Medicaid Provider Spending

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

SSM ST. CHARLES CLINIC MEDICAL GROUP, INC.

NPI: 1285741629 · TROY, MO 63379 · Family Medicine Physician · NPI assigned 08/23/2006

$26K
Total Medicaid Paid
690
Total Claims
656
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialPULLUM, LAURA (BILLING MANAGER)
NPI Enumeration Date08/23/2006

Related Entities

Other providers sharing the same authorized official: PULLUM, LAURA

ProviderCityStateTotal Paid
SSM DEPAUL MEDICAL GROUP, INC. MARYLAND HEIGHTS MO $131K
SSM ST. CHARLES CLINIC MEDICAL GROUP, INC. SAINT CHARLES MO $47K
SSM ST. CHARLES CLINIC MEDICAL GROUP, INC. WARRENTON MO $515.96

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 690 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 346 321 $13K
99308 Subsequent nursing facility care, per day, straightforward 186 179 $5K
99335 90 89 $5K
99336 43 43 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $332.63
99334 12 12 $147.56