Medicaid Provider Spending

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

CHILDREN'S MEDICAL GROUP

NPI: 1932454089 · MILWAUKEE, WI 53216 · Mental Health Counselor · NPI assigned 07/16/2012

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

Authorized official KHARE, SMRITI controls 20+ related entities in our dataset. Read more

$4.58M
Total Medicaid Paid
179,050
Total Claims
169,244
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKHARE, SMRITI (PRESIDENT - CHILDREN'S MEDICAL GRP)
NPI Enumeration Date07/16/2012

Related Entities

Other providers sharing the same authorized official: KHARE, SMRITI

ProviderCityStateTotal Paid
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 KENOSHA WI $1.46M
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 24,023 $611K
2019 28,990 $657K
2020 26,498 $624K
2021 32,816 $818K
2022 26,007 $670K
2023 21,658 $515K
2024 19,058 $689K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,224 21,839 $1.02M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,139 10,489 $784K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,031 9,539 $585K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,864 7,411 $471K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,804 5,511 $332K
3008F 22,741 21,518 $208K
99173 11,631 11,014 $204K
92551 11,274 10,685 $135K
83655 8,654 8,214 $107K
90791 Psychiatric diagnostic evaluation 1,102 1,011 $106K
99215 Prolong outpt/office vis 738 710 $75K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,265 1,217 $63K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,960 3,780 $58K
90832 Psychotherapy, 30 minutes with patient 1,184 952 $55K
90686 10,096 9,641 $49K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 718 674 $38K
96127 7,344 6,899 $27K
90670 5,412 5,278 $23K
99188 1,721 1,636 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 741 699 $20K
90647 3,592 3,500 $19K
99381 308 294 $18K
90723 3,620 3,527 $18K
85018 5,329 5,103 $14K
92552 914 880 $13K
99000 3,646 3,334 $12K
J1050 Injection, medroxyprogesterone acetate, 1 mg 150 146 $11K
0001A 309 297 $11K
0002A 315 291 $10K
0072A 227 211 $8K
0071A 233 198 $7K
81025 965 857 $7K
90656 456 444 $7K
36416 2,436 2,290 $6K
90633 1,143 1,085 $6K
80061 Lipid panel 460 433 $6K
90680 1,359 1,341 $6K
90677 282 259 $5K
96161 1,021 987 $4K
99383 70 65 $4K
81003 1,540 1,372 $3K
99382 24 24 $1K
99421 214 134 $1K
90651 163 147 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 13 13 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 393 346 $1K
87210 162 150 $774.69
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $697.43
83036 Hemoglobin; glycosylated (A1C) 69 68 $594.42
90734 59 55 $499.37
90710 55 51 $486.49
96380 17 15 $468.60
0052A 16 14 $432.74
90707 28 25 $289.63
90716 28 25 $241.35
90696 27 26 $234.22
90685 68 65 $231.02
90700 13 12 $42.09
99177 1,125 1,045 $33.31
36415 Collection of venous blood by venipuncture 407 369 $13.64
91300 582 523 $0.09
91308 12 12 $0.00
90381 17 15 $0.00
91307 528 467 $0.00