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 Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri 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. Missouri (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.

Children's Mercy-cockerell And Mcintosh Pediatrics, Inc (NPI 1811528656)

Field	Value
Entity Type	Organization
Organization	Children's Mercy-cockerell And Mcintosh Pediatrics, Inc
Address	1203 S 7 Hwy
City	Blue Springs
State	MO
ZIP	64014
Taxonomy	Pediatrics Physician
NPI Enumerated	January 30, 2020

Payer Source	Total Paid
Medicaid	$6.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	26,010	$70	$1.7M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	8,160	$90	$742.2K
0241U	N/A	3,550	$150	$543.3K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	9,970	$50	$478.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,390	$90	$412.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,340	$100	$412K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,270	$100	$405.6K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	1,780	$150	$261.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,700	$100	$259.4K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	1,340	$190	$248.1K

Showing 1–10 of 49

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Children's Mercy-cockerell And Mcintosh Pediatrics, Inc — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

49 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0241U	N/A	11	80	330	$110	$192.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	6	30	120	$100	$165.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	121	3,170	230	$70	$128.1K
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…	61	4,310	300	$60	$110.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	21	680	280	$90	$65.3K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	4	50	180	$140	$64.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	218	420	90	$100	$60.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	17	640	210	$90	$59.5K
87086	Culture, bacterial; quantitative, colony count, urine.	83	90	290	$30	$58.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9	600	110	$90	$40.2K

Showing 1–10 of 49

Related Providers

Other providers that share a Tax Identification Number (TIN) with Children's Mercy-cockerell And Mcintosh Pediatrics, Inc, 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	KS	Children's Hospital	$0	$22.3M
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
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 Children's Mercy-cockerell And Mcintosh Pediatrics, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harmony House Care Homes, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.1M
Prime Healthcare Services Blue Springs, LLC	MO	General Acute Care Hospital	$0	$10.5M
Harmony House Care Homes, Inc.	MO	Developmentally Disabled Services Day Training Agency	$0	$9.4M
Insight Industry LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.4M
Central Jackson County Fire Protection District	MO	Land Ambulance	$529.8K	$2.2M
Mohsen Tahani	MO	Physical Medicine & Rehabilitation Physician	$515.3K	$90.1K
Loren Hayes	MO	Family Nurse Practitioner	$401.1K	$0
Daniel Hanon	MO	Foot & Ankle Surgery Podiatrist	$187.4K	$0
Linda Mccormick	MO	Family Medicine Physician	$163K	$0
Renato Sandoval	MO	Endocrinology, Diabetes & Metabolism Physician	$154.4K	$0

Children's Mercy-cockerell And Mcintosh Pediatrics, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References