Medicaid Provider Spending

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

CHILDREN'S HEALTH SYSTEM, INC.

NPI: 1780155275 · KENOSHA, WI 54342 · Pediatrics Physician · NPI assigned 12/10/2018

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

Authorized official CADIEUX, MARC controls 13+ related entities in our dataset. Read more

$1.81M
Total Medicaid Paid
37,208
Total Claims
34,607
Beneficiaries
18
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCADIEUX, MARC (CORP VP & CHIEF FINANCIAL OFFICER)
NPI Enumeration Date12/10/2018

Related Entities

Other providers sharing the same authorized official: CADIEUX, MARC

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,522 $152K
2020 2,623 $156K
2021 6,808 $291K
2022 8,584 $354K
2023 9,475 $396K
2024 7,196 $461K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,827 14,714 $681K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,652 7,146 $498K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,700 3,401 $312K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,674 4,340 $133K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 788 741 $61K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,453 1,346 $59K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 298 270 $37K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 355 341 $17K
99000 2,038 1,919 $7K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 41 37 $3K
99215 Prolong outpt/office vis 12 12 $610.65
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 49 45 $554.60
J8540 Dexamethasone, oral, 0.25 mg 91 81 $214.64
90686 27 25 $74.37
94760 43 39 $37.70
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 44 41 $30.49
81002 12 12 $18.34
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 104 97 $5.14