Medicaid Provider Spending

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

SSM HEALTH CARE ST LOUIS

NPI: 1275586174 · FENTON, MO 63026 · Vascular Surgery Physician · NPI assigned 05/19/2006

$570K
Total Medicaid Paid
8,501
Total Claims
7,951
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUDLEY, SHARON (EVP/COO)
Parent OrganizationSSM HEALTH CARE ST. LOUIS
NPI Enumeration Date05/19/2006

Related Entities

Other providers sharing the same authorized official: DUDLEY, SHARON

ProviderCityStateTotal Paid
SSM HEALTH CARE ST. LOUIS SAINT LOUIS MO $3.02M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 122 $442.24
2019 222 $3K
2020 533 $17K
2021 1,447 $71K
2022 2,071 $145K
2023 2,428 $192K
2024 1,678 $142K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,966 3,772 $289K
99283 Emergency department visit for the evaluation and management, moderate severity 1,764 1,734 $114K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,235 1,190 $110K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 348 323 $33K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 310 277 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 46 41 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 633 483 $2K
99232 Subsequent hospital care, per day, moderate complexity 66 24 $2K
76818 25 12 $1K
99282 Emergency department visit for the evaluation and management, low to moderate severity 29 26 $766.22
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 24 14 $647.99
99239 Hospital discharge day management, more than 30 minutes 12 12 $488.97
99238 Hospital discharge day management, 30 minutes or less 15 15 $437.08
77067 Screening mammography, bilateral, including computer-aided detection 14 14 $431.47
77063 Screening digital breast tomosynthesis, bilateral 14 14 $346.24