NP / PA
The Children's Mercy Hospital
The Children's Mercy Hospital was paid $53.57M by Medicaid between Jan 2018 and Dec 2024, across 269 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoTHE CHILDREN'S MERCY HOSPITAL
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
33aNPI1851437719assigned 01/29/2007
33bProvider typePediatric Nurse Practitioner
28Total paid$53.57M
24GClaims1,280,501
24DCodes billed269
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Missouri
Rank by total paid#1 of 212
Median peer was paid$13K
This provider vs. median4,237×
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 FINUF, ROBERT controls 16+ 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 | 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 | |
| 2024incomplete | 215,313 | $10.01M |
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 | 21% | 211,056 | 202,224 | $11.30M |
| 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 | 12% | 89,576 | 87,071 | $6.57M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 139,800 | 138,680 | $6.18M |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 7.8% | 13,049 | 2,476 | $4.18M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.9% | 35,275 | 34,029 | $3.72M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.5% | 43,022 | 42,581 | $3.48M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 26,007 | 25,705 | $1.95M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.8% | 8,289 | 8,095 | $939K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1.7% | 15,848 | 14,498 | $913K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.4% | 16,426 | 7,801 | $733K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.1% | 6,881 | 6,423 | $608K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 18,752 | 17,099 | $599K |
257 more codes
| 93320 | 1.1% | 17,354 | $576K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 7,713 | $497K |
| 93325 | <1% | 29,075 | $467K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14,743 | $453K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 3,883 | $432K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 3,942 | $427K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 7,992 | $409K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12,824 | $408K |
| 90839 | <1% | 3,832 | $387K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 5,748 | $373K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 50,677 | $352K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 16,195 | $352K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31,998 | $313K |
| 71045 | Radiologic examination, chest; single view | <1% | 59,964 | $295K |
| 90723 | <1% | 9,094 | $295K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 36,406 | $257K |
| 92567 | <1% | 18,920 | $250K | |
| 74018 | <1% | 41,960 | $234K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13,400 | $216K |
| V2020 | Frames, purchases | <1% | 5,686 | $214K |
| S9083 | Global fee urgent care centers | <1% | 4,021 | $195K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,855 | $171K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,456 | $162K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 6,310 | $160K |
| 76770 | <1% | 6,463 | $160K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 892 | $158K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 1,521 | $141K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,459 | $138K |
| 93304 | <1% | 2,546 | $131K | |
| 90686 | <1% | 28,006 | $128K | |
| 99243 | <1% | 1,284 | $128K | |
| 95720 | <1% | 935 | $127K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 417 | $125K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 756 | $114K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 956 | $112K |
| 93000 | <1% | 4,843 | $108K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 5,645 | $108K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 3,036 | $107K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 4,625 | $104K |
| 99417 | Prolong home eval add 15m | <1% | 2,191 | $86K |
| 92015 | Determination of refractive state | <1% | 20,135 | $72K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 319 | $69K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 347 | $67K |
