Physician
Children's Health System, INC.
Children's Health System, INC. was paid $1.81M by Medicaid between Feb 2019 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoCHILDREN'S HEALTH SYSTEM, INC.
KENOSHA, WI 54342
KENOSHA, WI 54342
33aNPI1780155275assigned 12/10/2018
33bProvider typePediatrics Physician
28Total paid$1.81M
24GClaims37,208
24DCodes billed18
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#8 of 200
Median peer was paid$4K
This provider vs. median415×
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 CADIEUX, MARC controls 13+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 2,522 | $152K | |
| 2020 | 2,623 | $156K | |
| 2021 | 6,808 | $291K | |
| 2022 | 8,584 | $354K | |
| 2023 | 9,475 | $396K | |
| 2024incomplete | 7,196 | $461K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 15,827 | 14,714 | $681K |
| 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 | 28% | 7,652 | 7,146 | $498K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 3,700 | 3,401 | $312K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 7.3% | 4,674 | 4,340 | $133K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.4% | 788 | 741 | $61K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.2% | 1,453 | 1,346 | $59K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 298 | 270 | $37K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 355 | 341 | $17K |
| 99000 | <1% | 2,038 | 1,919 | $7K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 41 | 37 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $610.65 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 49 | 45 | $554.60 |
6 more codes
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 91 | $214.64 |
| 90686 | <1% | 27 | $74.37 | |
| 94760 | <1% | 43 | $37.70 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 44 | $30.49 |
| 81002 | <1% | 12 | $18.34 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 104 | $5.14 |
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 officialCADIEUX, MARC (CORP VP & CHIEF FINANCIAL OFFICER)
| Provider | Location | 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 | Milwaukee, WI | $651K |
| Children's Health System | New Berlin, WI | $370K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.