Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Children's Medical Group (NPI 1659546877)

Children's Medical Group is a pediatrics physician provider located in Oak Creek, Wisconsin. This profile covers 0 Medicare and 45 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Children's Medical Group
Address	8375 S Howell Ave
City	Oak Creek
State	WI
ZIP	53154
Taxonomy	Pediatrics Physician
NPI Enumerated	April 29, 2008

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	12,660	$30	$430.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	4,980	$60	$273.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,920	$50	$154.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,800	$60	$98.7K
3008F	No Summary found for this code	7,630	$10	$68.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	990	$50	$50.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	690	$40	$28.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	340	$80	$27.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	440	$40	$19.1K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	1,610	$10	$17.7K

Showing 1–10 of 45

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wisconsin Distribution

Children's Medical Group — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	205	1,630	270	$40	$205.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	103	1,760	250	$40	$173.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	50	190	370	$60	$107.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	147	260	750	$40	$99K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	35	210	340	$60	$98.9K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	165	170	330	$80	$90.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	319	690	160	$60	$90.4K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	124	160	840	$40	$75.5K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	82	90	240	$80	$65.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	45	200	200	$60	$64.2K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eye Surgery Center Of Wisconsin, LLC	WI	Ambulatory Surgical Clinic/Center	$1.6M	$348.9K
Fresenius Medical Care Midwest Dialysis, LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.5M
Oak Creek-franklin Jt. School District	WI	Local Education Agency (LEA)	$0	$1.4M
Laboratory Corporation Of America	WI	Clinical Medical Laboratory	$624.5K	$776.1K
City Of Oak Creek	WI	Land Ambulance	$305.2K	$911.2K
Duy-bao Dinh	WI	Family Medicine Physician	$568.1K	$0
Drexel Town Square Surgery Center, LLC	WI	Ambulatory Surgical Clinic/Center	$236.3K	$0
Denise Abernethy	WI	Phlebology Physician	$222.9K	$0
Christopher Lee	WI	Otolaryngology Physician	$174.6K	$22.2K
Nawras Alshoubaki	WI	Nephrology Physician	$169.7K	$0

Children's Medical Group — Billing Profile & Reimbursement Data

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Children's Medical Group — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Medical Group	WI	Pediatrics Physician	$0	$4.6M
Children's Medical Group	WI	Pediatrics Physician	$0	$3.6M
Children's Medical Group	WI	Pediatrics Physician	$0	$3.1M
Children's Medical Group	WI	Pediatrics Physician	$0	$2.6M
Children's Medical Group	WI	Pediatrics Physician	$0	$2.4M
Children's Medical Group	WI	Pediatrics Physician	$0	$2.1M
Children's Medical Group	WI	Pediatrics Physician	$0	$1.5M
Jennifer Schreiber	DC	Psychiatry Physician	$13.6K	$0
Peter Roloff	WI	Pediatrics Physician	$8.7K	$530