Agency
Swope Health Services
Swope Health Services was paid $135.38M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 99% of everything it billed.
33Billing provider infoSWOPE HEALTH SERVICES
KANSAS CITY, MO 64130
KANSAS CITY, MO 64130
33aNPI1619419835assigned 11/07/2016
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$135.38M
24GClaims957,803
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Missouri
Rank by total paid#9 of 82
Median peer was paid$3.75M
This provider vs. median36×
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 MONTGOMERY, ESSENCE controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 141,113 | $15.72M | |
| 2019 | 102,489 | $16.67M | |
| 2020 | 117,294 | $17.96M | |
| 2021 | 134,883 | $17.05M | |
| 2022 | 147,918 | $18.81M | |
| 2023 | 158,170 | $23.94M | |
| 2024incomplete | 155,936 | $25.23M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 99% | 481,434 | 139,068 | $134.62M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 33,963 | 30,157 | $240K |
| 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 | <1% | 15,417 | 13,456 | $177K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 13,199 | 7,369 | $104K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 4,952 | 4,387 | $93K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 3,233 | 2,902 | $75K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 8,351 | 3,484 | $54K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,200 | 718 | $9K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 630 | 303 | $3K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 94 | 77 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 211 | 202 | $99.97 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 4,595 | 4,042 | $0.00 |
14 more codes
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 0% | 36,233 | $0.00 |
| H2012 | Behavioral health day treatment, per hour | 0% | 12,747 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 1,618 | $0.00 |
| H0038 | Self-help/peer services, per 15 minutes | 0% | 675 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 15 | $0.00 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 16 | $0.00 |
| H2010 | Comprehensive medication services, per 15 minutes | 0% | 3,622 | $0.00 |
| H0032 | Mental health service plan development by non-physician | 0% | 362 | $0.00 |
| H0036 | Community psychiatric support and treatment, per 15 minutes | 0% | 214,040 | $0.00 |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | 0% | 54,892 | $0.00 |
| H0037 | Community psychiatric supportive treatment program, per diem | 0% | 53,464 | $0.00 |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 0% | 10,558 | $0.00 |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 0% | 508 | $0.00 |
| H2015 | Community support for mental illness or disability, per 15 minutes | 0% | 1,774 | $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 officialMONTGOMERY, ESSENCE (CFO)
| Provider | Location | Paid |
|---|---|---|
| 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 | $350K |
| 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.