Swope Health Services
Swope Health Services was paid $350K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
KANSAS CITY, MO 64138
Next to other Federally Qualified Health Center (FQHC) providers in Missouri
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 | 665 | $47K | |
| 2019 | 498 | $42K | |
| 2020 | 242 | $21K | |
| 2021 | 608 | $42K | |
| 2022 | 794 | $63K | |
| 2023 | 801 | $65K | |
| 2024incomplete | 981 | $70K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 2,423 | 2,270 | $168K |
| 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 | 47% | 1,605 | 1,517 | $163K |
| D0330 | Panoramic radiographic image | 1.3% | 50 | 48 | $4K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.3% | 205 | 185 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 78 | 73 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 44 | 44 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 79 | 26 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 15 | 14 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 12 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 15 | $914.71 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | 12 | $772.80 |
| 81025 | <1% | 50 | 42 | $551.44 |
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 |
|---|---|---|
| Swope Health Services | Kansas City, MO | $135.38M |
| Swope Health Services | Kansas City, MO | $9.28M |
| Swope Health Services | Kansas City, KS | $884K |
| Swope Health Services | Riverside, MO | $731K |
| Swope Health Services | Independence, MO | $719K |
| Swope Health Services | Kansas City, KS | $645K |
| Swope Health Services | Kansas City, MO | $612K |
| Swope Health Services | Belton, MO | $487K |
| Swope Health Services | Kansas City, MO | $54K |
| Swope Health Services | Independence, MO | $50K |
| Swope Health Services | Kansas City, MO | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.