Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SSM REGIONAL HEALTH SERVICES

NPI: 1053368159 · JEFFERSON CITY, MO 65109 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 05/27/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more

$842K
Total Medicaid Paid
17,847
Total Claims
10,060
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMANUEL, SHASTA (REGIONAL VICE PRESIDENT FINANCE/CFO)
Parent OrganizationSSM REGIONAL HEALTH SERVICES
NPI Enumeration Date05/27/2006

Related Entities

Other providers sharing the same authorized official: MANUEL, SHASTA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,578 $108K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 7,229 2,355 $255K
99233 Prolong inpt eval add15 m 3,761 1,856 $187K
99239 Hospital discharge day management, more than 30 minutes 2,219 1,970 $120K
99223 Prolong inpt eval add15 m 1,095 1,005 $101K
90834 Psychotherapy, 45 minutes with patient 651 397 $51K
90791 Psychiatric diagnostic evaluation 545 414 $39K
99222 Initial hospital care, per day, moderate complexity 399 344 $33K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 818 743 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 274 247 $18K
90832 Psychotherapy, 30 minutes with patient 407 374 $6K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 324 296 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 110 44 $3K
99215 Prolong outpt/office vis 15 15 $1K