Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE CHILDREN'S MERCY HOSPITAL

NPI: 1366515488 · KANSAS CITY, MO 64108 · Children's Hospital · NPI assigned 11/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FINUF, ROBERT controls 16+ related entities in our dataset. Read more

$221.16M
Total Medicaid Paid
1,044,499
Total Claims
997,509
Beneficiaries
264
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFINUF, ROBERT (SENIOR VICE PRESIDENT)
NPI Enumeration Date11/16/2006

Related Entities

Other providers sharing the same authorized official: FINUF, ROBERT

ProviderCityStateTotal Paid
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-COMMUNITY CHOICE PEDIATRICS LEES SUMMIT MO $8.95M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 167,026 $73.14M
2019 140,643 $63.01M
2020 115,044 $21.19M
2021 144,238 $1.36M
2022 129,576 $11.52M
2023 190,468 $27.23M
2024 157,504 $23.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 268,474 261,078 $44.56M
X4011 State-specific procedure code 32,889 32,129 $29.67M
X4003 154,516 149,483 $24.31M
99283 Emergency department visit for the evaluation and management, moderate severity 65,810 64,426 $20.10M
X4014 13,063 12,996 $17.88M
99284 Emergency department visit for the evaluation and management, high severity 18,728 18,521 $7.35M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 99,588 95,213 $4.61M
87400 5,916 2,951 $4.37M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 11,531 11,057 $4.09M
87430 7,069 7,007 $3.96M
80048 Basic metabolic panel (calcium, ionized) 26,017 23,538 $3.96M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 21,595 19,043 $3.30M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,229 5,145 $3.12M
93325 4,492 4,141 $2.95M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 9,838 9,742 $2.73M
80076 19,957 18,117 $2.62M
99282 Emergency department visit for the evaluation and management, low to moderate severity 12,729 12,580 $2.56M
87081 11,011 10,903 $2.49M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 7,688 7,665 $1.56M
J3490 Unclassified drugs 2,343 1,088 $1.36M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 44,987 43,678 $1.30M
42820 Tonsillectomy and adenoidectomy; younger than age 12 256 256 $1.27M
70551 Magnetic resonance imaging, brain; without contrast material 3,249 3,131 $1.14M
71046 Radiologic examination, chest; 2 views 3,115 3,049 $1.13M
85027 12,268 11,914 $1.08M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,376 1,309 $1.02M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,027 970 $987K
86140 6,575 6,164 $985K
X4006 296 281 $943K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,711 1,215 $914K
93320 781 731 $877K
76770 3,503 3,391 $845K
84443 Thyroid stimulating hormone (TSH) 12,618 12,362 $845K
85652 5,603 5,236 $834K
83036 Hemoglobin; glycosylated (A1C) 10,579 10,312 $769K
93304 1,665 1,540 $743K
80061 Lipid panel 9,203 8,981 $728K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 916 881 $720K
83655 5,802 5,682 $705K
72082 2,927 2,764 $662K
29075 2,097 1,983 $649K
86003 1,517 789 $648K
95819 1,720 1,691 $615K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,012 1,901 $614K
93321 2,065 1,884 $567K
81003 2,958 2,856 $553K
94010 2,987 2,900 $476K
73620 587 482 $464K
73140 1,503 1,295 $462K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 258 255 $453K
82977 3,224 2,821 $447K
73100 3,083 2,745 $391K
85046 2,680 2,274 $358K
81001 923 845 $343K
81025 2,511 2,409 $322K
82728 3,640 3,446 $317K
84439 7,140 6,984 $311K
96415 662 622 $243K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,448 2,338 $243K
92523 624 607 $234K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,207 11,108 $228K
72170 1,855 1,789 $226K
81415 51 51 $225K
83615 1,543 1,218 $207K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,795 695 $200K
16020 754 571 $194K
83021 365 327 $189K
81443 94 88 $182K
88305 Level IV - Surgical pathology, gross and microscopic examination 600 587 $169K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,208 3,161 $167K
73090 1,014 836 $166K
92567 3,290 3,238 $162K
95812 237 231 $161K
86703 338 332 $150K
74018 1,229 1,149 $145K
83880 309 281 $144K
86803 194 191 $137K
87631 150 147 $132K
87340 184 181 $130K
86706 183 180 $130K
86704 183 180 $130K
94664 568 564 $112K
87077 481 461 $97K
82550 1,025 985 $93K
86900 626 583 $92K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,897 2,829 $88K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 710 696 $81K
G0378 Hospital observation service, per hour 149 146 $79K
86901 612 571 $79K
82570 1,330 1,245 $73K
86885 426 394 $69K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 429 410 $68K
87634 1,440 1,355 $65K
81407 29 28 $63K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,225 3,195 $62K
97161 313 301 $56K
29065 192 187 $56K
84100 1,490 1,062 $50K
83970 461 376 $50K
87040 45 42 $47K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 13 12 $47K
87186 263 258 $44K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,027 989 $43K
83735 1,054 735 $42K
16025 158 139 $42K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 974 937 $41K
85610 208 203 $39K
73070 213 181 $38K
83540 171 167 $35K
81229 64 64 $33K
41899 Unlisted procedure, dentoalveolar structures 27 27 $33K
