Hospital
SSM Health Care ST. Louis
SSM Health Care ST. Louis was paid $7.68M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is X4011, State-specific procedure code — 25% of everything it billed.
33Billing provider infoSSM HEALTH CARE ST. LOUIS
FENTON, MO 63026
FENTON, MO 63026
33aNPI1851496152assigned 09/13/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$7.68M
24GClaims93,716
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Missouri
Rank by total paid#32 of 74
Median peer was paid$4.44M
This provider vs. median1.7×
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 | 7,347 | $1.84M | |
| 2019 | 7,919 | $1.34M | |
| 2020 | 6,348 | $647K | |
| 2021 | 12,043 | $325K | |
| 2022 | 17,171 | $876K | |
| 2023 | 22,466 | $1.34M | |
| 2024incomplete | 20,422 | $1.32M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| X4011 | State-specific procedure code | 25% | 7,805 | 7,384 | $1.95M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 5,287 | 4,918 | $963K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 6,061 | 5,762 | $907K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 10% | 9,311 | 8,782 | $782K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 9.7% | 17,493 | 16,090 | $749K |
| 80053 | Comprehensive metabolic panel | 9.2% | 16,069 | 14,911 | $709K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 6.7% | 4,718 | 4,415 | $512K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 2.2% | 4,549 | 4,198 | $171K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 3,781 | 3,702 | $96K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.0% | 1,046 | 1,009 | $78K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 599 | 568 | $72K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 261 | 231 | $72K |
38 more codes
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,801 | $71K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,226 | $54K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 477 | $53K |
| X4003 | <1% | 993 | $52K | |
| G0378 | Hospital observation service, per hour | <1% | 90 | $41K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 964 | $37K |
| 87400 | <1% | 513 | $37K | |
| 87081 | <1% | 484 | $32K | |
| 84484 | <1% | 2,393 | $29K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 310 | $27K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,003 | $24K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 43 | $19K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 38 | $18K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,000 | $17K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 350 | $13K |
| 81025 | <1% | 26 | $11K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 91 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $10K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 863 | $10K |
| 81001 | <1% | 504 | $9K | |
| 83690 | <1% | 887 | $6K | |
| 87428 | <1% | 226 | $6K | |
| 83735 | <1% | 87 | $6K | |
| 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% | 454 | $5K |
| 84703 | <1% | 974 | $5K | |
| 73030 | <1% | 99 | $4K | |
| J3490 | Unclassified drugs | <1% | 143 | $3K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 25 | $2K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 28 | $2K |
| 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% | 403 | $2K |
| 0240U | <1% | 14 | $1K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 12 | $960.57 |
| 83605 | <1% | 94 | $564.52 | |
| 76818 | <1% | 22 | $61.27 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 12 | $54.31 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 14 | $27.04 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 29 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 18 | $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 officialGARRISON, TINA (PRESIDENT)
Parent organizationSSM HEALTH CARE CORPORATION
| Provider | Location | Paid |
|---|---|---|
| SSM Health Care ST. Louis | Bridgeton, MO | $27.71M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.