Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › SAINT LOUIS › SSM HEALTH CARE GROUP

SSM HEALTH CARE GROUP

NPI: 1306589544 · SAINT LOUIS, MO 63104 · Surgery Physician · NPI assigned 04/15/2022

$17.32M
Total Medicaid Paid
299,171
Total Claims
264,954
Beneficiaries
202
Codes Billed
2022-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREWERTS, KAREN (VICE PRESIDENT - FINANCE)
NPI Enumeration Date04/15/2022

Related Entities

Other providers sharing the same authorized official: REWERTS, KAREN

ProviderCityStateTotal Paid
SSM MEDICAL GROUP, INC. FENTON MO $19.35M
SSM CARDINAL GLENNON CHILDRENS HOSPITAL O FALLON IL $5.38M
SSM CARDINAL GLENNON CHILDRENS HOSPITAL SAINT LOUIS MO $79K
SSM HEALTH SLU HOSPITAL ANESTHESIA PHYSICIAN BILLING, LLC SAINT LOUIS MO $63K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 60,556 $3.42M
2023 123,822 $7.10M
2024 114,793 $6.80M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,431 25,194 $2.66M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,461 20,585 $1.76M
99283 Emergency department visit for the evaluation and management, moderate severity 18,800 18,626 $1.43M
99284 Emergency department visit for the evaluation and management, high severity 9,727 9,573 $1.19M
99232 Subsequent hospital care, per day, moderate complexity 16,228 6,885 $754K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,633 4,458 $698K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,067 4,004 $651K
74177 Computed tomography, abdomen and pelvis; with contrast material 9,468 9,104 $602K
99215 Prolong outpt/office vis 3,398 3,265 $556K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,784 4,730 $541K
70450 Computed tomography, head or brain; without contrast material 11,858 11,007 $403K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 7,652 7,328 $319K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,536 2,526 $303K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,597 2,551 $303K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,004 1,993 $225K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 960 689 $225K
76818 3,431 2,787 $209K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,623 3,491 $204K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,757 3,473 $202K
95720 1,289 592 $201K
99238 Hospital discharge day management, 30 minutes or less 2,361 2,301 $163K
99233 Prolong inpt eval add15 m 2,216 1,054 $160K
71045 Radiologic examination, chest; single view 25,286 19,895 $149K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21,369 18,547 $143K
99205 Prolong outpt/office vis 680 651 $138K
88307 1,631 1,543 $137K
72125 Computed tomography, cervical spine; without contrast material 3,356 3,223 $127K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,426 2,327 $120K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,201 1,125 $107K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,145 1,132 $101K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 384 379 $96K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,083 2,779 $94K
71275 Computed tomographic angiography, chest, with contrast material 1,394 1,319 $91K
99222 Initial hospital care, per day, moderate complexity 1,033 1,000 $87K
71046 Radiologic examination, chest; 2 views 10,337 10,061 $85K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,194 2,113 $79K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,361 2,628 $77K
20610 2,007 1,825 $74K
99479 Subsequent intensive care, per day, very low birth weight infant 490 93 $71K
92060 1,764 1,738 $65K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 507 496 $65K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 755 720 $61K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 182 140 $61K
72131 1,566 1,494 $59K
72128 1,282 1,222 $49K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 410 409 $48K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 96 15 $47K
99480 Subsequent intensive care, per day, low birth weight infant 304 88 $46K
99223 Prolong inpt eval add15 m 312 299 $44K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 497 473 $41K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,032 993 $40K
01922 261 261 $37K
99239 Hospital discharge day management, more than 30 minutes 488 474 $35K
99244 Office or other outpatient consultation, moderate to high complexity 166 165 $35K
67028 Intravitreal injection of a pharmacologic agent 447 397 $35K
93325 3,450 3,159 $34K
99477 81 78 $33K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 62 14 $31K
