Physician
Shawnee Mission Medical Center, INC.
Shawnee Mission Medical Center, INC. was paid $671K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 39% of everything it billed.
33Billing provider infoSHAWNEE MISSION MEDICAL CENTER, INC.
SHAWNEE, KS 66203
SHAWNEE, KS 66203
33aNPI1942317854assigned 08/24/2006
33bProvider typeFamily Medicine Physician
28Total paid$671K
24GClaims18,676
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Kansas
Rank by total paid#22 of 237
Median peer was paid$22K
This provider vs. median31×
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 | |
|---|---|---|---|
| 2018 | 2,711 | $100K | |
| 2019 | 2,464 | $98K | |
| 2020 | 2,232 | $90K | |
| 2021 | 3,949 | $126K | |
| 2022 | 3,240 | $95K | |
| 2023 | 1,934 | $70K | |
| 2024incomplete | 2,146 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 39% | 4,532 | 4,235 | $261K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 4,591 | 4,223 | $147K |
| 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 | 15% | 1,927 | 1,808 | $102K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 9.3% | 2,336 | 2,103 | $62K |
| 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 | 7.4% | 616 | 584 | $50K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.5% | 1,696 | 1,067 | $23K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 285 | 275 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 1,558 | 1,426 | $11K |
| 81002 | <1% | 505 | 470 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | 24 | $636.84 |
| 87807 | <1% | 32 | 30 | $427.50 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | 12 | $294.14 |
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 officialRANDOLPH, KARSTEN (EXEC VP & CFO)
Parent organizationSHAWNEE MISSION MEDICAL CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| SM Corporate Care LLC | Lenexa, KS | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.