Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Saint Louis › NPI 1285708230
Physician

Baumer, Susan

Baumer, Susan was paid $842K by Medicaid between Jan 2018 and Jun 2020, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoBAUMER, SUSAN
SAINT LOUIS, MO 63112
33aNPI1285708230assigned 11/20/2006
33bProvider typePediatrics Physician
28Total paid$842K
24GClaims5,285
24DCodes billed16
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#43 of 992
Median peer was paid$40K
This provider vs. median21×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20182,438$289K
20192,376$440K
2020471$114K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 1,126 1,090 $199K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 20% 738 726 $166K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14% 495 489 $117K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10% 369 368 $86K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.0% 310 306 $76K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8.5% 1,111 1,094 $71K
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 5.6% 162 159 $47K
80053 Comprehensive metabolic panel 3.3% 357 350 $28K
86592 2.1% 377 369 $17K
99383 1.3% 41 41 $11K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.0% 66 63 $8K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 63 60 $8K
4 more codes
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 29 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 14 $932.40
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 14 $874.94
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 $234.00

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.