76 $2K
90670 695 667 $2K
90688 574 546 $2K
99188 152 146 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 12 12 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12 12 $1K
90723 276 265 $988.10
90647 208 200 $849.65
99421 109 76 $819.28
90680 206 195 $757.10
0082A 26 25 $715.14
99000 184 168 $604.36
36416 240 227 $556.36
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 34 30 $482.54
90677 27 25 $324.60
85018 109 104 $257.97
96161 71 68 $257.96
90633 38 38 $131.14
90685 15 14 $40.71
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 144 139 $3.45
91300 29 28 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 17 16 $0.00
91308 57 57 $0.00
99177 48 43 $0.00
91307 514 443 $0.00
94760 13 12 $0.00