NP / PA
SSM Medical Group, INC.
SSM Medical Group, INC. was paid $282K by Medicaid between Jan 2022 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoSSM MEDICAL GROUP, INC.
O FALLON, MO 63366
O FALLON, MO 63366
33aNPI1851896146assigned 03/28/2018
33bProvider typeNurse Practitioner
28Total paid$282K
24GClaims4,994
24DCodes billed8
24AFirst – last monthJan 2022 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Missouri
Rank by total paid#5 of 211
Median peer was paid$14K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2022 | 887 | $49K | |
| 2023 | 2,038 | $119K | |
| 2024incomplete | 2,069 | $114K |
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 | 51% | 1,518 | 1,465 | $143K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 1,452 | 1,401 | $102K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 8.8% | 1,705 | 1,647 | $25K |
| 87428 | 2.2% | 122 | 118 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 137 | 131 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 13 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 15 | $647.13 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | 15 | $506.82 |
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 officialLAMM, EILEEN (REGIONAL VP FINANCE)
Parent organizationSSM MEDICAL GROUP, INC.
| Provider | Location | Paid |
|---|---|---|
| SSM Regional Health Services | Jefferson City, MO | $20.81M |
| SSM Health Care Group | Saint Louis, MO | $58K |
| SSM Health Care Group | Saint Louis, MO | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.