SSM Health Care ST. Louis

SSM Health Care ST. Louis was paid $8.86M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is X4011, State-specific procedure code — 34% of everything it billed.

33Billing provider infoSSM HEALTH CARE ST. LOUIS
LAKE ST LOUIS, MO 63367

33aNPI1871665380assigned 11/14/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$8.86M

24GClaims79,393

24DCodes billed57

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Acute Care Hospital providers in Missouri

Rank by total paid#28 of 74

Median peer was paid$4.44M

This provider vs. median2.0×

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	12,455	$2.71M
2019	11,770	$2.32M
2020	7,716	$1.06M
2021	11,131	$433K
2022	12,637	$737K
2023	12,754	$850K
2024incomplete	10,930	$747K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
X4011	State-specific procedure code	34%	10,812	10,205	$3.02M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	13%	7,002	6,749	$1.16M
85025	Blood count; complete (CBC), automated, and automated differential WBC count	11%	17,592	15,817	$988K
80053	Comprehensive metabolic panel	9.9%	15,802	14,504	$874K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	7.7%	3,771	3,480	$685K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	4.0%	5,534	4,973	$353K
X4006		2.8%	495	413	$249K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	2.7%	2,386	2,174	$242K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	2.0%	3,152	2,869	$176K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.4%	380	189	$127K
71046	Radiologic examination, chest; 2 views	1.4%	1,541	1,437	$123K
81001		1.1%	699	670	$97K

45 more codes

X4003		1.0%	1,065	$92K
99285	Emergency room visit (most serious)	<1%	333	$88K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	1,684	$83K
81025		<1%	281	$62K
83735		<1%	607	$60K
81003		<1%	195	$47K
G0378	Hospital observation service, per hour	<1%	173	$45K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	529	$43K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	390	$43K
81002		<1%	55	$29K
96375	Therapeutic injection; each additional sequential IV push	<1%	768	$25K
84484		<1%	1,499	$23K
J3490	Unclassified drugs	<1%	457	$12K
87086	Culture, bacterial; quantitative colony count, urine	<1%	78	$11K
83690		<1%	246	$11K
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%	629	$9K
80048	Basic metabolic panel (calcium, ionized)	<1%	81	$9K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	158	$8K
87807		<1%	24	$8K
59025	Fetal non-stress test	<1%	14	$8K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	134	$7K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	29	$5K
62323		<1%	17	$5K
70450	Computed tomography, head or brain; without contrast material	<1%	88	$4K
85610		<1%	83	$3K
85730		<1%	29	$3K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	12	$3K
20610		<1%	32	$3K
76818		<1%	62	$3K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	87	$2K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	25	$2K
94060		<1%	13	$2K
0240U		<1%	47	$2K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	14	$2K
94726		<1%	12	$1K
96361	Intravenous infusion, hydration; each additional hour	<1%	46	$1K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	14	$1K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	63	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	12	$666.05
87081		<1%	44	$196.46
71045	Radiologic examination, chest; single view	<1%	13	$132.57
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	23	$128.82
86140		<1%	29	$55.92
G1004	Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program	0%	17	$0.00
A9270	Non-covered item or service	0%	16	$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 officialWESCOTT, LISLE (PRESIDENT)

Parent organizationSSM HEALTH CARE CORPORATION

Same official

Other billing entities under WESCOTT, LISLE

Full network →

Provider	Location	Paid
SSM Health Care ST. Louis	Saint Charles, MO	$12.41M
SSM Health Care ST. Louis	Saint Charles, MO	$9K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.