Truman Medical Center, Incorporated
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 146 procedure codes: X4011 at 3.5× median, G0463 at 3.4× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $946.15 per claim for X4011 (Healthcare procedure, code X4011) — 3.5× the national median of $268.66.
Bills $89.46 per claim for G0463 (Hospital outpatient clinic visit) — 3.4× the national median of $26.41.
Bills $236.20 per claim for J3490 (Unclassified drugs) — 41.4× the national median of $5.70.
Billing in the top 1% nationally for 7 procedure codes: X4011, 95811, 81025.
This is a statistical summary, not an accusation. See our methodology.
Compared to General Acute Care Hospital Peers
Total spending distribution among 156 providers in this specialty
This provider's total spending of $233.9M is at the 50th percentile among 156 General Acute Care Hospital providers.
Total Paid
$233.9M
$233,932,013
Total Claims
1.9M
Beneficiaries
1.6M
1.2 claims/patient
Avg Cost/Claim
$125
#360 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Truman Medical Center, Incorporated is a General Acute Care Hospital provider based in Kansas City, MO. From the 2018–2024 period, this provider received $233.9M in Medicaid payments across 1.9M claims.
Why This Matters
This provider received $233.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 29,241 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (X4011 (Healthcare procedure, code X4011)) accounts for 17% of total spending.
Healthcare procedure, code X4011
$39.4M
42K claims · 16.8%
Hospital outpatient clinic visit
$31.8M
356K claims · 13.6%
Unclassified drugs
$17.2M
73K claims · 7.3%
$15.3M
15K claims · 6.5%
$11.2M
36K claims
$313.28
$69.51
Emergency dept visit, high complexity
$11.2M
36K claims · 4.8%
$9.3M
22K claims
$426.52
$85.65
Emergency dept visit, high/urgent complexity
$9.3M
22K claims · 4.0%
$9.2M
171K claims · 3.9%
$8.6M
27K claims · 3.7%
$7.1M
34K claims
$207.81
$42.48
Emergency dept visit, moderate complexity
$7.1M
34K claims · 3.0%
$7.1M
144K claims
$49.21
$4.71
Complete blood count (CBC) with differential, automated
$7.1M
144K claims · 3.0%
Basic metabolic panel
$5.1M
96K claims · 2.2%
Healthcare procedure, code Y7506
$4.7M
12K claims · 2.0%
$4.0M
46K claims
$86.24
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$4.0M
46K claims · 1.7%
$3.9M
39K claims
$99.66
$7.50
Electrocardiogram, tracing only, without interpretation
$3.9M
39K claims · 1.7%
$3.3M
1K claims
$2,608.88
$255.03
Sleep study with CPAP titration, polysomnography
$3.3M
1K claims · 1.4%
$2.9M
18K claims
$162.30
$21.76
Therapeutic/prophylactic/diagnostic IV push, single substance
$2.9M
18K claims · 1.2%
Urine pregnancy test
$2.7M
17K claims · 1.2%
$2.4M
56K claims
$42.72
$1.48
Urinalysis, automated without microscopy
$2.4M
56K claims · 1.0%
$2.3M
19K claims
$124.47
$2.03
Urinalysis, automated, with microscopy
$2.3M
19K claims · 1.0%
$2.3M
4K claims
$559.33
$99.39
Hospital observation service, per hour
$2.3M
4K claims · 1.0%
$2.1M
2K claims
$1,345.85
$233.73
Polysomnography, sleep study, 6+ hours
$2.1M
2K claims · 0.9%
Chest X-ray, 2 views
$1.9M
20K claims · 0.8%
Hepatic function panel
$1.8M
32K claims · 0.8%
Upper GI endoscopy with biopsy
$1.5M
3K claims · 0.6%
$1.4M
10K claims
$143.11
$91.47
Proprietary lab analysis, genomic sequencing
$1.4M
10K claims · 0.6%
$1.3M
2K claims
$806.78
$255.17
Colonoscopy with polyp removal, snare technique
$1.3M
2K claims · 0.6%
Troponin, quantitative
$1.2M
22K claims · 0.5%
$1.1M
26K claims · 0.5%
$1.1M
15K claims · 0.5%
$1.1M
5K claims
$219.74
$75.28
Chemotherapy administration, IV infusion, up to 1 hour
$1.1M
5K claims · 0.5%
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