Physician
SSM Health Care ST Louis
SSM Health Care ST Louis was paid $570K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoSSM HEALTH CARE ST LOUIS
FENTON, MO 63026
FENTON, MO 63026
33aNPI1275586174assigned 05/19/2006
33bProvider typeVascular Surgery Physician
28Total paid$570K
24GClaims8,501
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Vascular Surgery Physician providers in Missouri
Rank by total paid#1 of 11
Median peer was paid$2K
This provider vs. median269×
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 | 122 | $442.24 | |
| 2019 | 222 | $3K | |
| 2020 | 533 | $17K | |
| 2021 | 1,447 | $71K | |
| 2022 | 2,071 | $145K | |
| 2023 | 2,428 | $192K | |
| 2024incomplete | 1,678 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 3,966 | 3,772 | $289K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 20% | 1,764 | 1,734 | $114K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 1,235 | 1,190 | $110K |
| 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 | 5.7% | 348 | 323 | $33K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.8% | 310 | 277 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 46 | 41 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 633 | 483 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 66 | 24 | $2K |
| 76818 | <1% | 25 | 12 | $1K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 29 | 26 | $766.22 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 24 | 14 | $647.99 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | 12 | $488.97 |
3 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.
From NPPES
Who's on the registration
Authorized officialDUDLEY, SHARON (EVP/COO)
Parent organizationSSM HEALTH CARE ST. LOUIS
| Provider | Location | Paid |
|---|---|---|
| SSM Health Care ST. Louis | Saint Louis, MO | $3.02M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.