Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

KC Childrens Surgery Center LLC

KC Childrens Surgery Center LLC was paid $13.76M by Medicaid between Mar 2019 and Dec 2024, across 18 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 36% of everything it billed.

33Billing provider infoKC CHILDRENS SURGERY CENTER LLC
KANSAS CITY, KS 66112
33aNPI1124522495assigned 03/21/2018
28Total paid$13.76M
24GClaims26,932
24DCodes billed18
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Kansas

Rank by total paid#1 of 29
Median peer was paid$43K
This provider vs. median319×

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 LARSEN, DEVIN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
2019331$322K
20201,980$1.68M
20214,056$2.53M
20224,600$3.06M
20237,226$3.28M
2024incomplete8,739$2.88M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D9999 Unspecified adjunctive procedure, by report 36% 4,811 4,688 $4.89M
41899 Unlisted procedure, dentoalveolar structures 31% 2,646 2,379 $4.25M
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room 7.7% 642 629 $1.06M
D0150 Comprehensive oral evaluation - new or established patient 6.1% 2,684 1,509 $844K
D7140 Extraction, erupted tooth or exposed root 5.6% 4,007 1,626 $774K
D2930 Prefabricated stainless steel crown - primary tooth 3.6% 1,584 637 $498K
00170 Anesthesia for intraoral procedures, including biopsy 3.4% 5,199 5,134 $465K
D7240 Removal of impacted tooth - completely bony 2.8% 967 351 $387K
D2934 <1% 517 207 $124K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 871 365 $117K
D0603 <1% 66 64 $92K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 439 227 $72K
6 more codes
D0210 Intraoral - complete series of radiographic images <1% 1,365 $72K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 388 $46K
D2330 <1% 377 $41K
D7230 <1% 61 $14K
D1351 Sealant - per tooth <1% 271 $7K
D2331 <1% 37 $4K

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 officialLARSEN, DEVIN (CEO)
Same official

Other billing entities under LARSEN, DEVIN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.