High Risk Pregnancy Center of Kansas City PA
High Risk Pregnancy Center of Kansas City PA was paid $1.21M by Medicaid between Nov 2019 and Dec 2024, across 17 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 21% of everything it billed.
33Billing provider infoHIGH RISK PREGNANCY CENTER OF KANSAS CITY PA
KANSAS CITY, MO 64116
KANSAS CITY, MO 64116
33aNPI1790159663assigned 11/16/2015
33bProvider typeSpecialist
28Total paid$1.21M
24GClaims18,520
24DCodes billed17
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Specialist providers in Missouri
Rank by total paid#4 of 86
Median peer was paid$24K
This provider vs. median49×
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.
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 | |
|---|---|---|---|
| 2019 | 29 | $2K | |
| 2020 | 2,610 | $153K | |
| 2021 | 5,371 | $303K | |
| 2022 | 3,757 | $240K | |
| 2023 | 3,551 | $279K | |
| 2024incomplete | 3,202 | $231K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 21% | 3,850 | 3,493 | $257K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 21% | 2,101 | 2,064 | $256K |
| 76819 | Fetal biophysical profile; without non-stress testing | 15% | 3,179 | 1,483 | $182K |
| 76820 | 8.6% | 2,387 | 1,382 | $104K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 7.1% | 1,630 | 1,330 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 1,602 | 1,388 | $83K |
| 76821 | 5.3% | 1,047 | 545 | $63K | |
| 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 | 4.5% | 743 | 697 | $55K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.3% | 722 | 714 | $52K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.0% | 233 | 231 | $24K |
| 76825 | 1.3% | 117 | 116 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 502 | 364 | $12K |
5 more codes
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 officialLU, GEORGE (PRESIDENT)