Medicaid Provider Spending

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

SSM REGIONAL HEALTH SERVICES

NPI: 1396782587 · JEFFERSON CITY, MO 65109 · Clinic/Center · NPI assigned 05/31/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more

$2.49M
Total Medicaid Paid
41,949
Total Claims
40,510
Beneficiaries
26
Codes Billed
2020-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMANUEL, SHASTA (REGIONAL VICE PRESIDENT FINANCE/CFO)
Parent OrganizationSSM REGIONAL HEALTH SERVICES
NPI Enumeration Date05/31/2006

Related Entities

Other providers sharing the same authorized official: MANUEL, SHASTA

ProviderCityStateTotal Paid
SSM HEALTH CARE OF OKLAHOMA, INC. OKLAHOMA CITY OK $46.86M
ST ANTHONY SHAWNEE HOSPITAL INC SHAWNEE OK $23.00M
SAINTS MEDICAL GROUP, LLC SHAWNEE OK $14.52M
SAINT MEDICAL GROUP, LLC SHAWNEE OK $4.51M
SAINTS MEDICAL GROUP, LLC SHAWNEE OK $1.32M
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $1.26M
SSM HEALTH CARE OF OKLAHOMA, INC. OKLAHOMA CITY OK $856K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $842K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $398K
SSM REGIONAL HEALTH SERVICES BELLE MO $388K
SSM REGIONAL HEALTH SERVICES TIPTON MO $304K
SSM HEALTH CARE OF OKLAHOMA, INC OKLAHOMA CITY OK $269K
SAINT MEDICAL GROUP, LLC TECUMSEH OK $246K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $239K
SAINT MEDICAL GROUP, LLC CHANDLER OK $194K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $191K
SAINTS MEDICAL GROUP, LLC OKEMAH OK $165K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $149K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $84K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $61K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,941 $169K
2021 11,253 $536K
2022 11,077 $666K
2023 10,376 $726K
2024 5,302 $395K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,252 13,524 $875K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,548 7,254 $662K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,194 3,175 $290K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,352 2,155 $201K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,600 1,591 $149K
87428 1,390 1,362 $86K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,879 4,762 $71K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 671 662 $62K
90686 1,912 1,908 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 510 487 $21K
90723 516 515 $18K
90670 1,174 1,169 $13K
90647 557 555 $6K
90677 327 327 $3K
90680 233 232 $2K
90656 127 127 $2K
90633 155 155 $2K
90672 111 111 $1K
87807 110 108 $1K
90734 64 64 $844.57
90651 110 110 $794.51
0001A 15 15 $600.00
90685 51 51 $568.35
90681 38 38 $451.02
90710 12 12 $371.87
90620 41 41 $291.42