95810 Polysomnography; sleep staging with 4 or more additional parameters 125 124 $31K
93320 830 788 $31K
70486 737 708 $30K
42820 Tonsillectomy and adenoidectomy; younger than age 12 94 94 $27K
92134 1,421 1,306 $25K
70498 412 397 $25K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 328 288 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 427 425 $22K
92083 1,002 966 $21K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 296 288 $19K
99231 Subsequent hospital care, per day, straightforward or low complexity 504 361 $18K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 436 418 $17K
70551 Magnetic resonance imaging, brain; without contrast material 304 294 $17K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 525 520 $16K
90792 Psychiatric diagnostic evaluation with medical services 110 104 $16K
74176 Computed tomography, abdomen and pelvis; without contrast material 322 313 $16K
59025 Fetal non-stress test 497 223 $16K
90962 487 408 $16K
74018 2,588 1,971 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 449 445 $15K
76820 636 542 $15K
93298 867 837 $14K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 428 425 $14K
71250 412 393 $14K
69210 320 307 $13K
76819 Fetal biophysical profile; without non-stress testing 354 321 $13K
74183 153 149 $12K
95811 26 26 $12K
76705 Ultrasound, abdominal, real time with image documentation; limited 614 590 $12K
99417 Prolong home eval add 15m 99 97 $12K
77067 Screening mammography, bilateral, including computer-aided detection 356 352 $12K
73630 1,377 1,117 $11K
92504 420 408 $11K
92133 690 661 $10K
73130 1,351 1,071 $10K
77063 Screening digital breast tomosynthesis, bilateral 357 353 $9K
70496 160 155 $9K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 279 278 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 29 29 $9K
93304 226 204 $9K
64642 76 71 $9K
76821 279 223 $9K
73610 1,226 1,036 $9K
78815 Positron emission tomography (PET) for limited area imaging 131 126 $9K
93970 389 371 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 183 181 $9K
86077 197 177 $9K
90961 170 141 $8K
92201 330 220 $8K
95251 235 235 $8K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 279 279 $7K
73564 648 521 $7K
93321 464 419 $7K
73562 689 562 $6K
73030 919 804 $6K
92202 666 614 $6K
72100 648 627 $6K
31575 84 77 $6K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 38 38 $5K
94010 662 644 $5K
90935 Hemodialysis procedure with single evaluation by a physician 208 80 $5K
88342 170 139 $5K
00170 Anesthesia for intraoral procedures, including biopsy 72 72 $5K
76801 104 103 $4K
73590 611 506 $4K
93971 262 255 $4K
11102 45 45 $4K
72170 487 451 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 83 83 $4K
78816 50 50 $4K
90686 200 200 $3K
88341 49 41 $3K
64643 40 28 $3K
92136 150 136 $3K
76825 37 36 $3K
91200 245 238 $3K
84165 284 201 $3K
99255 12 12 $3K
93000 174 169 $2K
83020 119 115 $2K
51798 250 242 $2K
99336 94 75 $2K
94726 252 249 $2K
20550 84 52 $2K
99188 82 82 $2K
93976 38 38 $2K
95819 29 29 $2K
73552 256 220 $2K
73502 212 203 $2K
94060 193 192 $2K
99349 72 54 $2K
72040 186 182 $2K
17110 13 13 $2K
90656 83 83 $2K
76830 Ultrasound, transvaginal 39 38 $1K
95782 12 12 $1K
94729 239 236 $1K
99310 Prolong nursin fac eval 15m 46 39 $1K
99221 13 13 $1K
70491 28 28 $1K
76827 37 36 $1K
73110 183 146 $1K
99152 49 44 $1K
92025 103 94 $971.49
72141 13 13 $943.46
73700 27 24 $886.79
86334 107 77 $867.40
92551 12 12 $851.14
20611 13 12 $843.30
76770 30 30 $709.09
76642 24 19 $645.48
92557 43 38 $631.88
85060 27 25 $577.66
77080 74 72 $540.93
81025 44 44 $396.15
90723 12 12 $394.32
90670 26 26 $390.67
00126 12 12 $363.47
88108 31 26 $349.12
81003 320 302 $342.62
93922 42 42 $328.02
83036 Hemoglobin; glycosylated (A1C) 89 70 $311.68
95885 16 16 $311.25
73560 54 44 $308.54
88142 13 13 $296.60
88300 67 66 $270.81
88304 24 24 $257.64
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 13 $254.67
92020 14 14 $223.34
99307 30 26 $207.46
92567 73 66 $192.03
88112 14 12 $190.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 56 51 $189.60
93296 16 16 $171.21
93018 13 13 $141.06
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 59 58 $139.85
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $139.75
90677 12 12 $135.40
88311 21 13 $131.85
85018 44 41 $110.24
96127 51 46 $104.34
73090 16 14 $83.16
36415 Collection of venous blood by venipuncture 14 12 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,916 2,543 $0.00