Physician
SSM Cardinal Glennon Childrens Hospital
SSM Cardinal Glennon Childrens Hospital was paid $5.38M by Medicaid between Feb 2018 and Dec 2024, across 71 billing codes. Its largest line is 99283, emergency room visit (moderate) — 27% of everything it billed.
33Billing provider infoSSM CARDINAL GLENNON CHILDRENS HOSPITAL
O FALLON, IL 62269
O FALLON, IL 62269
33aNPI1174577670assigned 05/19/2006
33bProvider typePsychiatry Physician
28Total paid$5.38M
24GClaims107,799
24DCodes billed71
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Illinois
Rank by total paid#1 of 660
Median peer was paid$68K
This provider vs. median79×
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 | 173 | $2K | |
| 2019 | 1,153 | $12K | |
| 2020 | 8,400 | $254K | |
| 2021 | 24,657 | $884K | |
| 2022 | 26,112 | $1.31M | |
| 2023 | 26,571 | $1.65M | |
| 2024incomplete | 20,733 | $1.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 27% | 21,517 | 21,263 | $1.43M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 16,237 | 15,583 | $1.14M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.0% | 5,478 | 5,464 | $483K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 6.5% | 11,103 | 10,990 | $352K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 3,756 | 3,740 | $338K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 3,947 | 3,908 | $329K |
| 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 | 5.4% | 3,211 | 2,969 | $290K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 1,424 | 1,415 | $131K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.4% | 956 | 919 | $128K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.2% | 1,000 | 989 | $116K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 907 | 889 | $115K |
| 71045 | Radiologic examination, chest; single view | 1.8% | 13,604 | 7,634 | $96K |
59 more codes
| 71046 | Radiologic examination, chest; 2 views | 1.1% | 6,745 | $61K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.1% | 1,303 | $60K |
| 90723 | <1% | 848 | $30K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 360 | $27K |
| 92551 | <1% | 474 | $19K | |
| 74019 | <1% | 1,799 | $17K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 122 | $15K |
| 90686 | <1% | 1,385 | $14K | |
| 92588 | <1% | 266 | $14K | |
| 99205 | Prolong outpt/office vis | <1% | 79 | $12K |
| 99173 | <1% | 1,072 | $12K | |
| 90670 | <1% | 1,159 | $12K | |
| 99417 | Prolong home eval add 15m | <1% | 162 | $11K |
| 74018 | <1% | 1,515 | $11K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 442 | $11K |
| 76770 | <1% | 307 | $10K | |
| 99188 | <1% | 304 | $7K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 95 | $6K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 78 | $6K |
| 73130 | <1% | 654 | $5K | |
| 90633 | <1% | 451 | $5K | |
| 90647 | <1% | 424 | $5K | |
| 76506 | <1% | 150 | $5K | |
| 73610 | <1% | 538 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 25 | $4K |
| 90710 | <1% | 98 | $4K | |
| 96137 | <1% | 28 | $3K | |
| 90677 | <1% | 303 | $3K | |
| 73630 | <1% | 312 | $3K | |
| 90648 | <1% | 258 | $3K | |
| 88300 | <1% | 497 | $2K | |
| 96136 | <1% | 41 | $2K | |
| 85018 | <1% | 881 | $2K | |
| 90680 | <1% | 195 | $2K | |
| 90656 | <1% | 131 | $2K | |
| 72082 | <1% | 118 | $2K | |
| 90651 | <1% | 164 | $1K | |
| 90734 | <1% | 113 | $1K | |
| 96130 | <1% | 16 | $1K | |
| 96131 | <1% | 13 | $1K | |
| 87428 | <1% | 15 | $1K | |
| 99382 | <1% | 39 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 15 | $979.75 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $968.41 |
| 73090 | <1% | 106 | $862.53 | |
| 92558 | <1% | 36 | $843.15 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $833.25 |
| 96161 | <1% | 233 | $705.72 | |
| D1206 | Topical application of fluoride varnish | <1% | 32 | $577.92 |
| 90681 | <1% | 29 | $386.11 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 15 | $374.94 |
| 73590 | <1% | 39 | $334.02 | |
| 90696 | <1% | 13 | $318.93 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 14 | $313.36 |
| 73560 | <1% | 40 | $274.37 | |
| 94010 | <1% | 24 | $178.99 | |
| 73100 | <1% | 14 | $99.74 | |
| 77072 | <1% | 13 | $97.72 | |
| 81003 | <1% | 18 | $38.03 |
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 officialREWERTS, KAREN (VP FINANCE)
Parent organizationSSM CARDINAL GLENNON CHILDRENS HOSPITAL
| 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 | Saint Louis, MO | $79K |
| 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.