Clinic
SSM Medical Group, INC.
SSM Medical Group, INC. was paid $19.35M by Medicaid between Jan 2018 and Dec 2024, across 143 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoSSM MEDICAL GROUP, INC.
FENTON, MO 63026
FENTON, MO 63026
33aNPI1700966207assigned 10/17/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$19.35M
24GClaims361,672
24DCodes billed143
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Missouri
Rank by total paid#4 of 65
Median peer was paid$147K
This provider vs. median131×
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 | 19,522 | $544K | |
| 2019 | 24,582 | $740K | |
| 2020 | 34,459 | $1.27M | |
| 2021 | 67,736 | $2.95M | |
| 2022 | 68,955 | $3.86M | |
| 2023 | 77,612 | $5.35M | |
| 2024incomplete | 68,806 | $4.64M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 119,651 | 111,966 | $7.27M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 55,778 | 49,711 | $3.74M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 15,011 | 14,966 | $1.40M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 14,332 | 13,690 | $1.30M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 7,936 | 7,919 | $763K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.7% | 25,724 | 9,341 | $725K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.3% | 7,963 | 6,218 | $632K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.7% | 12,956 | 12,666 | $532K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 2,659 | 2,558 | $298K |
| 90698 | 1.5% | 8,748 | 8,733 | $289K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 2,821 | 2,814 | $286K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 4,462 | 1,608 | $167K |
131 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 7,047 | $153K |
| 90686 | <1% | 9,473 | $138K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 904 | $130K |
| 99255 | <1% | 932 | $101K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 563 | $99K |
| 90670 | <1% | 7,531 | $96K | |
| 87428 | <1% | 1,334 | $82K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 355 | $79K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,641 | $67K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 782 | $63K |
| 36902 | <1% | 466 | $58K | |
| 99205 | Prolong outpt/office vis | <1% | 400 | $52K |
| 99254 | <1% | 560 | $51K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,794 | $47K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,166 | $38K |
| 99381 | <1% | 406 | $36K | |
| 90680 | <1% | 2,834 | $36K | |
| 0002A | <1% | 1,540 | $35K | |
| 0001A | <1% | 1,000 | $34K | |
| 90633 | <1% | 2,384 | $33K | |
| 90744 | <1% | 2,488 | $32K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 732 | $32K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,866 | $29K |
| 83655 | <1% | 1,848 | $21K | |
| 90677 | <1% | 1,737 | $17K | |
| 95886 | <1% | 305 | $16K | |
| 99223 | Prolong inpt eval add15 m | <1% | 286 | $15K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 775 | $15K |
| 90656 | <1% | 838 | $14K | |
| 99253 | <1% | 211 | $14K | |
| 93970 | <1% | 793 | $14K | |
| 90710 | <1% | 477 | $13K | |
| 20610 | <1% | 361 | $13K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,660 | $11K |
| 90681 | <1% | 730 | $10K | |
| 99383 | <1% | 117 | $10K | |
| 95816 | <1% | 300 | $10K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 37 | $9K |
| 93295 | <1% | 346 | $9K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 26 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 598 | $8K |
