Swope Health Services

Community/Behavioral Health·Kansas City, MO·NPI: 1619419835Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $135.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$135.4M

$135,379,413

Total Claims

958K

Beneficiaries

305K

3.1 claims/patient

Avg Cost/Claim

$141

#835 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Swope Health Services is a Community/Behavioral Health provider based in Kansas City, MO. From the 2018–2024 period, this provider received $135.4M in Medicaid payments across 958K claims.

Why This Matters

This provider received $135.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,922 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 61% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018

$15.7M

+6%

2019

$16.7M

+8%

2020

$18.0M

-5%

2021

$17.1M

+10%

2022

$18.8M

+27%

2023

$23.9M

+5%

2024

$25.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 99% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1040Medicaid certified CCBHC servicesSee all providers →

$134.6M

481K claims

$279.63

$130.29

2.1×

Top 5%

T1040Top 5%

Medicaid certified CCBHC services

$134.6M

481K claims · 99.4%

Your Cost: $279.63/claim|Median: $130.29

2.1× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$240K

34K claims

$7.08

$37.81

0.2×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$240K

34K claims · 0.2%

Your Cost: $7.08/claim|Median: $37.81

0.2× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$177K

15K claims

$11.49

$53.41

0.2×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$177K

15K claims · 0.1%

Your Cost: $11.49/claim|Median: $53.41

0.2× median

90834Psychotherapy, 45 minutesSee all providers →

$104K

13K claims

$7.87

$63.65

0.1×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$104K

13K claims · 0.1%

Your Cost: $7.87/claim|Median: $63.65

0.1× median

90791Psychiatric diagnostic evaluationSee all providers →

$93K

5K claims

$18.86

$99.21

0.2×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$93K

5K claims · 0.1%

Your Cost: $18.86/claim|Median: $99.21

0.2× median

99215Office/outpatient visit, high complexitySee all providers →

$75K

3K claims

$23.10

$74.09

0.3×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$75K

3K claims · 0.1%

Your Cost: $23.10/claim|Median: $74.09

0.3× median

90832Psychotherapy, 30 minutesSee all providers →

$54K

8K claims

$6.49

$41.28

0.2×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$54K

8K claims · 0.0%

Your Cost: $6.49/claim|Median: $41.28

0.2× median

90837Psychotherapy, 60 minutesSee all providers →

$9K

1K claims

$7.60

$85.66

0.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$9K

1K claims · 0.0%

Your Cost: $7.60/claim|Median: $85.66

0.1× median

90853Group psychotherapySee all providers →

$3K

630 claims

$5.54

$25.02

0.2×

Normal range

90853Normal range

Group psychotherapy

$3K

630 claims · 0.0%

Your Cost: $5.54/claim|Median: $25.02

0.2× median

90846Family psychotherapy without patient, 50 minSee all providers →

$1K

94 claims

$11.96

$76.61

0.2×

Normal range

90846Normal range

Family psychotherapy without patient, 50 min

$1K

94 claims · 0.0%

Your Cost: $11.96/claim|Median: $76.61

0.2× median

99212Office/outpatient visit, low complexitySee all providers →

$100

211 claims

$0.47

$25.06

0.0×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$100

211 claims · 0.0%

Your Cost: $0.47/claim|Median: $25.06

0.0× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

508 claims

$0.00

$129.75

—

Normal range

H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

508 claims · 0.0%

Your Cost: $0.00/claim|Median: $129.75

H2015Comprehensive community support services, per 15 minSee all providers →

2K claims

$0.00

$96.24

—

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

2K claims · 0.0%

Your Cost: $0.00/claim|Median: $96.24

H0005Alcohol and/or drug services, group counselingSee all providers →

11K claims

$0.00

$47.35

—

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35

H2012Behavioral health day treatment, per hourSee all providers →

13K claims

$0.00

$137.86

—

Normal range

H2012Normal range

Behavioral health day treatment, per hour

13K claims · 0.0%

Your Cost: $0.00/claim|Median: $137.86

H2010Comprehensive medication services, per 15 minSee all providers →

4K claims

$0.00

$62.69

—

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

4K claims · 0.0%

Your Cost: $0.00/claim|Median: $62.69

H0032Mental health service plan developmentSee all providers →

362 claims

$0.00

$80.64

—

Normal range

H0032Normal range

Mental health service plan development

362 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.64

H0025Behavioral health prevention education, per sessionSee all providers →

36K claims

$0.00

$36.25

—

Normal range

H0025Normal range

Behavioral health prevention education, per session

36K claims · 0.0%

Your Cost: $0.00/claim|Median: $36.25

90847Family psychotherapy with patient, 50 minSee all providers →

16 claims

$0.00

$77.33

—

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $77.33

H0036Community psychiatric supportive treatment, per 15 minSee all providers →

214K claims

$0.00

$76.05

—

Normal range

H0036Normal range

Community psychiatric supportive treatment, per 15 min

214K claims · 0.0%

Your Cost: $0.00/claim|Median: $76.05

H0002Behavioral health screeningSee all providers →

5K claims

$0.00

$38.77

—

Normal range

H0002Normal range

Behavioral health screening

5K claims · 0.0%

Your Cost: $0.00/claim|Median: $38.77

H0037Community psychiatric supportive treatment program, per diemSee all providers →

53K claims

$0.00

$225.50

—

Normal range

H0037Normal range

Community psychiatric supportive treatment program, per diem

53K claims · 0.0%

Your Cost: $0.00/claim|Median: $225.50

H0001Alcohol and/or drug assessmentSee all providers →

15 claims

$0.00

$94.22

—

Normal range

H0001Normal range

Alcohol and/or drug assessment

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $94.22

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

55K claims

$0.00

$91.63

—

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

55K claims · 0.0%

Your Cost: $0.00/claim|Median: $91.63

H0038Self-help/peer services, per 15 minutesSee all providers →

675 claims

$0.00

$55.04

—

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

675 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

2K claims

$0.00

$74.63

—

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

2K claims · 0.0%

Your Cost: $0.00/claim|Median: $74.63

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