Physician
SSM ST. Charles Clinic Medical Group, INC.
SSM ST. Charles Clinic Medical Group, INC. was paid $26K by Medicaid between Jan 2018 and May 2018, across 6 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 49% of everything it billed.
33Billing provider infoSSM ST. CHARLES CLINIC MEDICAL GROUP, INC.
TROY, MO 63379
TROY, MO 63379
33aNPI1285741629assigned 08/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$26K
24GClaims690
24DCodes billed6
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other Family Medicine Physician providers in Missouri
Rank by total paid#383 of 911
Median peer was paid$16K
This provider vs. median1.6×
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 | 690 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 49% | 346 | 321 | $13K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 19% | 186 | 179 | $5K |
| 99335 | 18% | 90 | 89 | $5K | |
| 99336 | 12% | 43 | 43 | $3K | |
| 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 | 1.3% | 13 | 12 | $332.63 |
| 99334 | <1% | 12 | 12 | $147.56 |
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 officialPULLUM, LAURA (BILLING MANAGER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.