Clinic
Swope Health Services
Swope Health Services was paid $9.28M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoSWOPE HEALTH SERVICES
KANSAS CITY, MO 64130
KANSAS CITY, MO 64130
33aNPI1689760076assigned 10/05/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.28M
24GClaims147,049
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Missouri
Rank by total paid#2 of 215
Median peer was paid$208K
This provider vs. median45×
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 | 13,575 | $802K | |
| 2019 | 11,006 | $768K | |
| 2020 | 14,577 | $867K | |
| 2021 | 23,392 | $1.19M | |
| 2022 | 26,325 | $1.72M | |
| 2023 | 31,769 | $2.18M | |
| 2024incomplete | 26,405 | $1.75M |
Box 24 · Service lines
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 | 40% | 56,021 | 48,323 | $3.74M |
| 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 | 21% | 19,033 | 17,101 | $1.90M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.7% | 7,524 | 7,216 | $719K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 4,164 | 3,877 | $345K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 3,287 | 3,216 | $270K |
| 92015 | Determination of refractive state | 2.5% | 9,731 | 9,370 | $233K |
| 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 | 2.4% | 8,893 | 7,567 | $220K |
| 76801 | 2.0% | 813 | 752 | $182K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 976 | 908 | $170K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 3,563 | 3,259 | $168K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 1,907 | 1,866 | $164K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.6% | 1,335 | 1,239 | $146K |
69 more codes
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.1% | 747 | $98K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 978 | $86K |
| 81025 | <1% | 5,319 | $73K | |
| D1110 | Prophylaxis - adult | <1% | 938 | $64K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,571 | $59K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,499 | $51K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,029 | $50K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 871 | $49K |
| V2020 | Frames, purchases | <1% | 2,377 | $47K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 333 | $44K |
| D0330 | Panoramic radiographic image | <1% | 413 | $39K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,607 | $37K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 542 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,257 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 212 | $25K |
| D0274 | Bitewings - four radiographic images | <1% | 469 | $24K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 98 | $23K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,248 | $23K |
| 99381 | <1% | 214 | $21K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 192 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 235 | $15K |
| D0140 | Limited oral evaluation - problem focused | <1% | 180 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 93 | $12K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 101 | $9K |
| 83655 | <1% | 836 | $9K | |
| 94664 | <1% | 462 | $6K | |
| D1120 | Dental cleaning, child | <1% | 144 | $6K |
| 99382 | <1% | 50 | $5K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 373 | $4K |
| 90837 | Psychotherapy session, about an hour | <1% | 113 | $4K |
| 73630 | <1% | 92 | $3K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 205 | $3K |
| 11056 | <1% | 74 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 229 | $3K |
| 81003 | <1% | 503 | $3K | |
| 76642 | <1% | 28 | $3K | |
| 92133 | <1% | 54 | $3K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 133 | $3K |
| D0120 | Dental checkup, returning patient | <1% | 54 | $3K |
| 76830 | Ultrasound, transvaginal | <1% | 28 | $3K |
| 85018 | <1% | 1,038 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 126 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 31 | $2K |
| 97802 | <1% | 28 | $2K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 152 | $2K |
| 87634 | <1% | 31 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 28 | $1K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 31 | $1K |
| 73030 | <1% | 25 | $1K | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 40 | $890.94 |
| 92083 | <1% | 14 | $820.19 | |
| 73562 | <1% | 14 | $722.21 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 13 | $564.81 |
| 72100 | <1% | 14 | $527.17 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 16 | $487.40 |
| D0350 | <1% | 48 | $483.00 | |
| GO467 | <1% | 12 | $390.18 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 24 | $350.06 |
| 99442 | <1% | 159 | $54.71 | |
| D1330 | 0% | 137 | $0.00 | |
| D0603 | 0% | 60 | $0.00 | |
| D1310 | 0% | 100 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 1,090 | $0.00 |
| 4004F | 0% | 457 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 122 | $0.00 |
| D0191 | 0% | 18 | $0.00 | |
| D9996 | 0% | 44 | $0.00 | |
| D0412 | 0% | 13 | $0.00 | |
| 86703 | 0% | 16 | $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 | $135.38M |
| 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.