Medicaid Provider Spending

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

SWOPE HEALTH SERVICES

NPI: 1619419835 · KANSAS CITY, MO 64130 · Community/Behavioral Health Agency · NPI assigned 11/07/2016

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

Authorized official MONTGOMERY, ESSENCE controls 11+ related entities in our dataset. Read more

$135.38M
Total Medicaid Paid
957,803
Total Claims
305,151
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMONTGOMERY, ESSENCE (CFO)
NPI Enumeration Date11/07/2016

Related Entities

Other providers sharing the same authorized official: MONTGOMERY, ESSENCE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 155,936 $25.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1040 Medicaid certified community behavioral health clinic services, per diem 481,434 139,068 $134.62M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,963 30,157 $240K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,417 13,456 $177K
90834 Psychotherapy, 45 minutes with patient 13,199 7,369 $104K
90791 Psychiatric diagnostic evaluation 4,952 4,387 $93K
99215 Prolong outpt/office vis 3,233 2,902 $75K
90832 Psychotherapy, 30 minutes with patient 8,351 3,484 $54K
90837 Psychotherapy, 53 minutes with patient 1,200 718 $9K
90853 Group psychotherapy (other than of a multiple-family group) 630 303 $3K
90846 Family psychotherapy without the patient present, 50 minutes 94 77 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 211 202 $99.97
H0002 Behavioral health screening to determine eligibility for admission to treatment program 4,595 4,042 $0.00
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 36,233 6,941 $0.00
H2012 Behavioral health day treatment, per hour 12,747 1,704 $0.00
H0004 Behavioral health counseling and therapy, per 15 minutes 1,618 890 $0.00
H0038 Self-help/peer services, per 15 minutes 675 326 $0.00
H0001 Alcohol and/or drug assessment 15 12 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 16 14 $0.00
H2010 Comprehensive medication services, per 15 minutes 3,622 2,819 $0.00
H0032 Mental health service plan development by non-physician 362 272 $0.00
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 214,040 73,811 $0.00
H2017 Psychosocial rehabilitation services, per 15 minutes 54,892 5,399 $0.00
H0037 Community psychiatric supportive treatment program, per diem 53,464 3,015 $0.00
H0005 Alcohol and/or drug services; group counseling by a clinician 10,558 3,364 $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 508 119 $0.00
H2015 Comprehensive community support services, per 15 minutes 1,774 300 $0.00