ST Louis University
ST Louis University was paid $918K by Medicaid between Jan 2018 and Jun 2022, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
SAINT LOUIS, MO 63104
Next to other Pediatrics Physician providers in Missouri
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 120 | $8K | |
| 2019 | 50 | $1K | |
| 2020 | 2,048 | $162K | |
| 2021 | 6,430 | $510K | |
| 2022 | 2,930 | $236K |
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 | 25% | 3,749 | 3,613 | $226K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 1,963 | 1,908 | $176K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 1,663 | 1,641 | $157K |
| 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 | 14% | 1,417 | 1,321 | $128K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 938 | 932 | $90K |
| 99238 | Hospital discharge day management, 30 minutes or less | 8.1% | 1,272 | 1,216 | $74K |
| 99477 | 2.4% | 71 | 70 | $22K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 165 | 165 | $16K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 90 | 88 | $10K |
| 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% | 76 | 75 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 27 | 27 | $3K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 26 | 12 | $3K |
6 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 18 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 26 | $2K |
| 99284 | Emergency room visit (serious) | <1% | 17 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $845.78 |
| 99188 | <1% | 13 | $183.17 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 33 | $182.26 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| ST Louis University | Saint Louis, MO | $1.59M |
| ST Louis University | Saint Louis, MO | $1.58M |
| ST Louis University | St Louis, MO | $1.29M |
| ST Louis University | Saint Louis, MO | $654K |
| ST Louis University | St Louis, MO | $447K |
| ST Louis University | St Louis, MO | $387K |
| ST Louis University | Saint Louis, MO | $377K |
| ST Louis University | St Louis, MO | $235K |
| ST Louis University | Saint Louis, MO | $221K |
| ST Louis University | St Louis, MO | $219K |
| ST Louis University | Saint Louis, MO | $199K |
| ST Louis University | Saint Louis, MO | $155K |
| ST Louis University | Saint Louis, MO | $127K |
| ST Louis University | St Louis, MO | $125K |
| ST Louis University | Saint Louis, MO | $116K |
| ST Louis University | St Louis, MO | $116K |
| ST Louis University | Saint Louis, MO | $112K |
| ST Louis University | Saint Louis, MO | $80K |
| ST Louis University | Saint Louis, MO | $69K |
| ST. Louis University | Saint Louis, MO | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.