Medicaid Provider Spending

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

SSM CARDINAL GLENNON CHILDRENS HOSPITAL

NPI: 1174577670 · O FALLON, IL 62269 · Psychiatry Physician · NPI assigned 05/19/2006

$5.38M
Total Medicaid Paid
107,799
Total Claims
99,250
Beneficiaries
71
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREWERTS, KAREN (VP FINANCE)
Parent OrganizationSSM CARDINAL GLENNON CHILDRENS HOSPITAL
NPI Enumeration Date05/19/2006

Related Entities

Other providers sharing the same authorized official: REWERTS, KAREN

ProviderCityStateTotal Paid
SSM MEDICAL GROUP, INC. FENTON MO $19.35M
SSM HEALTH CARE GROUP SAINT LOUIS MO $17.32M
SSM CARDINAL GLENNON CHILDRENS HOSPITAL SAINT LOUIS MO $79K
SSM HEALTH SLU HOSPITAL ANESTHESIA PHYSICIAN BILLING, LLC SAINT LOUIS MO $63K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 173 $2K
2019 1,153 $12K
2020 8,400 $254K
2021 24,657 $884K
2022 26,112 $1.31M
2023 26,571 $1.65M
2024 20,733 $1.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 21,517 21,263 $1.43M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,237 15,583 $1.14M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,478 5,464 $483K
99282 Emergency department visit for the evaluation and management, low to moderate severity 11,103 10,990 $352K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,756 3,740 $338K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,947 3,908 $329K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,211 2,969 $290K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,424 1,415 $131K
88305 Level IV - Surgical pathology, gross and microscopic examination 956 919 $128K
99284 Emergency department visit for the evaluation and management, high severity 1,000 989 $116K
99215 Prolong outpt/office vis 907 889 $115K
71045 Radiologic examination, chest; single view 13,604 7,634 $96K
71046 Radiologic examination, chest; 2 views 6,745 6,527 $61K
70450 Computed tomography, head or brain; without contrast material 1,303 1,199 $60K
90723 848 838 $30K
70551 Magnetic resonance imaging, brain; without contrast material 360 341 $27K
92551 474 472 $19K
74019 1,799 1,628 $17K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 122 118 $15K
90686 1,385 1,373 $14K
92588 266 264 $14K
99205 Prolong outpt/office vis 79 79 $12K
99173 1,072 1,064 $12K
90670 1,159 1,148 $12K
99417 Prolong home eval add 15m 162 160 $11K
74018 1,515 1,133 $11K
76705 Ultrasound, abdominal, real time with image documentation; limited 442 418 $11K
76770 307 300 $10K
99188 304 302 $7K
99233 Prolong inpt eval add15 m 95 53 $6K
74177 Computed tomography, abdomen and pelvis; with contrast material 78 78 $6K
73130 654 635 $5K
90633 451 446 $5K
90647 424 420 $5K
76506 150 101 $5K
73610 538 515 $5K
90791 Psychiatric diagnostic evaluation 25 25 $4K
90710 98 98 $4K
96137 28 28 $3K
90677 303 302 $3K
73630 312 298 $3K
90648 258 258 $3K
88300 497 490 $2K
96136 41 40 $2K
85018 881 875 $2K
90680 195 195 $2K
90656 131 131 $2K
72082 118 118 $2K
90651 164 162 $1K
90734 113 113 $1K
96130 16 16 $1K
96131 13 13 $1K
87428 15 14 $1K
99382 39 39 $1K
99232 Subsequent hospital care, per day, moderate complexity 15 12 $979.75
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $968.41
73090 106 100 $862.53
92558 36 36 $843.15
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27 27 $833.25
96161 233 228 $705.72
D1206 Topical application of fluoride varnish 32 32 $577.92
90681 29 29 $386.11
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15 14 $374.94
73590 39 38 $334.02
90696 13 13 $318.93
99281 Emergency department visit for the evaluation and management, self-limited or minor 14 14 $313.36
73560 40 37 $274.37
94010 24 24 $178.99
73100 14 13 $99.74
77072 13 13 $97.72
81003 18 18 $38.03