Urgent Care Centers of ST. Anthony's Medical Center, LC

Urgent Care Centers of ST. Anthony's Medical Center, LC was paid $295K by Medicaid between Jan 2018 and Sep 2018, across 11 billing codes. Its largest line is 87804, Infectious agent antigen detection by immunoassay; Influenza, each type — 33% of everything it billed.

33Billing provider infoURGENT CARE CENTERS OF ST. ANTHONY'S MEDICAL CENTER, LC
ARNOLD, MO 63010

33aNPI1316175417assigned 06/26/2009

33bProvider typeGeneral Acute Care Hospital

28Total paid$295K

24GClaims2,914

24DCodes billed11

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other General Acute Care Hospital providers in Missouri

Rank by total paid#58 of 74

Median peer was paid$4.44M

This provider vs. median0.1×

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	2,914	$295K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	33%	947	394	$96K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	28%	745	707	$81K
87081		18%	491	466	$55K
X4003		13%	427	421	$38K
99282	Emergency department visit for the evaluation and management, low to moderate severity	3.9%	166	107	$11K
81002		1.3%	32	32	$4K
G0381	Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)	<1%	31	25	$3K
G0380	Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)	<1%	27	27	$2K
Y7506		<1%	13	13	$2K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	22	20	$2K
87086	Culture, bacterial; quantitative colony count, urine	<1%	13	13	$1K

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 officialMORTON, DAVID (CMO)

Parent organizationST. ANTHONY'S MEDICAL CENTER