BRIDGEWAY CLINICS LLC
NPI 1609510809, organization, Independence, MO, Clinic/Center
- Listed on the MO Medicaid exclusion list since August 25, 2023.
- Medicaid still paid claims in 15 later months, $158,557 in total.
- 80% of Medicaid dollars are on codes with a history of abuse.
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| MO Medicaid exclusion list state list extracted from https://mmac.mo.gov/wp-content/uploads/sanction-list-2026-08-31.xlsx (pandas claude colmap) | Exact NPI, name verified | Aug 25, 2023 | still open | 15 | Sep 2023 | Nov 2024 | $159K | $86K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BRIDGEWAY CLINICS LLC |
| Type | Organization |
| Status | Active |
| NPI issued | April 24, 2022, last updated November 30, 2022 |
| Practice location | 4429 S RIVER BLVD, Independence, MO 64055-4659, 816-786-4253 |
| Authorized official | SHEILA HALE (Director of Finance) |
| Specialties | Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (2084B0040X) Clinic/Center (261Q00000X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $144K | 56% | $254 | $191 (top 5% from $442) | too few months to rank | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $62K | 24% | $219 | $88 (top 5% from $210) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $22K | 9% | $140 | $105 (top 5% from $228) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $21K | 8% | $108 | $60 (top 5% from $133) | too few months to rank | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $8K | 3% | $139 | $112 (top 5% from $313) | too few months to rank | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $153 | 0% | $12 | $16 (top 5% from $128) | too few months to rank |
In this area
26 providers in Jackson County, MO carry an indicator in the public record, with $4.1M at stake between them. The most common is part of a provider network, on 18 of them, followed by more hours than a day holds on 5. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | FREDERICK DATTEL Kansas City, MO, ranked 282 | $11K |
|
| 1 | LAURICE TAYLOR Lees Summit, MO, ranked 341 | $3K |
|
| 3 | AFFINITY CARE OF MISSOURI LLC Independence, MO, ranked 1020 | $1.3M |
|
| 3 | HOSPICE PARTNERS OF KANSAS LLC Independence, MO, ranked 1335 | $124K |
|
| 3 | JOHN KNOX VILLAGE Lees Summit, MO, ranked 1429 | $47K |
|
| 3 | TRUMAN MEDICAL CENTER, INCORPORATED Kansas City, MO, ranked 1620 | $3K |
|
| 3 | RESIDENTIAL HOSPICE OF MISSOURI, LLC Kansas City, MO, ranked 2029 | $0 |
|
| 3 | JOHN KNOX VILLAGE Lees Summit, MO, ranked 2610 | $0 |
|
Recent enforcement in MO
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.