Behavioral
Children's Medical Group
Children's Medical Group was paid $167K by Medicaid between Aug 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoCHILDREN'S MEDICAL GROUP
WEST BEND, WI 53090
WEST BEND, WI 53090
33aNPI1992171987assigned 08/13/2015
33bProvider typeMental Health Counselor
28Total paid$167K
24GClaims6,396
24DCodes billed25
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Wisconsin
Rank by total paid#43 of 189
Median peer was paid$19K
This provider vs. median8.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KHARE, SMRITI controls 20+ 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 | 101 | $2K | |
| 2019 | 377 | $10K | |
| 2020 | 919 | $20K | |
| 2021 | 1,412 | $33K | |
| 2022 | 1,189 | $28K | |
| 2023 | 1,353 | $31K | |
| 2024incomplete | 1,045 | $45K |
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 | 45% | 2,233 | 2,010 | $74K |
| 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 | 21% | 675 | 605 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 457 | 426 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 181 | 169 | $9K |
| 3008F | 5.1% | 1,019 | 965 | $8K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.8% | 68 | 66 | $3K |
| 92551 | 1.8% | 282 | 271 | $3K | |
| 99173 | 1.5% | 148 | 144 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 31 | 29 | $2K |
| 90686 | 1.0% | 506 | 479 | $2K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 54 | 38 | $2K |
| 96127 | <1% | 360 | 348 | $1K |
13 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $1K |
| 0071A | <1% | 52 | $979.20 | |
| 0072A | <1% | 26 | $663.72 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 61 | $643.54 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 17 | $523.53 |
| 90656 | <1% | 36 | $392.70 | |
| 90670 | <1% | 17 | $44.25 | |
| 99000 | <1% | 15 | $39.98 | |
| 90723 | <1% | 13 | $33.99 | |
| 91307 | 0% | 90 | $0.00 | |
| 94760 | 0% | 17 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 12 | $0.00 |
| 99177 | 0% | 12 | $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 officialKHARE, SMRITI (PRESIDENT-CHILDREN'S MEDICAL GROUP)
Parent organizationCHILDREN'S MEDICAL GROUP
| Provider | Location | Paid |
|---|---|---|
| Children's Medical Group | Milwaukee, WI | $4.58M |
| 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 | Mount Pleasant, WI | $142K |
| Children's Medical Group | Milwaukee, WI | $141K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.