| 90670 | <1% | 11,026 | $65K | |
| 99205 | Prolong outpt/office vis | <1% | 507 | $65K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 531 | $64K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 924 | $63K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,388 | $63K |
| 93321 | <1% | 4,008 | $62K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 2,248 | $60K |
| D1120 | Dental cleaning, child | <1% | 1,812 | $59K |
| 96156 | <1% | 1,297 | $58K | |
| 90647 | <1% | 7,953 | $53K | |
| 95951 | <1% | 274 | $50K | |
| 0002A | <1% | 1,890 | $49K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 352 | $49K |
| 0001A | <1% | 1,886 | $48K | |
| D0120 | Dental checkup, returning patient | <1% | 1,984 | $45K |
| 99188 | <1% | 2,336 | $45K | |
| 92201 | <1% | 3,512 | $45K | |
| 90837 | Psychotherapy session, about an hour | <1% | 415 | $41K |
| 0071A | <1% | 1,190 | $40K | |
| 0072A | <1% | 1,121 | $39K | |
| 95819 | <1% | 875 | $38K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,574 | $38K |
| D1206 | Topical application of fluoride varnish | <1% | 2,009 | $37K |
| 99460 | <1% | 558 | $35K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,416 | $32K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 471 | $31K |
| 94010 | <1% | 4,650 | $28K | |
| 54150 | <1% | 163 | $28K | |
| 01922 | <1% | 343 | $28K | |
| 96130 | <1% | 265 | $26K | |
| 88307 | <1% | 316 | $25K | |
| 73090 | <1% | 3,717 | $25K | |
| 92579 | <1% | 783 | $24K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 309 | $24K |
| 88108 | <1% | 1,219 | $22K | |
| 95251 | <1% | 1,306 | $21K | |
| 74019 | <1% | 2,746 | $21K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 224 | $20K |
| D0272 | Bitewings - two radiographic images | <1% | 906 | $20K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,256 | $20K |
| 72082 | <1% | 1,830 | $19K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 244 | $19K |
| 77072 | <1% | 2,692 | $18K | |
| 72170 | <1% | 2,393 | $18K | |
| D1110 | Prophylaxis - adult | <1% | 396 | $16K |
| 62370 | <1% | 303 | $16K | |
| 90681 | <1% | 2,274 | $16K | |
| 31575 | <1% | 195 | $15K | |
| 90633 | <1% | 2,333 | $15K | |
| 73590 | <1% | 2,209 | $15K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 131 | $15K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 588 | $15K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 421 | $14K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 395 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 397 | $13K |
| 99221 | <1% | 221 | $13K | |
| D0274 | Bitewings - four radiographic images | <1% | 435 | $13K |
| 73610 | <1% | 1,773 | $13K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 196 | $12K |
| 90480 | <1% | 558 | $12K | |
| 67311 | <1% | 25 | $12K | |
| 80503 | <1% | 799 | $12K | |
| 90671 | <1% | 1,652 | $12K | |
| 96167 | <1% | 422 | $12K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,055 | $11K |
| 73630 | <1% | 1,361 | $11K | |
| 96127 | <1% | 13,573 | $11K | |
| 80500 | <1% | 630 | $11K | |
| 92587 | <1% | 551 | $10K | |
| 73100 | <1% | 1,686 | $10K | |
| 90656 | <1% | 1,982 | $9K | |
| 88304 | <1% | 1,019 | $9K | |
| 99381 | <1% | 199 | $9K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 110 | $9K |
| 76506 | <1% | 310 | $8K | |
| 96136 | <1% | 196 | $8K | |
| 96137 | <1% | 110 | $8K | |
| D1351 | Sealant - per tooth | <1% | 293 | $8K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 1,471 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 553 | $7K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 133 | $7K |
| 73070 | <1% | 1,039 | $6K | |
| 73140 | <1% | 1,256 | $6K | |
| 88342 | <1% | 212 | $6K | |
| 96131 | <1% | 77 | $6K | |
| 95782 | <1% | 70 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 135 | $6K |
| 92226 | <1% | 458 | $5K | |
| D0330 | Panoramic radiographic image | <1% | 147 | $5K |
| 00731 | <1% | 73 | $5K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 92 | $5K |
| 44970 | <1% | 13 | $4K | |
| 25600 | <1% | 24 | $4K | |
| 0003A | <1% | 112 | $4K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 52 | $4K |
| 99242 | <1% | 39 | $4K | |
| 44361 | <1% | 29 | $3K | |
| 31561 | <1% | 16 | $3K | |
| 99462 | <1% | 173 | $3K | |
| 97803 | <1% | 105 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 26 | $3K |
