Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › KANSAS CITY › THE CHILDREN'S MERCY HOSPITAL

THE CHILDREN'S MERCY HOSPITAL

NPI: 1851437719 · KANSAS CITY, MO 64108 · Pediatric Nurse Practitioner · NPI assigned 01/29/2007

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

Authorized official FINUF, ROBERT controls 16+ related entities in our dataset. Read more

$53.57M
Total Medicaid Paid
1,280,501
Total Claims
1,162,629
Beneficiaries
269
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFINUF, ROBERT (SENIOR VICE PRESIDENT)
NPI Enumeration Date01/29/2007

Related Entities

Other providers sharing the same authorized official: FINUF, ROBERT

ProviderCityStateTotal Paid
THE CHILDREN'S MERCY HOSPITAL KANSAS CITY MO $221.16M
THE CHILDREN'S MERCY HOSPITAL RIVERSIDE MO $28.27M
THE CHILDREN'S MERCY HOSPITAL OVERLAND PARK KS $22.32M
THE CHILDREN'S MERCY HOSPITAL KANSAS CITY MO $13.40M
CHILDREN'S MERCY-COMMUNITY CHOICE PEDIATRICS LEES SUMMIT MO $8.95M
CHILDREN'S MERCY-COCKERELL AND MCINTOSH PEDIATRICS, INC BLUE SPRINGS MO $6.34M
CHILDREN'S MERCY-PREFERRED PEDIATRICS LEES SUMMIT MO $2.92M
THE CHILDREN'S MERCY HOSPITAL RIVERSIDE MO $2.34M
CHILDREN'S MERCY - PEACOCK PEDIATRICS, INC SAINT JOSEPH MO $1.29M
CHILDREN'S MERCY - CASS COUNTY PEDIATRICS & ADOLESCENTS BELTON MO $1.12M
CHILDREN'S MERCY - PEDIATRIC PARTNERS, INC OVERLAND PARK KS $459K
THE CHILDREN'S MERCY HOSPITAL RIVERSIDE MO $334K
CHILDREN'S MERCY - REDWOOD PEDIATRICS KANSAS CITY MO $246K
CHILDREN'S MERCY - WILDWOOD PEDIATRICS LEES SUMMIT MO $6K
THE CHILDRENS MERCY HOSPITAL KANSAS CITY MO $4K
THE CHILDREN'S MERCY HOSPITAL KANSAS CITY MO $54.40

