Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › KANSAS CITY › SWOPE HEALTH SERVICES

SWOPE HEALTH SERVICES

NPI: 1689760076 · KANSAS CITY, MO 64130 · Federally Qualified Health Center (FQHC) · NPI assigned 10/05/2006

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

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

$9.28M
Total Medicaid Paid
147,049
Total Claims
130,274
Beneficiaries
81
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMONTGOMERY, ESSENCE (CFO)
NPI Enumeration Date10/05/2006

Related Entities

Other providers sharing the same authorized official: MONTGOMERY, ESSENCE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 26,405 $1.75M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56,021 48,323 $3.74M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,033 17,101 $1.90M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7,524 7,216 $719K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,164 3,877 $345K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,287 3,216 $270K
92015 Determination of refractive state 9,731 9,370 $233K
G0467 Federally 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 8,893 7,567 $220K
76801 813 752 $182K
99215 Prolong outpt/office vis 976 908 $170K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,563 3,259 $168K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,907 1,866 $164K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,335 1,239 $146K
77067 Screening mammography, bilateral, including computer-aided detection 747 700 $98K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 978 967 $86K
81025 5,319 4,979 $73K
D1110 Prophylaxis - adult 938 884 $64K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,571 795 $59K
83036 Hemoglobin; glycosylated (A1C) 1,499 1,424 $51K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,029 955 $50K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 871 831 $49K
V2020 Frames, purchases 2,377 2,112 $47K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 333 318 $44K
D0330 Panoramic radiographic image 413 388 $39K
D0220 Intraoral - periapical first radiographic image 1,607 1,453 $37K
71046 Radiologic examination, chest; 2 views 542 496 $27K
D0230 Intraoral - periapical each additional radiographic image 1,257 473 $25K
D7140 Extraction, erupted tooth or exposed root 212 75 $25K
D0274 Bitewings - four radiographic images 469 433 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 98 94 $23K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,248 714 $23K
99381 214 207 $21K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 192 180 $20K
D0150 Comprehensive oral evaluation - new or established patient 235 228 $15K
D0140 Limited oral evaluation - problem focused 180 169 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 93 90 $12K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 101 95 $9K
83655 836 811 $9K
94664 462 443 $6K
D1120 Prophylaxis - child 144 136 $6K
99382 50 50 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 373 171 $4K
90837 Psychotherapy, 53 minutes with patient 113 75 $4K
73630 92 80 $3K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 205 180 $3K
11056 74 68 $3K
D1206 Topical application of fluoride varnish 229 214 $3K
81003 503 471 $3K
76642 28 27 $3K
92133 54 51 $3K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 133 88 $3K
D0120 Periodic oral evaluation - established patient 54 53 $3K
76830 Ultrasound, transvaginal 28 27 $3K
85018 1,038 1,007 $2K
90834 Psychotherapy, 45 minutes with patient 126 76 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 31 30 $2K
97802 28 27 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 152 109 $2K
87634 31 30 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 28 28 $1K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 31 26 $1K
73030 25 24 $1K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 40 24 $890.94
92083 14 12 $820.19
73562 14 14 $722.21
77063 Screening digital breast tomosynthesis, bilateral 13 13 $564.81
72100 14 13 $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 16 12 $487.40
D0350 48 46 $483.00
GO467 12 12 $390.18
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 24 24 $350.06
99442 159 135 $54.71
D1330 137 131 $0.00
D0603 60 60 $0.00
D1310 100 97 $0.00
G9920 Screening performed and negative 1,090 996 $0.00
4004F 457 423 $0.00
G9919 Screening performed and positive and provision of recommendations 122 118 $0.00
D0191 18 18 $0.00
D9996 44 43 $0.00
D0412 13 12 $0.00
86703 16 15 $0.00