| 76825 | <1% | 55 | $3K | |
| 85027 | <1% | 360 | $3K | |
| 99254 | <1% | 24 | $3K | |
| 12051 | <1% | 14 | $3K | |
| 93308 | <1% | 65 | $3K | |
| 31622 | <1% | 27 | $3K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 278 | $3K |
| 90707 | <1% | 166 | $3K | |
| 95816 | <1% | 66 | $3K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 42 | $3K |
| 99245 | <1% | 14 | $2K | |
| 85097 | <1% | 40 | $2K | |
| 96158 | <1% | 77 | $2K | |
| 90619 | <1% | 314 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 75 | $2K |
| 90474 | <1% | 166 | $2K | |
| 73130 | <1% | 309 | $2K | |
| 93298 | <1% | 112 | $2K | |
| 90651 | <1% | 454 | $2K | |
| 00126 | <1% | 44 | $2K | |
| 76827 | <1% | 67 | $2K | |
| 88313 | <1% | 103 | $2K | |
| 83655 | <1% | 150 | $2K | |
| 92555 | <1% | 137 | $2K | |
| 90710 | <1% | 48 | $2K | |
| 99464 | <1% | 27 | $2K | |
| 72141 | <1% | 25 | $2K | |
| 62369 | <1% | 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) | <1% | 460 | $1K |
| 92504 | <1% | 81 | $1K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 46 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 30 | $1K |
| 80061 | Lipid panel | <1% | 87 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 18 | $1K |
| 92552 | <1% | 63 | $1K | |
| 73552 | <1% | 172 | $1K | |
| 85060 | <1% | 84 | $1K | |
| 94664 | <1% | 156 | $1K | |
| 76377 | <1% | 43 | $1K | |
| 90849 | <1% | 45 | $1K | |
| 90716 | <1% | 196 | $1K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 76 | $1K |
| 92582 | <1% | 24 | $1K | |
| 87400 | <1% | 164 | $1K | |
| 90734 | <1% | 251 | $1K | |
| 90700 | <1% | 46 | $1K | |
| 00300 | <1% | 12 | $1K | |
| 92002 | <1% | 27 | $1K | |
| 99383 | <1% | 13 | $932.69 | |
| 76818 | <1% | 19 | $930.42 | |
| 90677 | <1% | 173 | $920.24 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 15 | $900.09 |
| 91318 | <1% | 67 | $897.42 | |
| 70486 | <1% | 24 | $884.71 | |
| 88341 | <1% | 46 | $866.25 | |
| 0082A | <1% | 32 | $858.55 | |
| 72146 | <1% | 12 | $832.51 | |
| 0124A | <1% | 33 | $826.40 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 32 | $796.80 |
| 0083A | <1% | 27 | $775.20 | |
| 16020 | <1% | 17 | $731.55 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 27 | $725.82 |
| 92551 | <1% | 29 | $713.57 | |
| 95812 | <1% | 19 | $691.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | $660.12 |
| 96150 | <1% | 27 | $635.70 | |
| 74230 | <1% | 27 | $600.07 | |
| 73562 | <1% | 67 | $597.66 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 26 | $591.68 |
| 99217 | <1% | 13 | $569.16 | |
| 96168 | <1% | 45 | $542.70 | |
| 73560 | <1% | 71 | $531.74 | |
| 73620 | <1% | 80 | $513.19 | |
| 90620 | <1% | 68 | $502.36 | |
| 82728 | <1% | 25 | $500.15 | |
| 90380 | <1% | 55 | $491.15 | |
| 92558 | <1% | 55 | $486.86 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 43 | $478.27 |
| 80076 | <1% | 41 | $468.75 | |
| 0052A | <1% | 12 | $442.00 | |
| 73110 | <1% | 63 | $441.71 | |
| 93244 | <1% | 27 | $425.24 | |
| 93790 | <1% | 91 | $414.88 | |
| 0154A | <1% | 15 | $400.20 | |
| 0081A | <1% | 14 | $397.50 | |
| 92134 | <1% | 29 | $390.97 | |
| 93998 | <1% | 36 | $381.39 | |
| 91319 | <1% | 30 | $361.16 | |
| 69210 | <1% | 13 | $352.52 | |
| 77075 | <1% | 12 | $310.81 | |
| 93356 | <1% | 12 | $216.70 | |
| 90785 | <1% | 62 | $206.40 | |
| 88346 | <1% | 14 | $175.09 | |
| 76882 | <1% | 13 | $170.44 | |
| 92133 | <1% | 12 | $155.43 | |
| 87430 | <1% | 13 | $134.00 | |
| 91321 | <1% | 24 | $131.17 | |
| 73521 | <1% | 14 | $110.43 | |
| 77080 | <1% | 13 | $93.36 | |
| 76010 | <1% | 12 | $91.42 | |
| 99100 | <1% | 15 | $79.76 | |
| 81003 | <1% | 55 | $61.00 | |
| 90685 | <1% | 829 | $10.54 | |
| V5266 | Battery for use in hearing device | <1% | 12 | $5.94 |
| G9920 | Screening performed and negative | <1% | 18,939 | $4.30 |
| 1031F | 0% | 5,255 | $0.00 | |
| 1000F | 0% | 233 | $0.00 | |
| D1330 | 0% | 95 | $0.00 | |
| 99288 | 0% | 67 | $0.00 | |
| 99358 | Prolong nursin fac eval 15m | 0% | 204 | $0.00 |
| D1999 | 0% | 107 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 112 | $0.00 |
| 90715 | 0% | 15 | $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 officialFINUF, ROBERT (SENIOR VICE PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.