Physician
Children's Hospital of Wisconsin
Children's Hospital of Wisconsin was paid $800K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 47% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
33aNPI1831437581assigned 01/30/2013
33bProvider typePediatrics Physician
28Total paid$800K
24GClaims8,988
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#16 of 200
Median peer was paid$4K
This provider vs. median183×
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.
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 | |
|---|---|---|---|
| 2018 | 2,862 | $244K | |
| 2019 | 1,916 | $167K | |
| 2020 | 1,557 | $131K | |
| 2021 | 1,788 | $147K | |
| 2022 | 649 | $73K | |
| 2023 | 106 | $16K | |
| 2024incomplete | 110 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 2,923 | 2,449 | $376K |
| 99205 | Prolong outpt/office vis | 41% | 1,806 | 1,529 | $326K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.3% | 625 | 526 | $51K |
| 99170 | 3.6% | 695 | 629 | $29K | |
| 3008F | 1.8% | 1,958 | 1,333 | $14K | |
| 96127 | <1% | 813 | 611 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 153 | 119 | $1K |
| 99188 | <1% | 15 | 15 | $193.35 |
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 officialMARC, CADIEUX (TREASURER/CHIEF FINANCIAL OFFICER)