SSM Cardinal Glennon Children's Hospital

SSM Cardinal Glennon Children's Hospital was paid $52.60M by Medicaid between Jan 2018 and Dec 2024, across 178 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 23% of everything it billed.

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	62,371	$13.10M
2019	76,790	$9.13M
2020	49,362	$3.08M
2021	63,884	$135K
2022	62,725	$7.76M
2023	69,423	$10.55M
2024incomplete	55,663	$8.84M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0463	Hospital outpatient clinic visit for assessment and management of a patient	23%	88,642	84,885	$11.89M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	20%	48,783	47,973	$10.69M
X4011	State-specific procedure code	15%	38,366	37,816	$7.94M
99282	Emergency department visit for the evaluation and management, low to moderate severity	7.9%	32,885	32,546	$4.16M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	6.3%	10,497	10,274	$3.30M
X4003		3.2%	28,980	27,289	$1.70M
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.7%	4,249	2,251	$910K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.7%	18,847	18,243	$906K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.1%	10,083	8,275	$596K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	16,198	15,834	$579K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	1.1%	3,876	3,790	$570K
42820	Tonsillectomy and adenoidectomy; younger than age 12	1.1%	122	117	$565K

166 more codes

69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	<1%	286	$518K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	5,852	$505K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	2,606	$489K
Y7506		<1%	637	$425K
X4006		<1%	129	$421K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	12,324	$379K
99285	Emergency room visit (most serious)	<1%	659	$369K
93325		<1%	1,431	$359K
88300		<1%	317	$340K
92567		<1%	7,016	$337K
87081		<1%	3,127	$320K
94010		<1%	2,467	$286K
80053	Comprehensive metabolic panel	<1%	6,028	$258K
85046		<1%	3,073	$213K
80069		<1%	1,008	$188K
36415	Collection of venous blood by venipuncture	<1%	3,180	$180K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	897	$171K
92555		<1%	2,131	$166K
82570		<1%	482	$153K
81001		<1%	2,020	$150K
90686		<1%	7,616	$147K
90670		<1%	3,497	$126K
0240U		<1%	556	$96K
99214	Doctor's office visit, returning patient (more involved)	<1%	1,509	$87K
87420		<1%	430	$84K
71046	Radiologic examination, chest; 2 views	<1%	619	$74K
83036	Hemoglobin; glycosylated (A1C)	<1%	3,327	$72K
86003		<1%	979	$71K
92551		<1%	1,648	$71K
90723		<1%	2,030	$70K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	755	$66K
83655		<1%	1,727	$65K
82728		<1%	1,638	$64K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	1,794	$59K
85027		<1%	884	$56K
72082		<1%	937	$53K
90648		<1%	1,080	$51K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	553	$49K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	393	$49K
G0378	Hospital observation service, per hour	<1%	42	$44K
83735		<1%	545	$42K
84100		<1%	410	$42K
92504		<1%	636	$41K
64642		<1%	60	$41K
Q3014	Telehealth originating site facility fee	<1%	1,786	$39K
J3490	Unclassified drugs	<1%	8,983	$39K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	57	$37K
92558		<1%	2,793	$36K
83970		<1%	229	$35K
92582		<1%	524	$33K
90647		<1%	890	$31K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	55	$30K
84156		<1%	86	$29K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	12	$28K
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	<1%	68	$28K
87086	Culture, bacterial; quantitative colony count, urine	<1%	136	$26K
81003		<1%	1,241	$26K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	29	$26K
82785		<1%	562	$25K
90680		<1%	514	$24K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	3,959	$24K
73130		<1%	300	$24K
95012		<1%	653	$22K
99215	Doctor's office visit, returning patient (complex)	<1%	150	$20K
81002		<1%	86	$19K
99173		<1%	419	$17K
92579		<1%	561	$17K
70551	Magnetic resonance imaging, brain; without contrast material	<1%	42	$17K
90633		<1%	396	$15K
93320		<1%	29	$14K
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%	1,818	$14K
83540		<1%	260	$12K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	<1%	323	$11K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	25	$10K
83550		<1%	26	$9K
82340		<1%	86	$9K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	<1%	135	$9K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	79	$8K
80061	Lipid panel	<1%	278	$8K
85018		<1%	2,435	$8K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	13	$7K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	3,491	$7K
84443	Thyroid stimulating hormone (TSH)	<1%	891	$7K
87428		<1%	249	$7K
76770		<1%	26	$7K
90656		<1%	534	$6K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	<1%	105	$6K
29065		<1%	58	$5K
82248		<1%	210	$5K
90681		<1%	99	$5K
73100		<1%	185	$5K
76820		<1%	14	$5K
81025		<1%	26	$5K
90685		<1%	274	$5K
76825		<1%	13	$5K
76827		<1%	13	$5K
90677		<1%	443	$5K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	118	$4K
72170		<1%	39	$4K
83020		<1%	59	$4K
97162		<1%	28	$4K
92523		<1%	12	$3K
29075		<1%	47	$3K
92511		<1%	16	$3K
97161		<1%	21	$3K
84466		<1%	108	$3K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	12	$2K
84439		<1%	498	$2K
90707		<1%	53	$2K
J2270	Injection, morphine sulfate, up to 10 mg	<1%	167	$2K
90716		<1%	53	$2K
95117		<1%	32	$2K
90649		<1%	27	$2K
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%	3,546	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	43	$2K
92552		<1%	13	$2K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	<1%	35	$2K
G0008	Administration of influenza virus vaccine	<1%	518	$1K
82784		<1%	703	$1K
90472	Immunization administration, each additional vaccine (list separately)	<1%	12	$1K
94761		<1%	12	$1K
73590		<1%	82	$1K
90710		<1%	62	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	13	$1K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	396	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	12	$1K
96112		<1%	30	$1K
87430		<1%	45	$942.54
90734		<1%	88	$935.63
90651		<1%	154	$900.73
73090		<1%	102	$820.70
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	13	$811.07
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	125	$803.46
0072A		<1%	131	$760.00
99070		<1%	720	$755.32
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	92	$697.38
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%	1,495	$649.00
77072		<1%	63	$608.49
86140		<1%	619	$547.68
86480		<1%	16	$504.79
87807		<1%	666	$504.51
87799		<1%	28	$381.20
85652		<1%	577	$343.57
82610		<1%	13	$342.31
83516		<1%	337	$340.01
73630		<1%	32	$328.82
93304		<1%	15	$238.00
82977		<1%	36	$218.31
73610		<1%	12	$176.35
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	16	$156.04
86162		<1%	32	$153.25
73070		<1%	13	$121.85
0071A		<1%	144	$120.00
93321		<1%	17	$106.70
86780		<1%	16	$85.84
87102		<1%	42	$85.35
86038		<1%	17	$80.78
87340		<1%	16	$66.96
87206		<1%	57	$54.71
84436		<1%	12	$3.43
Y7507		0%	15	$0.00
97803		0%	53	$0.00
36416		0%	13	$0.00
J7050	Infusion, normal saline solution, 250 cc	0%	16	$0.00
94760		0%	36	$0.00
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	0%	25	$0.00

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 officialBURGHART, STEVEN (PRESIDENT)

Parent organizationSSM HEALTH CARE CORPORATION