Physician
Children's Mercy-Community Choice Pediatrics
Children's Mercy-Community Choice Pediatrics was paid $8.95M by Medicaid between Aug 2020 and Dec 2024, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoCHILDREN'S MERCY-COMMUNITY CHOICE PEDIATRICS
LEES SUMMIT, MO 64086
LEES SUMMIT, MO 64086
33aNPI1114540085assigned 05/26/2020
33bProvider typePediatrics Physician
28Total paid$8.95M
24GClaims136,632
24DCodes billed45
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#1 of 992
Median peer was paid$40K
This provider vs. median221×
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 FINUF, ROBERT controls 16+ 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 | |
|---|---|---|---|
| 2020 | 10,941 | $435K | |
| 2021 | 32,840 | $1.55M | |
| 2022 | 31,545 | $2.02M | |
| 2023 | 32,263 | $2.62M | |
| 2024incomplete | 29,043 | $2.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 36,561 | 35,272 | $3.53M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 26,608 | 25,715 | $1.73M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 9,068 | 9,009 | $851K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.4% | 9,007 | 8,712 | $840K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 6,402 | 6,367 | $602K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.1% | 6,804 | 6,609 | $366K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 2,158 | 2,129 | $202K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.9% | 2,037 | 1,983 | $174K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.6% | 4,413 | 4,333 | $140K |
| 90723 | 1.5% | 3,500 | 3,484 | $138K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.4% | 1,006 | 562 | $127K |
| 90648 | <1% | 6,407 | 6,361 | $51K |
33 more codes
| 90686 | <1% | 6,716 | $49K | |
| 90670 | <1% | 5,277 | $40K | |
| 90633 | <1% | 1,756 | $14K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 78 | $13K |
| 90677 | <1% | 1,232 | $12K | |
| 0072A | <1% | 278 | $11K | |
| 0071A | <1% | 221 | $8K | |
| 90656 | <1% | 701 | $7K | |
| 90710 | <1% | 186 | $6K | |
| 0002A | <1% | 126 | $5K | |
| 90680 | <1% | 578 | $4K | |
| 90734 | <1% | 418 | $4K | |
| 90681 | <1% | 416 | $3K | |
| 90696 | <1% | 103 | $3K | |
| 99383 | <1% | 31 | $3K | |
| 90651 | <1% | 336 | $3K | |
| 90715 | <1% | 108 | $3K | |
| 0001A | <1% | 73 | $2K | |
| 94760 | <1% | 782 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 23 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 32 | $2K |
| 99173 | <1% | 81 | $1K | |
| 83655 | <1% | 85 | $994.29 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $736.76 |
| 0003A | <1% | 13 | $520.00 | |
| 90672 | <1% | 83 | $518.95 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 35 | $454.79 |
| 90700 | <1% | 14 | $266.44 | |
| 90660 | <1% | 25 | $160.85 | |
| 90671 | <1% | 12 | $117.45 | |
| 85018 | <1% | 50 | $113.63 | |
| G9920 | Screening performed and negative | <1% | 2,753 | $23.61 |
| 1031F | 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 officialFINUF, ROBERT (SENIOR VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| The Children's Mercy Hospital | Kansas City, MO | $221.16M |
| The Children's Mercy Hospital | Kansas City, MO | $53.57M |
| The Children's Mercy Hospital | Riverside, MO | $28.27M |
| The Children's Mercy Hospital | Overland Park, KS | $22.32M |
| The Children's Mercy Hospital | Kansas City, MO | $13.40M |
| Children's Mercy-Cockerell and Mcintosh Pediatrics, INC | Blue Springs, MO | $6.34M |
| Children's Mercy-Preferred Pediatrics | Lees Summit, MO | $2.92M |
| The Children's Mercy Hospital | Riverside, MO | $2.34M |
| Children's Mercy - Peacock Pediatrics, INC | Saint Joseph, MO | $1.29M |
| Children's Mercy - Cass County Pediatrics & Adolescents | Belton, MO | $1.12M |
| Children's Mercy - Pediatric Partners, INC | Overland Park, KS | $459K |
| The Children's Mercy Hospital | Riverside, MO | $334K |
| Children's Mercy - Redwood Pediatrics | Kansas City, MO | $246K |
| Children's Mercy - Wildwood Pediatrics | Lees Summit, MO | $6K |
| The Childrens Mercy Hospital | Kansas City, MO | $4K |
| The Children's Mercy Hospital | Kansas City, MO | $54.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.