Physician
ST. Lukes Pediatric Care
ST. Lukes Pediatric Care was paid $597K by Medicaid between Aug 2019 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoST. LUKES PEDIATRIC CARE
SAINT LOUIS, MO 63114
SAINT LOUIS, MO 63114
33aNPI1396981726assigned 01/07/2009
33bProvider typePediatrics Physician
28Total paid$597K
24GClaims10,604
24DCodes billed23
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#63 of 992
Median peer was paid$40K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2019 | 12 | $328.99 | |
| 2020 | 1,855 | $72K | |
| 2021 | 2,896 | $109K | |
| 2022 | 2,090 | $144K | |
| 2023 | 2,525 | $193K | |
| 2024incomplete | 1,226 | $79K |
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 | 32% | 3,134 | 3,034 | $194K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 20% | 1,488 | 1,481 | $122K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 1,284 | 1,274 | $103K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13% | 928 | 923 | $76K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 889 | 871 | $71K |
| 90723 | 1.2% | 262 | 262 | $7K | |
| 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 | <1% | 46 | 45 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 100 | 96 | $4K |
| 83655 | <1% | 295 | 292 | $3K | |
| 90648 | <1% | 467 | 467 | $3K | |
| 90670 | <1% | 373 | 373 | $2K | |
| 90686 | <1% | 188 | 186 | $1K |
11 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 77 | $986.84 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 53 | $875.84 |
| 85018 | <1% | 442 | $850.30 | |
| 90633 | <1% | 151 | $846.96 | |
| 90651 | <1% | 118 | $649.62 | |
| 90680 | <1% | 82 | $482.88 | |
| 81002 | <1% | 121 | $333.79 | |
| 90734 | <1% | 55 | $316.49 | |
| 90715 | <1% | 12 | $216.66 | |
| 90681 | <1% | 25 | $133.75 | |
| 90620 | <1% | 14 | $78.92 |
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 officialSPILLERS, BRIAN (CFO)