Physician
SSM Health Care ST. Louis
SSM Health Care ST. Louis was paid $3.02M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoSSM HEALTH CARE ST. LOUIS
SAINT LOUIS, MO 63117
SAINT LOUIS, MO 63117
33aNPI1366400855assigned 05/03/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.02M
24GClaims63,509
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Missouri
Rank by total paid#6 of 364
Median peer was paid$10K
This provider vs. median294×
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 | 3,178 | $26K | |
| 2019 | 6,403 | $34K | |
| 2020 | 5,083 | $89K | |
| 2021 | 11,097 | $347K | |
| 2022 | 13,073 | $671K | |
| 2023 | 14,524 | $1.06M | |
| 2024incomplete | 10,151 | $788K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 19,160 | 18,514 | $1.57M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 6,671 | 6,632 | $670K |
| 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 | 18% | 7,888 | 6,878 | $535K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.2% | 19,488 | 4,879 | $68K |
| 59430 | 1.4% | 178 | 165 | $43K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 6,981 | 5,860 | $29K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 670 | 399 | $21K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 391 | 218 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 312 | 283 | $10K |
| 59025 | Fetal non-stress test | <1% | 353 | 302 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 93 | 86 | $8K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 233 | 224 | $7K |
13 more codes
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 231 | $6K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 37 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 78 | $5K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 473 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 88 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 29 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 37 | $2K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 28 | $971.86 |
| 76642 | <1% | 15 | $278.76 | |
| 77065 | Tomosynthesis, mammo | <1% | 15 | $260.46 |
| 99443 | <1% | 30 | $210.30 | |
| 71045 | Radiologic examination, chest; single view | <1% | 18 | $145.19 |
| 87210 | <1% | 12 | $45.75 |
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 officialDUDLEY, SHARON (EVP/COO)
Parent organizationSSM HEALTHCARE ST. LOUIS
| Provider | Location | Paid |
|---|---|---|
| SSM Health Care ST Louis | Fenton, MO | $570K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.