Medicaid Provider Spending

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

CHILDREN'S MEDICAL GROUP

NPI: 1740455096 · 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

$1.46M
Total Medicaid Paid
54,915
Total Claims
51,028
Beneficiaries
50
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 KENOSHA WI $2.65M
CHILDREN'S MEDICAL GROUP WAUWATOSA WI $2.13M
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 5,801 $182K
2019 8,125 $188K
2020 6,743 $161K
2021 8,113 $191K
2022 9,553 $254K
2023 9,464 $235K
2024 7,116 $245K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,654 6,106 $261K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,917 3,606 $259K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,594 4,351 $241K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,216 3,668 $227K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,436 2,297 $122K
3008F 9,041 8,545 $80K
90791 Psychiatric diagnostic evaluation 573 530 $48K
90832 Psychotherapy, 30 minutes with patient 1,027 749 $40K
92551 3,006 2,836 $33K
99173 1,624 1,530 $27K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,483 1,410 $20K
90686 3,892 3,712 $18K
96127 3,575 3,365 $12K
90670 1,997 1,896 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 148 136 $8K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 70 63 $6K
83655 492 463 $5K
90656 353 350 $5K
90723 1,006 952 $4K
90647 846 799 $4K
0072A 151 126 $4K
0071A 146 115 $4K
99383 56 44 $3K
0001A 63 63 $2K
90680 453 437 $2K
99188 155 149 $2K
0002A 50 49 $2K
96161 421 392 $2K
90633 289 280 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 31 30 $1K
90677 80 76 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 41 37 $1K
99382 18 14 $816.92
85018 362 337 $768.48
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 38 $622.48
90685 124 119 $416.27
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 33 27 $357.89
99000 78 74 $264.32
36416 111 104 $219.43
80061 Lipid panel 16 16 $207.82
90651 34 32 $90.16
90715 17 17 $85.33
90734 20 20 $66.99
90700 12 12 $37.76
94760 16 12 $25.00
91300 185 175 $0.15
91307 301 238 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 59 57 $0.00
99177 577 548 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 27 26 $0.00