Physician
SSM ST. Charles Clinic Medical Group, INC.
SSM ST. Charles Clinic Medical Group, INC. was paid $47K by Medicaid between Jan 2018 and Jul 2018, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoSSM ST. CHARLES CLINIC MEDICAL GROUP, INC.
SAINT CHARLES, MO 63303
SAINT CHARLES, MO 63303
33aNPI1811932973assigned 06/20/2006
33bProvider typeInternal Medicine Physician
28Total paid$47K
24GClaims1,620
24DCodes billed12
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Internal Medicine Physician providers in Missouri
Rank by total paid#112 of 364
Median peer was paid$10K
This provider vs. median4.6×
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 | 1,620 | $47K |
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 | 26% | 465 | 420 | $12K |
| 99254 | 19% | 97 | 86 | $9K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 330 | 129 | $8K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 11% | 163 | 141 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.2% | 203 | 168 | $3K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 6.2% | 116 | 115 | $3K |
| 99335 | 5.1% | 57 | 55 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.7% | 90 | 80 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 56 | 43 | $1K |
| 99253 | 1.9% | 13 | 12 | $898.85 | |
| 20610 | 1.2% | 18 | 13 | $554.36 | |
| 72100 | <1% | 12 | 12 | $79.92 |
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 officialPULLUM, LAURA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| SSM Depaul Medical Group, INC. | Maryland Heights, MO | $131K |
| SSM ST. Charles Clinic Medical Group, INC. | Troy, MO | $26K |
| SSM ST. Charles Clinic Medical Group, INC. | Warrenton, MO | $515.96 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.