Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kansas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kansas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kansas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

The Children's Mercy Hospital (NPI 1154400232)

Field	Value
Entity Type	Organization
Organization	The Children's Mercy Hospital
Address	5808 W 110th St
City	Overland Park
State	KS
ZIP	66211
Taxonomy	Children's Hospital
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$22.3M
Medicare	$0

Key Findings

THE CHILDREN'S MERCY HOSPITAL in Overland Park is effectively a single-payer Medicaid provider in the available data: there is no Medicare billing on file and total Medicaid revenue is $22.3M, indicating operations and reimbursement are concentrated in the Medicaid population rather than split across Medicare and Medicaid. The NPI was enumerated in 2006-11-02 (~20 years ago), so this billing profile reflects an established provider with long tenure in the market.

Revenue is highly concentrated in a small set of outpatient and diagnostic services: the precomputed note indicates the top three Medicaid codes by revenue account for 55.2% of the provider’s total Medicaid revenue. That concentration implies a reliance on a few high-volume or high-unit-paid services to drive the majority of Medicaid reimbursement.

Emergency department E/M codes are a major revenue driver: 99283 accounts for $5.7M (26.6% of Medicaid revenue) with 38.3K claims and ranks #4 of 270 providers in-state (99th percentile), and 99282 and 99284 together add substantial volume as well. These observations identify a high-volume ED practice pattern and suggest the hospital’s outpatient emergency services are a central service line for Medicaid patients.

Sleep and polysomnography services are a distinct revenue stream: 95810 brings $1.9M (8.8% of Medicaid revenue) with 1.8K claims and ranks #1 of 3 providers in-state, and related pediatric sleep study code 95782 contributes $939.8K (4.4%) and is the only in-state reporter for that code. The presence and rank of these codes indicate the hospital operates a substantial pediatric sleep diagnostics program that meaningfully supplements ED and outpatient clinic revenue.

Certain lab testing volumes are extreme outliers in the state and reinforce diagnostic throughput: influenza rapid testing 87400 is marked as an “extreme outlier, far above typical state volume” and contributes $542.4K (2.5% of Medicaid revenue), while multiplex influenza testing 87502 is also notably above typical state volume at $482.8K (2.2%). These patterns suggest high on-site infectious disease testing capacity, likely aligned with pediatric ED and outpatient workflows.

Competitive standing is strong for multiple codes statewide: the provider ranks at or near the top for several high-revenue codes (e.g., X4011 ranks #1 of 2 for $4.3M, 95810 and 95782 each rank #1 in their small peer groups, and 99283 sits in the 99th percentile statewide). Those rank/percentile positions indicate the hospital is a dominant or major in-state provider for several key pediatric services rather than a modest participant.

Outpatient clinic and routine ambulatory care volumes are also material: G0463 generated $1.6M (7.5% of Medicaid revenue) with 22.9K claims and ranks #2 of 52 providers (98th percentile), and 99213 shows unusually high claim volume (44.6K claims) accounting for $267.6K (1.2% of revenue) and ranking in the 99th percentile. This mix points to a large ambulatory footprint supporting both ED and clinic pathways for Medicaid patients.

The provider’s case mix combines high-volume, lower-paid encounters with specialized, higher-paid procedures: large counts of ED E/M codes and clinic visits (high claim volumes with modest average paid/claim) coexist with fewer but high-value services such as X4011, 95810, 95782, and several high-paid lab and procedure codes. Operationally, this implies the hospital needs both high throughput ambulatory capacity and the specialized staffing/equipment for sleep studies and advanced testing to sustain its Medicaid revenue base.

Medicaid: Complete Services Breakdown

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

140 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The 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.	38,260	$150	$5.7M
X4011	N/A	4,960	$860	$4.3M
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	1,750	$1,080	$1.9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	22,890	$70	$1.6M
X4014	N/A	1,190	$1,180	$1.4M
99284	The 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.	7,510	$140	$1.1M
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	680	$1,370	$939.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	9,290	$100	$891.4K
87400	The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.	2,160	$250	$542.4K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	2,360	$210	$482.8K

Showing 1–10 of 140

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

The Children's Mercy Hospital — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

140 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	1	10	2,550	$850	$2.2M
X4014	N/A	1	10	1,190	$1,180	$1.4M
X4003	N/A	2	10	3,320	$230	$1M
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	1	10	680	$1,370	$939.9K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	11	50	300	$60	$648.3K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	1	10	60	$1,040	$631.1K
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	7	10	1,000	$50	$385.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	7	1,050	560	$80	$266.8K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	23	40	150	$20	$241.4K
99284	The 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.	20	200	260	$60	$216K

Showing 1–10 of 140

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Children's Mercy Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Children's Mercy Hospital	MO	Children's Hospital	$0	$221M
The Children's Mercy Hospital	MO	Pediatrics Physician	$0	$53.6M
The Children's Mercy Hospital	MO	Durable Medical Equipment & Medical Supplies	$0	$28.3M
The Children's Mercy Hospital	MO	Ambulance	$0	$13.4M
Children's Mercy-community Choice Pediatrics	MO	Pediatrics Physician	$0	$9M
David Dyer	KS	Ophthalmology Physician	$7.5M	$0
Children's Mercy-cockerell And Mcintosh Pediatrics, Inc	MO	Pediatrics Physician	$0	$6.3M
University Of Kansas Hospital Authority	KS	Multi-Specialty Clinic/Center	$0	$3.9M
Abraham Poulose	KS	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Atul Patel	KS	Physical Medicine & Rehabilitation Physician	$932.1K	$0

Nearby Providers

Other providers in the same ZIP code as The Children's Mercy Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doctors Hospital, LLC	KS	General Acute Care Hospital	$0	$46.4M
Mosaic	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$18M
Destiny Home Health	KS	Home Health Agency	$0	$6.9M
Care Alternatives Of Missouri, LLC	KS	Community Based Hospice Care Agency	$0	$6.4M
Ku Medwest Ambulatory Surgery Center, LLC	KS	Ambulatory Surgical Clinic/Center	$4.6M	$5.7K
Novamed Eye Surgery Center Of Overland Park, LLC	KS	Ambulatory Surgical Clinic/Center	$2.9M	$24.9K
Mark Thompson	KS	Radiation Oncology Physician	$2.6M	$0
Kenon Qamar	KS	Radiation Oncology Physician	$2.5M	$0
Minuteclinic Diagnostic Of Kansas PA	KS	Family Nurse Practitioner	$0	$2.1M
Signature Medical Group Of Kc, P.A.	KS	Orthopaedic Surgery Physician	$0	$1.8M

The Children's Mercy Hospital — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References