Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › SAINT LOUIS › SSM CARDINAL GLENNON CHILDREN'S HOSPITAL

SSM CARDINAL GLENNON CHILDREN'S HOSPITAL

NPI: 1508935891 · SAINT LOUIS, MO 63104 · Children's Hospital · NPI assigned 11/08/2006

$52.60M
Total Medicaid Paid
440,218
Total Claims
416,206
Beneficiaries
178
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBURGHART, STEVEN (PRESIDENT)
Parent OrganizationSSM HEALTH CARE CORPORATION
NPI Enumeration Date11/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 55,663 $8.84M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 88,642 84,885 $11.89M
99283 Emergency department visit for the evaluation and management, moderate severity 48,783 47,973 $10.69M
X4011 State-specific procedure code 38,366 37,816 $7.94M
99282 Emergency department visit for the evaluation and management, low to moderate severity 32,885 32,546 $4.16M
99284 Emergency department visit for the evaluation and management, high severity 10,497 10,274 $3.30M
X4003 28,980 27,289 $1.70M
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,249 2,251 $910K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18,847 18,243 $906K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,083 8,275 $596K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,198 15,834 $579K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,876 3,790 $570K
42820 Tonsillectomy and adenoidectomy; younger than age 12 122 117 $565K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 286 277 $518K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,852 5,775 $505K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,606 2,524 $489K
Y7506 637 584 $425K
X4006 129 113 $421K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12,324 11,960 $379K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 659 635 $369K
93325 1,431 1,318 $359K
88300 317 309 $340K
92567 7,016 6,869 $337K
87081 3,127 3,081 $320K
94010 2,467 2,144 $286K
80053 Comprehensive metabolic panel 6,028 4,863 $258K
85046 3,073 2,790 $213K
80069 1,008 783 $188K
36415 Collection of venous blood by venipuncture 3,180 2,905 $180K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 897 754 $171K
92555 2,131 2,103 $166K
82570 482 391 $153K
81001 2,020 1,779 $150K
90686 7,616 7,054 $147K
90670 3,497 3,369 $126K
0240U 556 551 $96K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,509 1,423 $87K
87420 430 419 $84K
71046 Radiologic examination, chest; 2 views 619 598 $74K
83036 Hemoglobin; glycosylated (A1C) 3,327 3,156 $72K
86003 979 355 $71K
92551 1,648 1,631 $71K
90723 2,030 1,942 $70K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 755 631 $66K
83655 1,727 1,677 $65K
82728 1,638 1,489 $64K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,794 1,513 $59K
85027 884 841 $56K
72082 937 919 $53K
90648 1,080 1,072 $51K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 553 156 $49K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 393 384 $49K
G0378 Hospital observation service, per hour 42 38 $44K
83735 545 294 $42K
84100 410 234 $42K
92504 636 615 $41K
64642 60 60 $41K
Q3014 Telehealth originating site facility fee 1,786 1,759 $39K
J3490 Unclassified drugs 8,983 7,414 $39K
88305 Level IV - Surgical pathology, gross and microscopic examination 57 38 $37K
92558 2,793 2,740 $36K
83970 229 122 $35K
92582 524 510 $33K
90647 890 826 $31K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 55 54 $30K
84156 86 68 $29K
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $28K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 68 65 $28K
87086 Culture, bacterial; quantitative colony count, urine 136 121 $26K
81003 1,241 1,207 $26K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 29 25 $26K
82785 562 330 $25K
90680 514 508 $24K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,959 3,935 $24K
73130 300 257 $24K
95012 653 610 $22K
99215 Prolong outpt/office vis 150 148 $20K
81002 86 86 $19K
99173 419 417 $17K
92579 561 543 $17K
70551 Magnetic resonance imaging, brain; without contrast material 42 36 $17K
90633 396 395 $15K
93320 29 27 $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 1,818 1,782 $14K
83540 260 221 $12K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 323 86 $11K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 25 24 $10K
83550 26 26 $9K
82340 86 72 $9K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 135 134 $9K
97530 Therapeutic activities, direct patient contact, each 15 minutes 79 25 $8K
80061 Lipid panel 278 241 $8K
85018 2,435 2,404 $8K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13 12 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,491 3,480 $7K
84443 Thyroid stimulating hormone (TSH) 891 755 $7K
87428 249 249 $7K
76770 26 26 $7K
90656 534 501 $6K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 105 104 $6K
29065 58 55 $5K
82248 210 153 $5K
90681 99 99 $5K
73100 185 147 $5K
76820 14 14 $5K
81025 26 26 $5K
90685 274 271 $5K
76825 13 13 $5K
76827 13 13 $5K
90677 443 437 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 118 86 $4K
72170 39 38 $4K
83020 59 51 $4K
97162 28 25 $4K
92523 12 12 $3K
29075 47 44 $3K
92511 16 16 $3K
97161 21 12 $3K
84466 108 95 $3K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12 12 $2K
84439 498 435 $2K
90707 53 53 $2K
J2270 Injection, morphine sulfate, up to 10 mg 167 136 $2K
90716 53 53 $2K
95117 32 24 $2K
90649 27 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 3,546 3,535 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43 26 $2K
92552 13 13 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 35 35 $2K
G0008 Administration of influenza virus vaccine 518 186 $1K
82784 703 331 $1K
90472 Immunization administration, each additional vaccine (list separately) 12 12 $1K
94761 12 12 $1K
73590 82 72 $1K
90710 62 62 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 13 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 396 396 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $1K
96112 30 24 $1K
87430 45 37 $942.54
90734 88 88 $935.63
90651 154 154 $900.73
73090 102 85 $820.70
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $811.07
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 125 125 $803.46
0072A 131 131 $760.00
99070 720 371 $755.32
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 92 81 $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 1,495 1,491 $649.00
77072 63 52 $608.49
86140 619 482 $547.68
86480 16 13 $504.79
87807 666 662 $504.51
87799 28 14 $381.20
85652 577 450 $343.57
82610 13 12 $342.31
83516 337 253 $340.01
73630 32 25 $328.82
93304 15 12 $238.00
82977 36 36 $218.31
73610 12 12 $176.35
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 16 13 $156.04
86162 32 12 $153.25
73070 13 13 $121.85
0071A 144 143 $120.00
93321 17 13 $106.70
86780 16 13 $85.84
87102 42 42 $85.35
86038 17 12 $80.78
87340 16 13 $66.96
87206 57 57 $54.71
84436 12 12 $3.43
Y7507 15 12 $0.00
97803 53 42 $0.00
36416 13 13 $0.00
J7050 Infusion, normal saline solution, 250 cc 16 13 $0.00
94760 36 30 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 25 12 $0.00