Hospital
Children's Hospital of Wisconsin, INC.
Children's Hospital of Wisconsin, INC. was paid $3.37M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL OF WISCONSIN, INC.
NEENAH, WI 54956
NEENAH, WI 54956
33aNPI1881780302assigned 10/04/2006
33bProvider typeChildren's Hospital
28Total paid$3.37M
24GClaims48,253
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
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 | |
|---|---|---|---|
| 2018 | 6,766 | $638K | |
| 2019 | 7,893 | $646K | |
| 2020 | 7,967 | $561K | |
| 2021 | 10,807 | $653K | |
| 2022 | 11,102 | $684K | |
| 2023 | 2,924 | $167K | |
| 2024incomplete | 794 | $24K |
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 | 64% | 18,144 | 16,523 | $2.15M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.6% | 1,405 | 1,332 | $190K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 4.7% | 4,084 | 1,827 | $160K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 4.2% | 4,088 | 1,961 | $142K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 4.1% | 4,548 | 2,188 | $137K |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.7% | 1,911 | 1,711 | $125K |
| G0378 | Hospital observation service, per hour | 3.6% | 874 | 798 | $120K |
| 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 | 1.9% | 580 | 528 | $63K |
| 92526 | 1.8% | 1,443 | 859 | $61K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.3% | 1,771 | 1,037 | $43K |
| 81002 | 1.1% | 577 | 526 | $36K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 1.0% | 339 | 313 | $35K |
30 more codes
| 94010 | <1% | 1,105 | $22K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 1,162 | $18K |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | <1% | 15 | $11K |
| 97116 | <1% | 436 | $11K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 211 | $10K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 141 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 629 | $5K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 31 | $4K |
| G0379 | Direct admission of patient for hospital observation care | <1% | 105 | $4K |
| 92523 | <1% | 75 | $4K | |
| 96112 | <1% | 209 | $3K | |
| 97162 | <1% | 43 | $2K | |
| 97803 | <1% | 753 | $2K | |
| 92610 | <1% | 29 | $2K | |
| 86140 | <1% | 300 | $2K | |
| 90686 | <1% | 170 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 227 | $1K |
| 80076 | <1% | 101 | $1K | |
| 85027 | <1% | 172 | $1K | |
| 99284 | Emergency room visit (serious) | <1% | 12 | $785.65 |
| 97166 | <1% | 12 | $657.30 | |
| 85007 | <1% | 163 | $625.88 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 71 | $491.97 |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 12 | $481.67 |
| 95012 | <1% | 112 | $335.21 | |
| 85652 | <1% | 129 | $313.30 | |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 44 | $87.80 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 1,102 | $51.95 |
| 36415 | Collection of venous blood by venipuncture | <1% | 833 | $11.63 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 85 | $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 officialCADIEUX, MARC (CORPORATE VP AND CFO)
| 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 Health System | Milwaukee, WI | $2.34M |
| Children's Health System, INC. | Kenosha, WI | $1.81M |
| 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.