Children's Hospital and Health System, INC.
Children's Hospital and Health System, INC. was paid $17.92M by Medicaid between Jan 2018 and Aug 2024, across 4 billing codes. Its largest line is T1016, Case management, each 15 minutes — 100% of everything it billed.
MILWAUKEE, WI 53226
Next to other Medical Specialty Clinic/Center providers in Wisconsin
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 107,698 | $4.60M | |
| 2019 | 90,474 | $3.58M | |
| 2020 | 80,238 | $3.49M | |
| 2021 | 72,991 | $3.40M | |
| 2022 | 60,445 | $2.84M | |
| 2024incomplete | 37 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 100% | 411,141 | 147,393 | $17.87M |
| 92523 | <1% | 351 | 317 | $23K | |
| 97166 | <1% | 250 | 194 | $13K | |
| 97163 | <1% | 141 | 120 | $8K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Children's Specialty Group, INC. | Milwaukee, WI | $10.36M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.