Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SSM DEPAUL MEDICAL GROUP, INC.

NPI: 1760456743 · MARYLAND HEIGHTS, MO 63043 · Family Medicine Physician · NPI assigned 02/15/2006

$131K
Total Medicaid Paid
4,604
Total Claims
3,416
Beneficiaries
18
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialPULLUM, LAURA (BILLING MANAGER)
NPI Enumeration Date02/15/2006

Related Entities

Other providers sharing the same authorized official: PULLUM, LAURA

ProviderCityStateTotal Paid
SSM ST. CHARLES CLINIC MEDICAL GROUP, INC. SAINT CHARLES MO $47K
SSM ST. CHARLES CLINIC MEDICAL GROUP, INC. TROY MO $26K
SSM ST. CHARLES CLINIC MEDICAL GROUP, INC. WARRENTON MO $515.96

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,604 $131K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,132 996 $29K
99232 Subsequent hospital care, per day, moderate complexity 1,280 528 $29K
99254 158 145 $15K
99309 Subsequent nursing facility care, per day, low to moderate complexity 557 531 $12K
99233 Prolong inpt eval add15 m 306 134 $11K
36902 97 92 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 330 323 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 346 302 $6K
99253 60 56 $4K
99222 Initial hospital care, per day, moderate complexity 53 50 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 41 39 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 94 76 $1K
99223 Prolong inpt eval add15 m 15 12 $577.11
99215 Prolong outpt/office vis 14 13 $548.37
36907 14 14 $486.42
95816 26 25 $466.47
93970 27 27 $403.10
99152 54 53 $298.92