Clinic
SSM Regional Health Services
SSM Regional Health Services was paid $842K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 30% of everything it billed.
33Billing provider infoSSM REGIONAL HEALTH SERVICES
JEFFERSON CITY, MO 65109
JEFFERSON CITY, MO 65109
33aNPI1053368159assigned 05/27/2006
28Total paid$842K
24GClaims17,847
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Missouri
Rank by total paid#11 of 34
Median peer was paid$74K
This provider vs. median11×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more
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 | 1,616 | $62K | |
| 2019 | 2,060 | $89K | |
| 2020 | 2,675 | $119K | |
| 2021 | 2,678 | $123K | |
| 2022 | 3,401 | $177K | |
| 2023 | 2,839 | $163K | |
| 2024incomplete | 2,578 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 30% | 7,229 | 2,355 | $255K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 22% | 3,761 | 1,856 | $187K |
| 99239 | Hospital discharge day management, more than 30 minutes | 14% | 2,219 | 1,970 | $120K |
| 99223 | Prolong inpt eval add15 m | 12% | 1,095 | 1,005 | $101K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.0% | 651 | 397 | $51K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.7% | 545 | 414 | $39K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.0% | 399 | 344 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 818 | 743 | $23K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.1% | 274 | 247 | $18K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 407 | 374 | $6K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 324 | 296 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 110 | 44 | $3K |
1 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $1K |
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 officialMANUEL, SHASTA (REGIONAL VICE PRESIDENT FINANCE/CFO)
Parent organizationSSM REGIONAL HEALTH SERVICES
| Provider | Location | Paid |
|---|---|---|
| SSM Health Care of Oklahoma, INC. | Oklahoma City, OK | $46.86M |
| ST Anthony Shawnee Hospital INC | Shawnee, OK | $23.00M |
| Saints Medical Group, LLC | Shawnee, OK | $14.52M |
| Saint Medical Group, LLC | Shawnee, OK | $4.51M |
| SSM Regional Health Services | Jefferson City, MO | $2.49M |
| Saints Medical Group, LLC | Shawnee, OK | $1.32M |
| SSM Regional Health Services | Jefferson City, MO | $1.26M |
| SSM Health Care of Oklahoma, INC. | Oklahoma City, OK | $856K |
| SSM Regional Health Services | Jefferson City, MO | $398K |
| SSM Regional Health Services | Belle, MO | $388K |
| SSM Regional Health Services | Tipton, MO | $304K |
| SSM Health Care of Oklahoma, INC | Oklahoma City, OK | $269K |
| Saint Medical Group, LLC | Tecumseh, OK | $246K |
| SSM Regional Health Services | Jefferson City, MO | $239K |
| Saint Medical Group, LLC | Chandler, OK | $194K |
| SSM Regional Health Services | Jefferson City, MO | $191K |
| Saints Medical Group, LLC | Okemah, OK | $165K |
| SSM Regional Health Services | Jefferson City, MO | $149K |
| Saints Medical Group, LLC | Oklahoma City, OK | $84K |
| SSM Regional Health Services | Jefferson City, MO | $61K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.