Medicaid Provider Spending

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

SSM REGIONAL HEALTH SERVICES

NPI: 1396886065 · JEFFERSON CITY, MO 65109 · Family Medicine Physician · NPI assigned 02/08/2007

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

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

$239K
Total Medicaid Paid
3,994
Total Claims
3,629
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMANUEL, SHASTA (REGIONAL VICE PRESIDENT FINANCE/CFO)
Parent OrganizationSSM REGIONAL HEALTH SERVICES
NPI Enumeration Date02/08/2007

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
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $2.49M
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
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
2018 316 $10K
2019 59 $2K
2020 170 $8K
2021 593 $27K
2022 891 $53K
2023 1,079 $78K
2024 886 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,629 2,377 $175K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,030 961 $56K
99308 Subsequent nursing facility care, per day, straightforward 220 206 $6K
87428 22 19 $892.99
0001A 13 13 $520.00
0012A 26 14 $480.00
0011A 24 12 $169.40
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 12 $133.24
36415 Collection of venous blood by venipuncture 15 15 $0.00