SSM Cardinal Glennon Childrens Hospital
SSM Cardinal Glennon Childrens Hospital was paid $79K by Medicaid between May 2020 and Apr 2024, across 17 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 19% of everything it billed.
SAINT LOUIS, MO 63139
Next to other Pediatrics Physician providers in Missouri
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,790 | $67K | |
| 2021 | 168 | $8K | |
| 2023 | 35 | $2K | |
| 2024incomplete | 29 | $2K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 252 | 244 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 162 | 162 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 177 | 175 | $10K |
| 92551 | 12% | 252 | 242 | $10K | |
| 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 | 10% | 97 | 95 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.2% | 74 | 74 | $6K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.1% | 84 | 84 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 78 | 74 | $4K |
| 99173 | 3.8% | 174 | 171 | $3K | |
| 90686 | 3.4% | 230 | 208 | $3K | |
| 90670 | 2.6% | 163 | 159 | $2K | |
| 90723 | 2.3% | 84 | 83 | $2K |
5 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| SSM Medical Group, INC. | Fenton, MO | $19.35M |
| SSM Health Care Group | Saint Louis, MO | $17.32M |
| SSM Cardinal Glennon Childrens Hospital | O Fallon, IL | $5.38M |
| SSM Health Slu Hospital Anesthesia Physician Billing, LLC | Saint Louis, MO | $63K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.