Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

SSM Health Care Group

SSM Health Care Group was paid $17.32M by Medicaid between Jul 2022 and Dec 2024, across 202 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 15% of everything it billed.

33Billing provider infoSSM HEALTH CARE GROUP
SAINT LOUIS, MO 63104
33aNPI1306589544assigned 04/15/2022
33bProvider typeSurgery Physician
28Total paid$17.32M
24GClaims299,171
24DCodes billed202
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers

Next to other Surgery Physician providers in Missouri

Rank by total paid#1 of 35
Median peer was paid$6K
This provider vs. median3,114×

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$250K$500K$750K2018201920202021202220232024
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
202260,556$3.42M
2023123,822$7.10M
2024incomplete114,793$6.80M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 15% 26,431 25,194 $2.66M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 21,461 20,585 $1.76M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.3% 18,800 18,626 $1.43M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.9% 9,727 9,573 $1.19M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.4% 16,228 6,885 $754K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 4.0% 4,633 4,458 $698K
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 3.8% 4,067 4,004 $651K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.5% 9,468 9,104 $602K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.2% 3,398 3,265 $556K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.1% 4,784 4,730 $541K
70450 Computed tomography, head or brain; without contrast material 2.3% 11,858 11,007 $403K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.8% 7,652 7,328 $319K
190 more codes
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.7% 2,536 $303K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.7% 2,597 $303K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.3% 2,004 $225K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.3% 960 $225K
76818 1.2% 3,431 $209K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 3,623 $204K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.2% 3,757 $202K
95720 1.2% 1,289 $201K
99238 Hospital discharge day management, 30 minutes or less <1% 2,361 $163K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 2,216 $160K
71045 Radiologic examination, chest; single view <1% 25,286 $149K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 21,369 $143K
99205 Prolong outpt/office vis <1% 680 $138K
88307 <1% 1,631 $137K
72125 Computed tomography, cervical spine; without contrast material <1% 3,356 $127K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,426 $120K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,201 $107K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,145 $101K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 384 $96K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 3,083 $94K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,394 $91K
99222 Initial hospital care, per day, moderate complexity <1% 1,033 $87K
71046 Radiologic examination, chest; 2 views <1% 10,337 $85K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,194 $79K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 3,361 $77K
20610 <1% 2,007 $74K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 490 $71K
92060 <1% 1,764 $65K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 507 $65K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 755 $61K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 182 $61K
72131 <1% 1,566 $59K
72128 <1% 1,282 $49K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 410 $48K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years <1% 96 $47K
99480 Subsequent intensive care, per day, low birth weight infant <1% 304 $46K
99223 Prolong inpt eval add15 m <1% 312 $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 <1% 497 $41K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,032 $40K
01922 <1% 261 $37K
99239 Hospital discharge day management, more than 30 minutes <1% 488 $35K
99244 Office or other outpatient consultation, moderate to high complexity <1% 166 $35K
67028 Intravitreal injection of a pharmacologic agent <1% 447 $35K
93325 <1% 3,450 $34K
99477 <1% 81 $33K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 62 $31K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 125 $31K
93320 <1% 830 $31K
70486 <1% 737 $30K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 94 $27K
92134 <1% 1,421 $25K
70498 <1% 412 $25K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 328 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 427 $22K