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69,212 $1.83M
2019 72,053 $1.86M
2020 78,133 $2.18M
2021 250,295 $8.65M
2022 311,518 $13.33M
2023 283,977 $15.71M
2024 215,313 $10.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 211,056 202,224 $11.30M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 89,576 87,071 $6.57M
99283 Emergency department visit for the evaluation and management, moderate severity 139,800 138,680 $6.18M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 13,049 2,476 $4.18M
99215 Prolong outpt/office vis 35,275 34,029 $3.72M
99284 Emergency department visit for the evaluation and management, high severity 43,022 42,581 $3.48M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26,007 25,705 $1.95M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,289 8,095 $939K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 15,848 14,498 $913K
99232 Subsequent hospital care, per day, moderate complexity 16,426 7,801 $733K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,881 6,423 $608K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 18,752 17,099 $599K
93320 17,354 15,455 $576K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,713 7,425 $497K
93325 29,075 26,135 $467K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14,743 13,466 $453K
99480 Subsequent intensive care, per day, low birth weight infant 3,883 1,160 $432K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,942 3,905 $427K
99238 Hospital discharge day management, 30 minutes or less 7,992 7,802 $409K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,824 11,467 $408K
90839 3,832 3,579 $387K
70551 Magnetic resonance imaging, brain; without contrast material 5,748 5,576 $373K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 50,677 43,512 $352K
96110 Developmental screening, with scoring and documentation, per standardized instrument 16,195 15,461 $352K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31,998 29,950 $313K
71045 Radiologic examination, chest; single view 59,964 37,966 $295K
90723 9,094 7,859 $295K
71046 Radiologic examination, chest; 2 views 36,406 35,323 $257K
92567 18,920 18,062 $250K
74018 41,960 35,257 $234K
90472 Immunization administration, each additional vaccine (list separately) 13,400 12,445 $216K
V2020 Frames, purchases 5,686 5,417 $214K
S9083 Global fee urgent care centers 4,021 4,003 $195K
99233 Prolong inpt eval add15 m 2,855 1,226 $171K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,456 6,261 $162K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,310 5,685 $160K
76770 6,463 6,393 $160K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 892 886 $158K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,521 1,452 $141K
99222 Initial hospital care, per day, moderate complexity 1,459 1,420 $138K
93304 2,546 2,454 $131K
90686 28,006 25,900 $128K
99243 1,284 1,266 $128K
95720 935 898 $127K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 417 127 $125K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 756 287 $114K
95810 Polysomnography; sleep staging with 4 or more additional parameters 956 953 $112K
93000 4,843 4,714 $108K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,645 5,258 $108K
70450 Computed tomography, head or brain; without contrast material 3,036 2,911 $107K
V2784 Lens, polycarbonate or equal, any index, per lens 4,625 2,761 $104K
99417 Prolong home eval add 15m 2,191 2,091 $86K
92015 Determination of refractive state 20,135 19,263 $72K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 319 316 $69K
42820 Tonsillectomy and adenoidectomy; younger than age 12 347 344 $67K
90670 11,026 9,583 $65K
99205 Prolong outpt/office vis 507 495 $65K
99244 Office or other outpatient consultation, moderate to high complexity 531 531 $64K
90847 Family psychotherapy with the patient present, 50 minutes 924 498 $63K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,388 1,535 $63K
93321 4,008 3,857 $62K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,248 2,229 $60K
D1120 Prophylaxis - child 1,812 1,765 $59K
96156 1,297 1,255 $58K
90647 7,953 6,822 $53K
95951 274 148 $50K
0002A 1,890 1,688 $49K
90791 Psychiatric diagnostic evaluation 352 342 $49K
0001A 1,886 1,614 $48K
D0120 Periodic oral evaluation - established patient 1,984 1,923 $45K
99188 2,336 2,054 $45K
92201 3,512 2,242 $45K
90837 Psychotherapy, 53 minutes with patient 415 361 $41K
0071A 1,190 1,155 $40K
0072A 1,121 1,112 $39K
95819 875 866 $38K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,574 571 $38K
D1206 Topical application of fluoride varnish 2,009 1,934 $37K
99460 558 544 $35K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,416 997 $32K
00170 Anesthesia for intraoral procedures, including biopsy 471 469 $31K
94010 4,650 4,527 $28K
54150 163 154 $28K
01922 343 337 $28K
96130 265 258 $26K
88307 316 305 $25K
73090 3,717 3,556 $25K
92579 783 715 $24K
99239 Hospital discharge day management, more than 30 minutes 309 305 $24K
88108 1,219 958 $22K
95251 1,306 1,283 $21K
74019 2,746 2,697 $21K
90834 Psychotherapy, 45 minutes with patient 224 185 $20K
D0272 Bitewings - two radiographic images 906 884 $20K
