Children's Mercy - Cass County Pediatrics & Adolescents
Children's Mercy - Cass County Pediatrics & Adolescents was paid $1.12M by Medicaid between Jun 2020 and Nov 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
BELTON, MO 64012
Next to other Pediatric Adolescent Medicine Physician 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 | |
|---|---|---|---|
| 2020 | 3,900 | $113K | |
| 2021 | 7,227 | $246K | |
| 2022 | 7,494 | $330K | |
| 2023 | 4,145 | $282K | |
| 2024incomplete | 3,022 | $151K |
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 | 46% | 5,644 | 5,215 | $511K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 2,793 | 2,668 | $179K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 1,101 | 1,085 | $93K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 688 | 686 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 688 | 684 | $56K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 4.1% | 316 | 292 | $45K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 471 | 456 | $38K |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | 3.2% | 1,212 | 1,168 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 802 | 783 | $30K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.7% | 956 | 939 | $19K |
| 90686 | 1.5% | 2,289 | 2,256 | $17K | |
| 85018 | <1% | 3,480 | 3,420 | $7K |
18 more codes
| 82465 | <1% | 1,646 | $6K | |
| 92558 | <1% | 135 | $6K | |
| 81003 | <1% | 2,021 | $4K | |
| 83655 | <1% | 247 | $3K | |
| 90723 | <1% | 70 | $2K | |
| 90670 | <1% | 283 | $2K | |
| 90656 | <1% | 200 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 38 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 90647 | <1% | 90 | $609.37 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 12 | $404.24 |
| 90651 | <1% | 38 | $242.22 | |
| D1206 | Topical application of fluoride varnish | <1% | 12 | $208.84 |
| 99188 | <1% | 12 | $208.84 | |
| 90734 | <1% | 24 | $154.16 | |
| 90633 | <1% | 12 | $76.28 | |
| 90681 | <1% | 12 | $74.68 | |
| G9920 | Screening performed and negative | <1% | 484 | $4.44 |
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 |
|---|---|---|
| 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-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 - 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.