92083 <1% 1,002 $21K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 296 $19K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 504 $18K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 436 $17K
70551 Magnetic resonance imaging, brain; without contrast material <1% 304 $17K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 525 $16K
90792 Psychiatric diagnostic evaluation with medical services <1% 110 $16K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 322 $16K
59025 Fetal non-stress test <1% 497 $16K
90962 <1% 487 $16K
74018 <1% 2,588 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 449 $15K
76820 <1% 636 $15K
93298 <1% 867 $14K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 428 $14K
71250 <1% 412 $14K
69210 <1% 320 $13K
76819 Fetal biophysical profile; without non-stress testing <1% 354 $13K
74183 <1% 153 $12K
95811 <1% 26 $12K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 614 $12K
99417 Prolong home eval add 15m <1% 99 $12K
77067 Screening mammography, bilateral, including computer-aided detection <1% 356 $12K
73630 <1% 1,377 $11K
92504 <1% 420 $11K
92133 <1% 690 $10K
73130 <1% 1,351 $10K
77063 Screening digital breast tomosynthesis, bilateral <1% 357 $9K
70496 <1% 160 $9K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 279 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 29 $9K
93304 <1% 226 $9K
64642 <1% 76 $9K
76821 <1% 279 $9K
73610 <1% 1,226 $9K
78815 Positron emission tomography (PET) for limited area imaging <1% 131 $9K
93970 <1% 389 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 183 $9K
86077 <1% 197 $9K
90961 <1% 170 $8K
92201 <1% 330 $8K
95251 <1% 235 $8K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 279 $7K
73564 <1% 648 $7K
93321 <1% 464 $7K
73562 <1% 689 $6K
73030 <1% 919 $6K
92202 <1% 666 $6K
72100 <1% 648 $6K
31575 <1% 84 $6K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 38 $5K
94010 <1% 662 $5K
90935 Hemodialysis procedure with single evaluation by a physician <1% 208 $5K
88342 <1% 170 $5K
00170 Anesthesia for intraoral procedures, including biopsy <1% 72 $5K
76801 <1% 104 $4K
73590 <1% 611 $4K
93971 <1% 262 $4K
11102 <1% 45 $4K
72170 <1% 487 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 83 $4K
78816 <1% 50 $4K
90686 <1% 200 $3K
88341 <1% 49 $3K
64643 <1% 40 $3K
92136 <1% 150 $3K
76825 <1% 37 $3K
91200 <1% 245 $3K
84165 <1% 284 $3K
99255 <1% 12 $3K
93000 <1% 174 $2K
83020 <1% 119 $2K
51798 <1% 250 $2K
99336 <1% 94 $2K
94726 <1% 252 $2K
20550 <1% 84 $2K
99188 <1% 82 $2K
93976 <1% 38 $2K
95819 <1% 29 $2K
73552 <1% 256 $2K
73502 <1% 212 $2K
94060 <1% 193 $2K
99349 <1% 72 $2K
72040 <1% 186 $2K
17110 <1% 13 $2K
90656 <1% 83 $2K
76830 Ultrasound, transvaginal <1% 39 $1K
95782 <1% 12 $1K
94729 <1% 239 $1K
99310 Prolong nursin fac eval 15m <1% 46 $1K
99221 <1% 13 $1K
70491 <1% 28 $1K
76827 <1% 37 $1K
73110 <1% 183 $1K
99152 <1% 49 $1K
92025 <1% 103 $971.49
72141 <1% 13 $943.46
73700 <1% 27 $886.79
86334 <1% 107 $867.40
92551 <1% 12 $851.14
20611 <1% 13 $843.30
76770 <1% 30 $709.09
76642 <1% 24 $645.48
92557 <1% 43 $631.88
85060 <1% 27 $577.66
77080 <1% 74 $540.93
81025 <1% 44 $396.15
90723 <1% 12 $394.32
90670 <1% 26 $390.67
00126 <1% 12 $363.47
88108 <1% 31 $349.12
81003 <1% 320 $342.62
93922 <1% 42 $328.02
83036 Hemoglobin; glycosylated (A1C) <1% 89 $311.68
95885 <1% 16 $311.25
73560 <1% 54 $308.54
88142 <1% 13 $296.60
88300 <1% 67 $270.81
88304 <1% 24 $257.64
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 13 $254.67
92020 <1% 14 $223.34
99307 <1% 30 $207.46
92567 <1% 73 $192.03
88112 <1% 14 $190.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 56 $189.60
93296 <1% 16 $171.21
93018 <1% 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) <1% 59 $139.85
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 $139.75
90677 <1% 12 $135.40
88311 <1% 21 $131.85
85018 <1% 44 $110.24
96127 <1% 51 $104.34
73090 <1% 16 $83.16
36415 Collection of venous blood by venipuncture 0% 14 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 3,916 $0.00

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.

From NPPES

Who's on the registration

Authorized officialREWERTS, KAREN (VICE PRESIDENT - FINANCE)
Same official

Other billing entities under REWERTS, KAREN

Full network →
ProviderLocationPaid
SSM Medical Group, INC.Fenton, MO$19.35M
SSM Cardinal Glennon Childrens HospitalO Fallon, IL$5.38M
SSM Cardinal Glennon Childrens HospitalSaint Louis, MO$79K
SSM Health Slu Hospital Anesthesia Physician Billing, LLCSaint Louis, MO$63K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.