Physician
SSM Health Care ST. Louis
SSM Health Care ST. Louis was paid $804K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoSSM HEALTH CARE ST. LOUIS
SAINT CHARLES, MO 63301
SAINT CHARLES, MO 63301
33aNPI1427002922assigned 05/19/2006
33bProvider typeInternal Medicine Physician
28Total paid$804K
24GClaims20,630
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Missouri
Rank by total paid#19 of 364
Median peer was paid$10K
This provider vs. median78×
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 | 3,328 | $15K | |
| 2019 | 3,051 | $19K | |
| 2020 | 2,453 | $36K | |
| 2021 | 1,951 | $59K | |
| 2022 | 3,085 | $164K | |
| 2023 | 3,361 | $241K | |
| 2024incomplete | 3,401 | $269K |
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 | 61% | 6,385 | 6,159 | $489K |
| 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% | 991 | 962 | $92K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.6% | 787 | 776 | $53K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 6.5% | 8,540 | 3,780 | $52K |
| 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 | 3.5% | 384 | 378 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 392 | 326 | $24K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.4% | 702 | 176 | $20K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.8% | 420 | 388 | $14K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 304 | 274 | $7K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,264 | 1,013 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 87 | 12 | $3K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 25 | 13 | $2K |
10 more codes
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 61 | $2K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 73 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 21 | $2K |
| 99284 | Emergency room visit (serious) | <1% | 14 | $2K |
| 95816 | <1% | 14 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 25 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 89 | $1K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 14 | $347.78 |
| 93970 | <1% | 26 | $183.01 |
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.