Hospital
SSM Health Care ST. Louis
SSM Health Care ST. Louis was paid $12.41M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is X4011, State-specific procedure code — 27% of everything it billed.
33Billing provider infoSSM HEALTH CARE ST. LOUIS
SAINT CHARLES, MO 63301
SAINT CHARLES, MO 63301
33aNPI1467521146assigned 11/07/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$12.41M
24GClaims160,129
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Missouri
Rank by total paid#25 of 74
Median peer was paid$4.44M
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2018 | 16,991 | $1.88M | |
| 2019 | 21,737 | $1.82M | |
| 2020 | 13,177 | $1.13M | |
| 2021 | 18,184 | $782K | |
| 2022 | 27,920 | $1.82M | |
| 2023 | 33,135 | $2.65M | |
| 2024incomplete | 28,985 | $2.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| X4011 | State-specific procedure code | 27% | 11,659 | 10,810 | $3.29M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 14% | 20,620 | 19,236 | $1.78M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 8,993 | 8,541 | $1.51M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 12% | 6,681 | 6,205 | $1.47M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 9.3% | 3,000 | 2,770 | $1.15M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 6.0% | 47,335 | 4,467 | $740K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.7% | 12,257 | 11,390 | $463K |
| 80053 | Comprehensive metabolic panel | 2.6% | 10,086 | 9,416 | $322K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 2.1% | 2,060 | 1,909 | $256K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 3,829 | 3,109 | $153K |
| X4006 | 1.2% | 261 | 213 | $145K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,066 | 988 | $118K |
60 more codes
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 2,818 | $113K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,752 | $98K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,759 | $96K |
| 80306 | <1% | 3,657 | $81K | |
| X4003 | <1% | 1,028 | $70K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 751 | $70K |
| 71045 | Radiologic examination, chest; single view | <1% | 929 | $45K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,215 | $41K |
| 81025 | <1% | 1,125 | $30K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 272 | $29K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 158 | $27K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,325 | $27K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 599 | $27K |
| 80047 | <1% | 154 | $25K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 200 | $21K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 509 | $19K |
| 76818 | <1% | 144 | $18K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 72 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 458 | $14K |
| 0240U | <1% | 107 | $12K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 120 | $12K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,236 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 52 | $12K |
| 87428 | <1% | 224 | $10K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 38 | $9K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 490 | $9K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 315 | $8K |
| 87400 | <1% | 157 | $7K | |
| 84484 | <1% | 688 | $6K | |
| 81003 | <1% | 820 | $6K | |
| 80076 | <1% | 29 | $5K | |
| 83690 | <1% | 239 | $4K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 66 | $4K |
| 73630 | <1% | 61 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 16 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 119 | $2K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 52 | $2K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 94 | $2K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 13 | $2K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 30 | $2K |
| 86780 | <1% | 128 | $1K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 12 | $1K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 43 | $1K |
| 83735 | <1% | 276 | $1K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 13 | $527.57 |
| 87081 | <1% | 78 | $522.32 | |
| 81001 | <1% | 224 | $470.80 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 16 | $470.54 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 205 | $375.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 12 | $279.53 |
| 73610 | <1% | 17 | $256.70 | |
| 72100 | <1% | 13 | $242.55 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 26 | $181.56 |
| 85610 | <1% | 73 | $152.34 | |
| 99484 | <1% | 42 | $130.59 | |
| 85379 | <1% | 14 | $127.53 | |
| 81002 | <1% | 43 | $122.74 | |
| 82962 | <1% | 55 | $110.67 | |
| 84703 | <1% | 16 | $99.88 | |
| J3490 | Unclassified drugs | <1% | 85 | $0.36 |
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 officialWESCOTT, LISLE (PRESIDENT)
Parent organizationSSM HEALTH CARE CORPORATION
| Provider | Location | Paid |
|---|---|---|
| SSM Health Care ST. Louis | Lake St Louis, MO | $8.86M |
| SSM Health Care ST. Louis | Saint Charles, MO | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.