Washington University
Washington University was paid $22.01M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99284, emergency room visit (serious) — 23% of everything it billed.
SAINT LOUIS, MO 63110
Next to other Multi-Specialty Clinic/Center 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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 688 | $23K | |
| 2019 | 1,045 | $40K | |
| 2020 | 10,587 | $861K | |
| 2021 | 48,681 | $5.37M | |
| 2022 | 54,816 | $5.48M | |
| 2023 | 58,997 | $5.57M | |
| 2024incomplete | 48,562 | $4.68M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 23% | 34,055 | 33,829 | $5.07M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 21% | 44,574 | 44,243 | $4.66M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 12,011 | 11,885 | $2.43M |
| 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 | 5.5% | 14,539 | 14,359 | $1.21M |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 3.9% | 6,085 | 5,725 | $866K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.9% | 10,390 | 4,185 | $849K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.2% | 3,739 | 3,629 | $711K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 5,074 | 5,003 | $607K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.9% | 1,655 | 688 | $416K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.8% | 2,127 | 2,124 | $404K |
| 93325 | 1.7% | 11,898 | 10,673 | $374K | |
| 54150 | 1.6% | 1,892 | 1,848 | $361K |
78 more codes
| 99460 | 1.4% | 4,131 | $319K | |
| 93320 | 1.2% | 6,157 | $274K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.2% | 2,604 | $258K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 1.1% | 622 | $246K |
| 94010 | 1.1% | 6,520 | $245K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 1,823 | $203K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,767 | $201K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 3,517 | $185K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 2,735 | $183K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 1,525 | $182K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,842 | $172K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,262 | $140K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 225 | $134K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12,198 | $116K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,956 | $104K |
| 93000 | <1% | 4,116 | $93K | |
| 94060 | <1% | 1,193 | $77K | |
| 99255 | <1% | 590 | $70K | |
| 99462 | <1% | 1,794 | $69K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 483 | $68K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 392 | $62K |
| 95782 | <1% | 412 | $48K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 925 | $47K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 403 | $43K |
| 93321 | <1% | 1,717 | $41K | |
| 93304 | <1% | 426 | $41K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 883 | $38K |
| 99254 | <1% | 220 | $37K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 271 | $35K |
| 99243 | <1% | 248 | $34K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,320 | $29K |
| 99245 | <1% | 172 | $25K | |
| 90677 | <1% | 258 | $24K | |
| 93226 | <1% | 247 | $22K | |
| 76825 | <1% | 106 | $17K | |
| 95251 | <1% | 453 | $15K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 163 | $13K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 382 | $12K |
| 90698 | <1% | 533 | $11K | |
| 93227 | <1% | 324 | $10K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 270 | $10K |
| 76827 | <1% | 107 | $9K | |
| 93308 | <1% | 94 | $8K | |
| 90697 | <1% | 141 | $8K | |
| 99205 | Prolong outpt/office vis | <1% | 39 | $7K |
| 93298 | <1% | 274 | $6K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 25 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 321 | $5K |
| 99220 | <1% | 27 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 24 | $5K |
| 90670 | <1% | 755 | $4K | |
| 90686 | <1% | 674 | $4K | |
| 93294 | <1% | 107 | $3K | |
| 90656 | <1% | 207 | $3K | |
| 94621 | <1% | 25 | $3K | |
| 90680 | <1% | 510 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 63 | $2K |
| 83655 | <1% | 130 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 119 | $2K |
| 90619 | <1% | 29 | $2K | |
| 96161 | <1% | 609 | $2K | |
| 92551 | <1% | 104 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $1K |
| 99221 | <1% | 14 | $1K | |
| 81025 | <1% | 126 | $954.11 | |
| 90744 | <1% | 155 | $872.40 | |
| 95012 | <1% | 39 | $796.52 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $750.94 |
| 99490 | Ccm add 20min | <1% | 16 | $630.28 |
| 85018 | <1% | 181 | $589.33 | |
| 87807 | <1% | 31 | $513.42 | |
| 90633 | <1% | 82 | $486.46 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | $459.50 |
| 90715 | <1% | 13 | $174.95 | |
| 90707 | <1% | 12 | $161.80 | |
| 90734 | <1% | 14 | $71.75 | |
| 90716 | <1% | 12 | $70.61 | |
| 81002 | <1% | 17 | $30.28 |
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 |
|---|---|---|
| Washington University | Saint Louis, MO | $14.73M |
| Washington University | Saint Louis, MO | $10.34M |
| Washington University | Saint Louis, MO | $9.05M |
| Washington University | Saint Louis, MO | $6.86M |
| Washington University | Saint Louis, MO | $4.43M |
| Washington University | Saint Louis, MO | $4.04M |
| Washington University | Saint Louis, MO | $2.74M |
| Washington University | Saint Louis, MO | $2.04M |
| Wuca-Nash Pediatrics, LLC | Saint Louis, MO | $1.92M |
| Washington University | Saint Louis, MO | $1.89M |
| Washington University | Saint Louis, MO | $1.82M |
| Washington University | Saint Louis, MO | $1.64M |
| Washington University | Saint Louis, MO | $1.57M |
| Washington University | Saint Louis, MO | $1.57M |
| Washington University | Saint Charles, MO | $1.38M |
| Washington Univ Clinical Associates | Saint Louis, MO | $1.17M |
| Washington University | Florissant, MO | $1.03M |
| Washington University | Saint Louis, MO | $807K |
| Washington University | Saint Louis, MO | $758K |
| Washington University | Saint Louis, MO | $308K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.