Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MILWAUKEE › CHILDREN'S SPECIALTY GROUP, INC.

CHILDREN'S SPECIALTY GROUP, INC.

NPI: 1942970405 · MILWAUKEE, WI 53226 · Pediatric Dentist · NPI assigned 09/16/2021

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

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

$10.36M
Total Medicaid Paid
183,077
Total Claims
158,313
Beneficiaries
150
Codes Billed
2024-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCADIEUX, MARC (CORPORATE VP & CFO)
NPI Enumeration Date09/16/2021

Related Entities

Other providers sharing the same authorized official: CADIEUX, MARC

ProviderCityStateTotal Paid
CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. MILWAUKEE WI $17.92M
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, 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 183,077 $10.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 14,206 13,313 $2.10M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,732 17,811 $1.43M
99215 Prolong outpt/office vis 11,922 10,978 $1.08M
99283 Emergency department visit for the evaluation and management, moderate severity 19,547 18,518 $939K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,514 3,312 $702K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,641 8,876 $475K
99244 Office or other outpatient consultation, moderate to high complexity 2,593 2,312 $253K
70551 Magnetic resonance imaging, brain; without contrast material 2,674 2,438 $160K
95720 1,301 961 $151K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,678 1,563 $148K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 561 534 $135K
92060 4,037 3,481 $132K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 421 64 $130K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,239 1,144 $130K
00170 Anesthesia for intraoral procedures, including biopsy 1,057 975 $125K
99239 Hospital discharge day management, more than 30 minutes 1,852 1,701 $122K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,041 947 $118K
99233 Prolong inpt eval add15 m 3,333 1,423 $97K
99243 1,171 1,100 $81K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,476 1,363 $74K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 758 705 $71K
90834 Psychotherapy, 45 minutes with patient 1,030 680 $71K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,225 1,996 $63K
99245 493 473 $63K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 730 301 $57K
42820 Tonsillectomy and adenoidectomy; younger than age 12 265 239 $56K
96116 904 802 $55K
01922 506 469 $55K
70450 Computed tomography, head or brain; without contrast material 1,341 1,228 $54K
96132 656 566 $53K
71045 Radiologic examination, chest; single view 9,139 4,855 $49K
96139 530 446 $47K
92015 Determination of refractive state 5,259 4,653 $42K
71046 Radiologic examination, chest; 2 views 5,622 5,244 $42K
96133 428 368 $39K
93320 1,658 1,480 $35K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,587 4,000 $33K
96167 726 568 $33K
95810 Polysomnography; sleep staging with 4 or more additional parameters 371 362 $30K
99282 Emergency department visit for the evaluation and management, low to moderate severity 805 745 $29K
76770 991 965 $28K
93976 577 536 $26K
74177 Computed tomography, abdomen and pelvis; with contrast material 527 473 $26K
99205 Prolong outpt/office vis 151 126 $26K
74018 4,250 3,301 $25K
64642 554 544 $24K
99232 Subsequent hospital care, per day, moderate complexity 1,154 628 $24K
96158 590 398 $24K
64643 521 514 $24K
76775 792 731 $22K
94010 2,047 1,920 $21K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 401 373 $20K
99223 Prolong inpt eval add15 m 329 308 $20K
99242 385 368 $19K
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 303 174 $17K
76506 557 393 $17K
96156 219 203 $16K
99480 Subsequent intensive care, per day, low birth weight infant 159 45 $16K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 39 37 $14K
93325 3,467 3,110 $13K
96138 590 497 $13K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 185 176 $12K
73610 1,342 1,222 $12K
73630 1,327 1,168 $11K
96136 375 321 $11K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 362 323 $11K
95718 147 141 $11K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 310 290 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 303 288 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity 569 236 $9K
73590 1,115 892 $9K
95719 90 74 $9K
73090 1,100 953 $9K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 224 201 $8K
72141 116 110 $7K
92504 373 342 $7K
95874 716 501 $7K
00731 131 112 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 160 143 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 210 194 $7K
92201 441 285 $7K
74019 847 760 $7K
72082 664 633 $7K
73140 1,063 991 $7K
90837 Psychotherapy, 53 minutes with patient 57 42 $7K
88342 228 201 $6K
70486 114 108 $6K
99222 Initial hospital care, per day, moderate complexity 115 110 $6K
72170 850 811 $6K
72081 707 672 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 91 88 $5K
73560 703 601 $5K
96112 70 61 $5K
73070 778 706 $5K
72146 67 63 $5K
95782 40 40 $5K
73100 638 567 $5K
85060 304 269 $5K
73130 549 501 $4K
95251 208 190 $4K
93356 175 164 $4K
96168 182 160 $4K
88307 48 41 $3K
88108 299 262 $3K
00126 56 50 $3K
93321 580 541 $3K
96131 12 12 $3K
76536 115 108 $3K
95813 61 60 $3K
88304 272 240 $3K
95819 111 100 $3K
42830 15 13 $3K
93308 163 148 $3K
80503 195 157 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 307 290 $2K
95717 35 30 $2K
17110 99 88 $2K
96137 12 12 $2K
70360 309 289 $2K
99292 53 12 $2K
73110 263 231 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 44 43 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 40 38 $2K
73552 231 200 $1K
91200 148 146 $1K
95816 51 50 $1K
96130 12 12 $1K
96159 46 36 $1K
88312 24 12 $1K
77073 108 103 $980.95
99253 15 15 $909.44
99254 13 12 $891.04
77072 149 139 $839.13
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 41 29 $678.38
70543 14 12 $670.48
72040 69 66 $635.90
92250 29 26 $633.64
74230 33 30 $627.67
76825 12 12 $585.22
93304 24 24 $559.72
74240 18 17 $554.52
99238 Hospital discharge day management, 30 minutes or less 15 14 $482.56
76827 12 12 $322.82
73564 20 14 $198.69
70250 13 13 $130.24
72100 12 12 $126.00
76010 12 12 $114.95
73030 13 12 $87.24
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 164 158 $0.00
99358 Prolong nursin fac eval 15m 12 12 $0.00