SSM Health Care ST. Louis
SSM Health Care ST. Louis was paid $311K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99283, emergency room visit (moderate) — 72% of everything it billed.
LAKE ST LOUIS, MO 63367
Next to other Internal Medicine 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 | 175 | $532.30 | |
| 2019 | 145 | $516.95 | |
| 2020 | 655 | $21K | |
| 2021 | 2,049 | $77K | |
| 2022 | 2,024 | $101K | |
| 2023 | 1,330 | $71K | |
| 2024incomplete | 787 | $41K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 72% | 3,848 | 3,774 | $224K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 6.3% | 587 | 583 | $20K |
| 99460 | 5.0% | 202 | 198 | $15K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.2% | 408 | 366 | $13K |
| 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 | 3.1% | 139 | 136 | $10K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.5% | 72 | 72 | $8K |
| 59025 | Fetal non-stress test | 2.3% | 290 | 269 | $7K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.7% | 1,416 | 1,044 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 92 | 91 | $4K |
| 76818 | <1% | 34 | 24 | $2K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 29 | 29 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 22 | 12 | $575.32 |
2 more codes
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 |
|---|---|---|
| Bozeman School District #7 | Bozeman, MT | $5.45M |
| Central Coast Endoscopy Center INC | Freedom, CA | $4.12M |
| Los Palos Gastroenterology Specialists INC | Salinas, CA | $2.56M |
| SSM Health Care ST. Louis | Bridgeton, MO | $2.30M |
| SSM Health Care ST. Louis | Saint Charles, MO | $804K |
| Alaska Pain to Wellness Centre LLC | Anchorage, AK | $685K |
| Bozeman School District #7 | Bozeman, MT | $682K |
| Belgrade School District #44 | Bozeman, MT | $668K |
| Rocky Top Medical Center | Sevierville, TN | $582K |
| Butte School District #1 | Butte, MT | $513K |
| Advocate Psychotherapy Services LLC | Stevens Point, WI | $181K |
| New London Family Practice, P.C. | New London, CT | $123K |
| County of Gallatin - School District 3 | Manhattan, MT | $30K |
| Voyageur Radiology LLC | Stillwater, MN | $21K |
| Three Forks Public Schools | Three Forks, MT | $14K |
| Central Coast Eye, INC., a Professional Medical Corporation | San Luis Obispo, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.