Washington University
Washington University was paid $1.64M by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
SAINT LOUIS, MO 63110
Next to other Multi-Specialty Clinic/Center providers in Missouri
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,481 | $76K | |
| 2019 | 2,482 | $93K | |
| 2020 | 2,113 | $122K | |
| 2021 | 4,277 | $270K | |
| 2022 | 3,911 | $322K | |
| 2023 | 5,673 | $467K | |
| 2024incomplete | 3,770 | $295K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 5,917 | 5,754 | $411K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 19% | 6,153 | 2,131 | $314K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 2,262 | 2,224 | $252K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.8% | 577 | 160 | $95K |
| 95812 | 5.7% | 1,408 | 1,401 | $93K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.3% | 1,263 | 387 | $87K |
| 95720 | 4.5% | 583 | 285 | $74K | |
| 64642 | 3.7% | 682 | 634 | $60K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.1% | 1,906 | 572 | $50K |
| 99255 | 2.3% | 415 | 346 | $38K | |
| 64643 | 2.0% | 529 | 402 | $33K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 721 | 699 | $28K |
17 more codes
| 95819 | 1.6% | 1,031 | $27K | |
| 95886 | 1.3% | 368 | $21K | |
| 95951 | <1% | 135 | $11K | |
| 95885 | <1% | 209 | $8K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 41 | $7K |
| 95782 | <1% | 49 | $6K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 29 | $5K |
| 99417 | Prolong home eval add 15m | <1% | 76 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 27 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 40 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 58 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 28 | $2K |
| 95874 | <1% | 71 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $651.14 |
| 64615 | <1% | 12 | $294.82 | |
| 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% | 47 | $183.16 |
| 99091 | <1% | 39 | $128.52 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Washington University | Saint Louis, MO | $22.01M |
| Washington University | Saint Louis, MO | $14.73M |
| Washington University | Saint Louis, MO | $10.34M |
| Washington University | Saint Louis, MO | $9.05M |
| Washington University | Saint Louis, MO | $6.86M |
| Washington University | Saint Louis, MO | $4.43M |
| Washington University | Saint Louis, MO | $4.04M |
| Washington University | Saint Louis, MO | $2.74M |
| Washington University | Saint Louis, MO | $2.04M |
| Wuca-Nash Pediatrics, LLC | Saint Louis, MO | $1.92M |
| Washington University | Saint Louis, MO | $1.89M |
| Washington University | Saint Louis, MO | $1.82M |
| Washington University | Saint Louis, MO | $1.57M |
| Washington University | Saint Louis, MO | $1.57M |
| Washington University | Saint Charles, MO | $1.38M |
| Washington Univ Clinical Associates | Saint Louis, MO | $1.17M |
| Washington University | Florissant, MO | $1.03M |
| Washington University | Saint Louis, MO | $807K |
| Washington University | Saint Louis, MO | $758K |
| Washington University | Saint Louis, MO | $308K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.