83036 Hemoglobin; glycosylated (A1C) 2,256 2,182 $20K
72082 1,830 1,770 $19K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 244 243 $19K
77072 2,692 2,683 $18K
72170 2,393 2,326 $18K
D1110 Prophylaxis - adult 396 376 $16K
62370 303 293 $16K
90681 2,274 1,931 $16K
31575 195 189 $15K
90633 2,333 2,047 $15K
73590 2,209 2,091 $15K
99479 Subsequent intensive care, per day, very low birth weight infant 131 39 $15K
76700 Ultrasound, abdominal, real time with image documentation; complete 588 552 $15K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 421 323 $14K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 395 372 $14K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 397 331 $13K
99221 221 214 $13K
D0274 Bitewings - four radiographic images 435 402 $13K
73610 1,773 1,742 $13K
90832 Psychotherapy, 30 minutes with patient 196 180 $12K
90480 558 527 $12K
67311 25 25 $12K
80503 799 743 $12K
90671 1,652 1,637 $12K
96167 422 393 $12K
D0230 Intraoral - periapical each additional radiographic image 1,055 355 $11K
73630 1,361 1,318 $11K
96127 13,573 12,552 $11K
80500 630 605 $11K
92587 551 505 $10K
73100 1,686 1,587 $10K
90656 1,982 1,975 $9K
88304 1,019 1,007 $9K
99381 199 184 $9K
90846 Family psychotherapy without the patient present, 50 minutes 110 76 $9K
76506 310 250 $8K
96136 196 190 $8K
96137 110 107 $8K
D1351 Sealant - per tooth 293 54 $8K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 1,471 861 $8K
D0220 Intraoral - periapical first radiographic image 553 527 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 133 126 $7K
73070 1,039 999 $6K
73140 1,256 1,207 $6K
88342 212 198 $6K
96131 77 75 $6K
95782 70 70 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 135 134 $6K
92226 458 223 $5K
D0330 Panoramic radiographic image 147 139 $5K
00731 73 71 $5K
74177 Computed tomography, abdomen and pelvis; with contrast material 92 92 $5K
44970 13 12 $4K
25600 24 24 $4K
0003A 112 112 $4K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 52 52 $4K
99242 39 39 $4K
44361 29 29 $3K
31561 16 14 $3K
99462 173 120 $3K
97803 105 103 $3K
99223 Prolong inpt eval add15 m 26 26 $3K
76825 55 53 $3K
85027 360 345 $3K
99254 24 24 $3K
12051 14 13 $3K
93308 65 63 $3K
31622 27 25 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 278 98 $3K
90707 166 150 $3K
95816 66 66 $3K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 42 42 $3K
99245 14 14 $2K
85097 40 36 $2K
96158 77 62 $2K
90619 314 283 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 75 65 $2K
90474 166 164 $2K
73130 309 287 $2K
93298 112 112 $2K
90651 454 408 $2K
00126 44 44 $2K
76827 67 65 $2K
88313 103 92 $2K
83655 150 148 $2K
92555 137 133 $2K
90710 48 38 $2K
99464 27 26 $2K
72141 25 25 $2K
62369 25 25 $2K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 460 440 $1K
92504 81 81 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 46 40 $1K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 30 13 $1K
80061 Lipid panel 87 81 $1K
D2391 Resin-based composite - one surface, posterior, primary or permanent 18 14 $1K
92552 63 62 $1K
73552 172 164 $1K
85060 84 64 $1K
94664 156 153 $1K
76377 43 40 $1K
90849 45 25 $1K
90716 196 179 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 76 24 $1K
92582 24 24 $1K
87400 164 80 $1K
90734 251 226 $1K
90700 46 36 $1K
00300 12 12 $1K
92002 27 27 $1K
99383 13 13 $932.69
76818 19 12 $930.42
90677 173 171 $920.24
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 15 15 $900.09
91318 67 66 $897.42
70486 24 24 $884.71
88341 46 26 $866.25
0082A 32 32 $858.55
72146 12 12 $832.51
0124A 33 26 $826.40
D0150 Comprehensive oral evaluation - new or established patient 32 25 $796.80
0083A 27 27 $775.20
16020 17 17 $731.55
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 27 26 $725.82
92551 29 26 $713.57
95812 19 19 $691.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 12 12 $660.12
96150 27 24 $635.70
74230 27 27 $600.07
73562 67 63 $597.66
97530 Therapeutic activities, direct patient contact, each 15 minutes 26 12 $591.68
99217 13 13 $569.16
96168 45 38 $542.70
73560 71 66 $531.74
73620 80 58 $513.19
90620 68 68 $502.36
82728 25 25 $500.15
90380 55 55 $491.15
92558 55 55 $486.86
80048 Basic metabolic panel (calcium, ionized) 43 42 $478.27
80076 41 40 $468.75
0052A 12 12 $442.00
73110 63 63 $441.71
93244 27 26 $425.24
93790 91 88 $414.88
0154A 15 13 $400.20
0081A 14 14 $397.50
92134 29 28 $390.97
93998 36 27 $381.39
91319 30 30 $361.16
69210 13 12 $352.52
77075 12 12 $310.81
93356 12 12 $216.70
90785 62 51 $206.40
88346 14 14 $175.09
76882 13 12 $170.44
92133 12 12 $155.43
87430 13 13 $134.00
91321 24 24 $131.17
73521 14 14 $110.43
77080 13 13 $93.36
76010 12 12 $91.42
99100 15 13 $79.76
81003 55 55 $61.00
90685 829 824 $10.54
V5266 Battery for use in hearing device 12 12 $5.94
G9920 Screening performed and negative 18,939 16,743 $4.30
1031F 5,255 4,743 $0.00
1000F 233 199 $0.00
D1330 95 95 $0.00
99288 67 65 $0.00
99358 Prolong nursin fac eval 15m 204 194 $0.00
D1999 107 91 $0.00
G9919 Screening performed and positive and provision of recommendations 112 96 $0.00
90715 15 15 $0.00