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

Kansas City Pulmonology Practice, LLC

Kansas City Pulmonology Practice, LLC was paid $160K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 58% of everything it billed.

33Billing provider infoKANSAS CITY PULMONOLOGY PRACTICE, LLC
KANSAS CITY, MO 64132
33aNPI1134208150assigned 11/02/2006
28Total paid$160K
24GClaims3,792
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Pulmonary Disease Physician providers in Missouri

Rank by total paid#7 of 35
Median peer was paid$20K
This provider vs. median7.8×

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

Paid by month

$0$10K$20K2018201920202021202220232024
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
2018532$17K
20191,166$12K
2020493$26K
2021124$5K
2022567$43K
2023424$23K
2024incomplete486$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 58% 1,037 277 $92K
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 25% 1,309 1,014 $40K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 9.4% 804 272 $15K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.4% 582 171 $12K
94060 <1% 16 12 $141.99
3008F 0% 44 41 $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 officialCALKINS, BENJAMIN (GROUP VICE PRESIDENT)
Same official

Other billing entities under CALKINS, BENJAMIN

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