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    OpenPayerNPI Medicare & MedicaidMidwest Division - Rmc, LLC
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    Midwest Division - Rmc, LLC — Billing Profile & Reimbursement Data

    NPI 1134187842 · Kansas City, MO · General Acute Care Hospital

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    Midwest Division - Rmc, LLC is a general acute care hospital provider located in Kansas City, Missouri. This profile covers 0 Medicare and 86 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMidwest Division - Rmc, LLC
    Address2316 E Meyer Blvd
    CityKansas City
    StateMO
    ZIP64132
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedMay 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$57M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in the Medicare/Medicaid mix: there is no Medicare billing on file while Medicaid accounts for $57M of lifetime revenue, indicating operations are captured in state Medicaid data only and any Medicare-facing activity is absent or not reported in this dataset.

    Revenue concentration within Medicaid is very high: the top 3 Medicaid codes by revenue together account for 61.1% of the provider's total Medicaid revenue, signaling that a small set of services — predominantly emergency department E/M and a high-revenue code X4011 — drive the majority of billing.

    Emergency department E/M services dominate clinical activity and revenue: 99283 ($13.5M, 24.6% of Medicaid revenue), 99284 ($7.5M, 13.6%), and 99285 ($2M, 3.6%) together represent core ED throughput and indicate the facility handles large volumes of low-to-moderate complexity urgent visits as well as a smaller share of high-complexity cases.

    The provider is a statewide volume outlier on several codes, reflecting a dominant operational role in certain services: 99283 ranks #2 of 1263 providers in-state and is labeled an extreme outlier, 85027 ranks #1 of 123 providers (extreme outlier), and 81025 ranks #1 of 264 providers (extreme outlier), showing this entity delivers far higher volumes of specific ED-related and laboratory services than typical in-state peers.

    Code X4011 is a substantial non-descriptive revenue driver: X4011 produced $12.6M (22.9% of Medicaid revenue) across 28.5K claims and ranks #9 of 106 providers in-state (92nd percentile). The lack of a public descriptor combined with its large revenue share suggests a significant billed service that should be interpreted cautiously when modeling service lines or negotiating rates.

    Laboratory and point-of-care testing are meaningful contributors to Medicaid revenue and volume: high-volume lab codes such as 85027 ($3.1M, 54.1K claims, rank #1 in-state), 81025 ($2.9M, 29.4K claims, rank #1 in-state), 81003 ($1.5M, 23.3K claims, rank #2 in-state) and 80053 ($2M) indicate the facility processes large numbers of routine and rapid diagnostic tests consistent with an active ED and inpatient lab operation.

    The provider’s competitive standing varies by code: for several ED and lab codes the provider is an extreme outlier or at the top rank in-state (100th percentile or rank #1/#2), while for other services such as 99285, 93005, and multiple lab panels it sits in typical-to-notably-above ranges (80th–99th percentiles), suggesting dominance in specific service niches but more typical participation elsewhere.

    The NPI was enumerated approximately 20 years ago (2006-05-02), indicating long operational tenure in the state; this longevity, combined with concentrated Medicaid revenue and repeated top-state rankings, points to an established acute care facility with sustained service volumes in emergency and laboratory care lines.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    86 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.86,230$160$13.5M
    X4011N/A28,500$440$12.6M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.31,780$240$7.5M
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…54,130$60$3.1M
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.29,430$100$2.9M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.6,190$320$2M
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.40,010$50$2M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.13,050$130$1.7M
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…23,260$70$1.5M
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…14,160$80$1.1M

    Showing 1–10 of 86

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Missouri median

    86 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    X4011N/A91105,700$340$3.2M
    G0463Hospital outpatient clinic visit for assessment and management of a patient581002,240$80$2.2M
    Y7506N/A35100980$250$1.6M
    X4003N/A41701,480$80$1.1M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.6901,850$120$384.1K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.60600140$170$384.1K
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…131102,100$70$364.3K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.162401,740$40$353.4K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.12950120$150$288.2K
    G0378Hospital observation service, per hour1150190$420$255.4K

    Showing 1–10 of 86

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    Nearby Providers

    Other providers in the same ZIP code as Midwest Division - Rmc, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Karan JosanMOHematology & Oncology Physician$470.2K$30.1K
    Maninder PablaMOInternal Medicine Physician$447.7K$0
    Erin BrunkanMONurse Practitioner$433.3K$0
    Max GlaserMONephrology Physician$431.1K$0
    David MckinseyMOInfectious Disease Physician$409.5K$0
    Paul BruneMOInfectious Disease Physician$287.5K$0
    Jaswinder SinghMOHematology & Oncology Physician$238.4K$0
    Hemender VatsMONephrology Physician$220.1K$0
    Abid KhanMONephrology Physician$211.9K$0
    Gaurav ChaturvediMOFamily Medicine Physician$205.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Missouri Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Midwest Division - Rmc, LLC — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri