Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SSM HEALTH CARE ST. LOUIS

NPI: 1366400855 · SAINT LOUIS, MO 63117 · Internal Medicine Physician · NPI assigned 05/03/2006

$3.02M
Total Medicaid Paid
63,509
Total Claims
45,298
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUDLEY, SHARON (EVP/COO)
Parent OrganizationSSM HEALTHCARE ST. LOUIS
NPI Enumeration Date05/03/2006

Related Entities

Other providers sharing the same authorized official: DUDLEY, SHARON

ProviderCityStateTotal Paid
SSM HEALTH CARE ST LOUIS FENTON MO $570K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 10,151 $788K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,160 18,514 $1.57M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,671 6,632 $670K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,888 6,878 $535K
90853 Group psychotherapy (other than of a multiple-family group) 19,488 4,879 $68K
59430 178 165 $43K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,981 5,860 $29K
99231 Subsequent hospital care, per day, straightforward or low complexity 670 399 $21K
99232 Subsequent hospital care, per day, moderate complexity 391 218 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 312 283 $10K
59025 Fetal non-stress test 353 302 $9K
99215 Prolong outpt/office vis 93 86 $8K
77067 Screening mammography, bilateral, including computer-aided detection 233 224 $7K
77063 Screening digital breast tomosynthesis, bilateral 231 223 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 37 37 $5K
99238 Hospital discharge day management, 30 minutes or less 78 76 $5K
90832 Psychotherapy, 30 minutes with patient 473 331 $4K
99233 Prolong inpt eval add15 m 88 25 $3K
90791 Psychiatric diagnostic evaluation 29 28 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 37 37 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 28 25 $971.86
76642 15 12 $278.76
77065 Tomosynthesis, mammo 15 14 $260.46
99443 30 26 $210.30
71045 Radiologic examination, chest; single view 18 12 $145.19
87210 12 12 $45.75