ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL

NPI: 1508366949 · SAINT LOUIS, MO 63122 · General Acute Care Hospital · NPI assigned 02/12/2018

$56K

Total Medicaid Paid

693

Total Claims

677

Beneficiaries

Codes Billed

2022-04

First Month

2024-09

Last Month

Provider Details

Authorized Official	JOHNSON, SCOTT (SR. VP & CFO)
Parent Organization	ST LUKES EPISCOPAL PRESBYTERIAN HOSPITAL
NPI Enumeration Date	02/12/2018

Other providers sharing the same authorized official: JOHNSON, SCOTT

Provider	City	State	Total Paid
MUSTARD SEED FORENSIC LICENSED CLINICAL SOCIAL WORK SERVICES P.C.	BROOKLYN	NY	$1.31M
TOWNSHIP OF CANTON BOARD OF TRUSTEES	CANTON	OH	$414K
MUSTARD SEED SURVIVOR EMPOWERMENT FOUNDATION	BROOKLYN	NY	$371K
ALTERNATIVE HEALTH CENTERS PC	WATERTOWN	SD	$108K
LANCASTER SURGICAL ASSOCIATES, INC.	LANCASTER	OH	$63K
PHYSICIAN SPECIALISTS OF ST LUKES LLC	CHESTERFIELD	MO	$46K
CHADRON CHIROPRACTIC, P.C.	CHADRON	NE	$39K
SCHOOL DISTRICT OF SIREN	SIREN	WI	$30K
MIDTOWN ANESTHESIA CONSULTANTS PLLC	OKLAHOMA CITY	OK	$1K
SCOTT JOHNSON VISIONCARE, P.A.	BLYTHEVILLE	AR	$1K

Code	Description	Claims	Beneficiaries	Total Paid
99284	Emergency department visit for the evaluation and management, high severity	177	170	$36K
99283	Emergency department visit for the evaluation and management, moderate severity	103	100	$15K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	25	24	$3K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	245	241	$1K
80053	Comprehensive metabolic panel	118	118	$702.53
81025		25	24	$158.56