| 99384 | <1% | 88 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 165 | $7K |
| 92551 | <1% | 185 | $7K | |
| 95951 | <1% | 63 | $7K | |
| 93296 | <1% | 484 | $7K | |
| 99188 | <1% | 271 | $6K | |
| 87807 | <1% | 484 | $6K | |
| 0071A | <1% | 288 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 309 | $6K |
| 73630 | <1% | 332 | $6K | |
| 95782 | <1% | 26 | $5K | |
| 85018 | <1% | 2,436 | $5K | |
| 99382 | <1% | 62 | $5K | |
| 95913 | <1% | 39 | $5K | |
| 36907 | <1% | 90 | $5K | |
| 95720 | <1% | 37 | $5K | |
| 51798 | <1% | 557 | $5K | |
| 0072A | <1% | 239 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,774 | $4K |
| 90651 | <1% | 455 | $4K | |
| 90734 | <1% | 233 | $4K | |
| 73610 | <1% | 197 | $4K | |
| 73030 | <1% | 238 | $4K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 2,469 | $3K |
| 92587 | <1% | 94 | $3K | |
| 99283 | Emergency room visit (moderate) | <1% | 49 | $3K |
| 0004A | <1% | 139 | $3K | |
| 93971 | <1% | 208 | $3K | |
| 11730 | <1% | 81 | $3K | |
| 99305 | <1% | 114 | $3K | |
| 90707 | <1% | 121 | $3K | |
| 95251 | <1% | 118 | $3K | |
| 93016 | <1% | 249 | $3K | |
| 64615 | <1% | 24 | $3K | |
| 93018 | <1% | 249 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 120 | $2K |
| 77427 | <1% | 23 | $2K | |
| 95911 | <1% | 24 | $2K | |
| 0124A | <1% | 77 | $2K | |
| 90715 | <1% | 64 | $2K | |
| 81025 | <1% | 211 | $2K | |
| 90716 | <1% | 124 | $2K | |
| 11721 | <1% | 271 | $2K | |
| 20552 | <1% | 56 | $1K | |
| 99318 | <1% | 32 | $1K | |
| 64483 | <1% | 12 | $1K | |
| 99443 | <1% | 118 | $1K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 24 | $1K |
| 94060 | <1% | 154 | $1K | |
| 95912 | <1% | 13 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | $1K |
| 90696 | <1% | 40 | $1K | |
| 99406 | <1% | 84 | $1K | |
| 93298 | <1% | 105 | $1K | |
| 99152 | <1% | 152 | $1K | |
| 90619 | <1% | 91 | $919.44 | |
| 99173 | <1% | 138 | $896.21 | |
| 99336 | <1% | 12 | $855.81 | |
| 90480 | <1% | 26 | $840.24 | |
| 72100 | <1% | 42 | $800.06 | |
| 94729 | <1% | 127 | $791.34 | |
| 95811 | <1% | 12 | $761.88 | |
| 73564 | <1% | 28 | $642.98 | |
| 92558 | <1% | 26 | $613.20 | |
| 51741 | <1% | 14 | $590.05 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 194 | $580.15 |
| 82947 | <1% | 149 | $536.64 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 14 | $496.58 |
| 81003 | <1% | 278 | $421.69 | |
| 0003A | <1% | 14 | $408.00 | |
| 90648 | <1% | 38 | $390.13 | |
| 94726 | <1% | 51 | $386.13 | |
| 93922 | <1% | 46 | $364.81 | |
| 90700 | <1% | 12 | $313.08 | |
| 99221 | <1% | 13 | $298.57 | |
| 82962 | <1% | 302 | $294.90 | |
| 93308 | <1% | 13 | $277.96 | |
| 11732 | <1% | 16 | $256.33 | |
| 90381 | <1% | 25 | $239.03 | |
| 85014 | <1% | 104 | $235.61 | |
| 11719 | <1% | 90 | $142.54 | |
| 99442 | <1% | 27 | $112.10 | |
| 96161 | <1% | 36 | $103.98 | |
| 94375 | <1% | 12 | $79.48 | |
| 95874 | <1% | 14 | $73.56 | |
| 99441 | <1% | 14 | $68.87 | |
| 87210 | <1% | 15 | $60.80 | |
| 36416 | <1% | 274 | $42.46 | |
| 93325 | <1% | 12 | $14.69 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $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 officialREWERTS, KAREN (VP FINANCIAL OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| SSM Health Care Group | Saint Louis, MO | $17.32M |
| SSM Cardinal Glennon Childrens Hospital | O Fallon, IL | $5.38M |
| SSM Cardinal Glennon Childrens Hospital | Saint Louis, MO | $79K |
| SSM Health Slu Hospital Anesthesia Physician Billing, LLC | Saint Louis, MO | $63K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.