Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › Glendale › NPI 1710152954
Behavioral

Children's Medical Group

Children's Medical Group was paid $3.64M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoCHILDREN'S MEDICAL GROUP
GLENDALE, WI 53212
33aNPI1710152954assigned 04/29/2008
33bProvider typeMental Health Counselor
28Total paid$3.64M
24GClaims130,212
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Mental Health Counselor providers in Wisconsin

Rank by total paid#6 of 189
Median peer was paid$19K
This provider vs. median195×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201817,166$425K
201919,577$495K
202014,530$379K
202117,372$478K
202217,924$515K
202322,417$587K
2024incomplete21,226$758K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 26% 12,912 12,098 $938K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 13,107 12,241 $563K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 7,359 6,900 $417K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.7% 5,969 5,505 $351K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.0% 5,183 4,950 $290K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.0% 2,659 2,526 $147K
3008F 3.9% 15,793 14,949 $143K
99173 3.7% 7,713 7,324 $133K
92551 2.6% 8,160 7,741 $94K
83655 2.2% 6,613 6,244 $80K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.8% 2,377 2,244 $65K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.3% 503 476 $46K
47 more codes
90832 Psychotherapy session, about 30 minutes 1.2% 965 $43K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.2% 904 $42K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.0% 2,719 $37K
99188 <1% 2,938 $36K
96127 <1% 7,517 $27K
90686 <1% 4,720 $25K
99215 Doctor's office visit, returning patient (complex) <1% 208 $18K
90647 <1% 2,443 $16K
90670 <1% 3,494 $16K
90723 <1% 2,537 $14K
90677 <1% 619 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 112 $9K
90656 <1% 563 $8K
99381 <1% 117 $7K
90680 <1% 1,378 $6K
36416 <1% 2,432 $6K
0072A <1% 190 $6K
0071A <1% 172 $5K
85018 <1% 1,931 $5K
90651 <1% 563 $4K
90633 <1% 637 $3K
99000 <1% 956 $3K
80061 Lipid panel <1% 286 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 80 $3K
90734 <1% 445 $2K
0002A <1% 73 $2K
94760 <1% 1,119 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 29 $2K
99203 Doctor's office visit, new patient (routine) <1% 16 $2K
99383 <1% 26 $2K
0001A <1% 42 $1K
0052A <1% 17 $431.22
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 14 $239.90
90715 <1% 66 $213.18
99177 <1% 757 $201.58
90710 <1% 24 $192.90
90707 <1% 50 $192.78
96161 <1% 41 $181.39
90716 <1% 50 $160.10
81025 <1% 14 $96.86
90700 <1% 29 $87.01
90685 <1% 22 $72.72
90696 <1% 12 $37.20
91300 0% 143 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 12 $0.00
91307 0% 370 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 12 $0.00

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
Same official

Other billing entities under KHARE, SMRITI

Full network →
ProviderLocationPaid
Children's Medical GroupMilwaukee, WI$4.58M
Children's Medical GroupMilwaukee, WI$3.11M
Children's Medical GroupMilwaukee, WI$3.00M
Children's Medical GroupKenosha, WI$2.65M
Children's Medical GroupWauwatosa, WI$2.13M
Children's Medical GroupKenosha, WI$1.46M
Children's Medical GroupOak Creek, WI$1.26M
Children's Medical GroupMilwaukee, WI$1.19M
Children's Medical GroupMilwaukee, WI$915K
Children's Medical GroupNew Berlin, WI$674K
Children's Medical GroupFox Point, WI$642K
Children's Medical GroupFranklin, WI$557K
Children's Medical GroupBrookfield, WI$399K
Children's Medical GroupBrookfield, WI$327K
Children's Medical GroupNew Berlin, WI$284K
Children's Medical GroupMequon, WI$233K
Children's Medical Group, INC.Delafield, WI$187K
Children's Medical GroupWest Bend, WI$167K
Children's Medical GroupMount Pleasant, WI$142K
Children's Medical GroupMilwaukee, WI$141K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.