92133 190 188 $33K
93786 365 356 $33K
86923 24 13 $32K
99215 Prolong outpt/office vis 191 191 $32K
92504 350 330 $31K
84156 691 651 $28K
95117 1,185 713 $28K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 169 164 $28K
85240 101 97 $27K
82784 684 579 $27K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 290 283 $26K
97530 Therapeutic activities, direct patient contact, each 15 minutes 204 123 $25K
87210 76 70 $24K
0202U Oncology (prostate), multianalyte, gene expression profiling 51 51 $24K
92526 383 344 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,674 1,670 $22K
86902 78 66 $21K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 106 67 $21K
72081 121 108 $21K
77072 161 160 $20K
85730 68 67 $20K
84460 1,033 918 $20K
86160 116 110 $20K
62370 194 188 $19K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 69 53 $19K
74019 53 52 $18K
84450 700 683 $17K
86592 13 13 $16K
84550 618 379 $16K
76825 25 24 $14K
76700 Ultrasound, abdominal, real time with image documentation; complete 101 95 $14K
73590 322 302 $13K
83516 410 386 $13K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 44 41 $13K
84305 231 226 $13K
95816 52 51 $12K
96040 443 389 $12K
17110 31 29 $11K
96409 79 51 $10K
82785 372 369 $8K
86038 42 36 $8K
86800 310 298 $7K
93308 38 36 $7K
86376 319 309 $6K
90686 1,099 1,098 $6K
43762 26 26 $6K
80197 474 315 $6K
62369 28 28 $5K
90472 Immunization administration, each additional vaccine (list separately) 382 380 $5K
87070 74 74 $5K
87205 64 64 $5K
31575 27 27 $5K
76819 Fetal biophysical profile; without non-stress testing 39 25 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 791 672 $5K
97165 59 55 $4K
80069 424 289 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 26 26 $4K
87101 41 37 $4K
43760 13 12 $4K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 130 123 $4K
92610 38 38 $3K
92579 25 25 $3K
86364 280 276 $3K
J3535 Drug administered through a metered dose inhaler 79 77 $3K
96375 Therapeutic injection; each additional sequential IV push 106 75 $3K
80180 203 165 $3K
16000 14 14 $2K
70450 Computed tomography, head or brain; without contrast material 24 24 $2K
92524 37 37 $2K
71045 Radiologic examination, chest; single view 43 28 $2K
87086 Culture, bacterial; quantitative colony count, urine 187 159 $2K
73552 58 49 $2K
86780 116 113 $2K
83550 169 166 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 22 19 $2K
76827 13 12 $2K
73610 14 14 $2K
87799 54 39 $2K
85397 49 45 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 14 14 $1K
92015 Determination of refractive state 245 243 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14 12 $1K
85246 57 57 $1K
83002 43 43 $1K
83001 42 42 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 33 26 $936.64
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $887.62
84478 108 99 $756.65
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 42 42 $722.24
95012 27 26 $702.55
90723 24 24 $642.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $590.28
80074 12 12 $536.25
82610 41 39 $523.02
92587 70 70 $521.67
93296 13 13 $515.08
97803 185 164 $503.84
82040 89 71 $463.43
J8540 Dexamethasone, oral, 0.25 mg 182 174 $452.78
90670 80 80 $430.68
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 26 26 $417.30
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 25 25 $401.25
92134 14 13 $395.90
84403 12 12 $388.83
82670 12 12 $377.73
36415 Collection of venous blood by venipuncture 501 479 $375.70
83498 14 12 $333.34
85660 51 27 $332.14
51701 13 13 $310.52
74022 13 13 $309.50
J8499 Prescription drug, oral, non chemotherapeutic, nos 465 301 $307.55
82627 17 15 $306.45
82565 38 37 $300.61
87147 33 32 $297.37
83020 14 13 $297.12
87420 27 26 $288.70
84630 14 12 $283.27
76536 12 12 $282.74
96361 Intravenous infusion, hydration; each additional hour 15 15 $277.70
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 57 54 $239.08
83690 30 28 $239.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $196.61
J7030 Infusion, normal saline solution , 1000 cc 88 68 $193.46
82310 32 31 $191.55
J9370 Vincristine sulfate, 1 mg 19 14 $177.59
85007 64 54 $174.42
82043 29 29 $170.72
82104 12 12 $168.66
97802 27 27 $163.95
82103 12 12 $160.09
95004 Percutaneous tests with allergenic extracts, immediate type reaction 13 13 $147.27
J7120 Ringers lactate infusion, up to 1000 cc 46 43 $139.64
73130 41 40 $131.53
J3010 Injection, fentanyl citrate, 0.1 mg 155 149 $126.80
J2405 Injection, ondansetron hydrochloride, per 1 mg 209 201 $124.66
86015 12 12 $123.75
82390 12 12 $122.99
84030 30 25 $120.13
86431 13 12 $109.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg 159 148 $106.38
82150 13 13 $100.74
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 93 59 $90.11
J2704 Injection, propofol, 10 mg 193 189 $83.83
J7050 Infusion, normal saline solution, 250 cc 72 63 $63.49
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 90 81 $56.64
81015 12 12 $51.15
Y7506 108 102 $50.84
J0690 Injection, cefazolin sodium, 500 mg 31 25 $20.35
J1885 Injection, ketorolac tromethamine, per 15 mg 33 30 $14.81
J2270 Injection, morphine sulfate, up to 10 mg 19 19 $11.89
S0020 Injection, bupivicaine hydrochloride, 30 ml 33 33 $1.53
Y7507 26 26 $0.00
84436 55 55 $0.00