Physician
SSM Health Care ST. Louis
SSM Health Care ST. Louis was paid $2.30M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoSSM HEALTH CARE ST. LOUIS
BRIDGETON, MO 63044
BRIDGETON, MO 63044
33aNPI1376598599assigned 05/24/2006
33bProvider typePulmonary Disease Physician
28Total paid$2.30M
24GClaims46,447
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Missouri
Rank by total paid#1 of 35
Median peer was paid$20K
This provider vs. median112×
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.
Entity ProliferationAuthorized official JOHNSON, STEVEN controls 16+ related entities in our dataset. Read more
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 | 2,647 | $27K | |
| 2019 | 2,267 | $22K | |
| 2020 | 3,802 | $117K | |
| 2021 | 7,648 | $284K | |
| 2022 | 10,657 | $565K | |
| 2023 | 10,830 | $716K | |
| 2024incomplete | 8,596 | $566K |
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 | 35% | 11,005 | 10,195 | $809K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 4,906 | 4,219 | $273K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 2,819 | 2,668 | $250K |
| 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 | 7.5% | 1,720 | 1,619 | $172K |
| 99252 | 4.6% | 1,643 | 1,474 | $105K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.4% | 2,370 | 1,762 | $102K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.6% | 2,987 | 1,549 | $82K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.7% | 1,879 | 1,784 | $61K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.5% | 769 | 696 | $58K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 964 | 807 | $56K |
| 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 | 1.8% | 379 | 357 | $41K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.7% | 3,827 | 1,685 | $40K |
20 more codes
| 99222 | Initial hospital care, per day, moderate complexity | 1.5% | 324 | $35K |
| 76818 | 1.1% | 507 | $26K | |
| 99460 | 1.1% | 318 | $25K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,962 | $22K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 756 | $22K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 549 | $17K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 218 | $17K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 302 | $16K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 656 | $16K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 553 | $14K |
| 99462 | <1% | 344 | $11K | |
| 99251 | <1% | 152 | $8K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 191 | $7K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 106 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 41 | $3K |
| 76801 | <1% | 71 | $2K | |
| 99221 | <1% | 27 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 38 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $1K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 50 | $738.55 |
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 officialJOHNSON, STEVEN (PRESIDENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.