Physician
SSM Health Care Group
SSM Health Care Group was paid $58K by Medicaid between May 2018 and Jun 2024, across 4 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 98% of everything it billed.
33Billing provider infoSSM HEALTH CARE GROUP
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
33aNPI1043955503assigned 04/29/2022
33bProvider typeCytopathology Physician
28Total paid$58K
24GClaims1,615
24DCodes billed4
24AFirst – last monthMay 2018 – Jun 2024
Compared with peers
Next to other Cytopathology Physician providers in Missouri
Rank by total paid#2 of 10
Median peer was paid$6K
This provider vs. median9.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 300 | $10K | |
| 2019 | 410 | $16K | |
| 2020 | 168 | $8K | |
| 2022 | 113 | $5K | |
| 2023 | 351 | $12K | |
| 2024incomplete | 273 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 98% | 1,550 | 1,444 | $57K |
| 88108 | <1% | 36 | 29 | $422.03 | |
| 88342 | <1% | 13 | 12 | $307.80 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 16 | 12 | $161.83 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLAMM, EILEEN (VICE PRESIDENT - FINANCE)
| Provider | Location | Paid |
|---|---|---|
| SSM Regional Health Services | Jefferson City, MO | $20.81M |
| SSM Medical Group, INC. | O Fallon, MO | $282K |
| SSM Health Care Group | Saint Louis, MO | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.