Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › SAINT LOUIS › SSM-SLUH INC

SSM-SLUH INC

NPI: 1942685920 · SAINT LOUIS, MO 63104 · General Acute Care Hospital · NPI assigned 07/20/2015

$20.65M
Total Medicaid Paid
256,976
Total Claims
210,422
Beneficiaries
165
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCOTT, STEVEN (PRESIDENT)
Parent OrganizationSSM HEALTH CARE CORPORATION
NPI Enumeration Date07/20/2015

Related Entities

Other providers sharing the same authorized official: SCOTT, STEVEN

ProviderCityStateTotal Paid
MINISTRY HOME CARE, LLC. NEENAH WI $1.54M
MINISTRY HOME CARE, LLC. NEENAH WI $833K
MINISTRY HOME CARE, LLC. MARSHFIELD WI $178K
PHOENIX EMERGENCY SOLUTIONS OF FLETCHER PLLC HENDERSONVILLE NC $164K
WHEATON FRANCISCAN HOME HEALTH & HOSPICE, LLC MILWAUKEE WI $43K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33,189 $4.53M
2019 42,401 $3.45M
2020 26,091 $2.80M
2021 32,740 $2.13M
2022 38,442 $2.31M
2023 45,353 $2.81M
2024 38,760 $2.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
X4011 State-specific procedure code 17,979 16,483 $7.22M
99284 Emergency department visit for the evaluation and management, high severity 15,576 14,140 $3.04M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 19,867 17,548 $1.30M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 49,131 40,053 $1.17M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,779 3,304 $1.10M
80053 Comprehensive metabolic panel 42,194 34,614 $946K
99283 Emergency department visit for the evaluation and management, moderate severity 4,840 4,424 $743K
X4014 1,485 1,432 $725K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 11,167 9,954 $548K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3,411 3,028 $364K
X4006 1,055 945 $342K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,902 5,004 $266K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 418 265 $240K
X4003 3,442 2,666 $212K
71046 Radiologic examination, chest; 2 views 3,795 3,424 $190K
81001 4,444 3,940 $180K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,797 380 $160K
20610 3,371 2,006 $149K
G0378 Hospital observation service, per hour 390 320 $148K
84484 7,178 5,862 $145K
Y7506 694 616 $144K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,514 2,331 $127K
70450 Computed tomography, head or brain; without contrast material 1,873 1,660 $114K
81025 844 817 $91K
99282 Emergency department visit for the evaluation and management, low to moderate severity 974 863 $87K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,420 571 $86K
J3490 Unclassified drugs 3,587 1,899 $67K
71045 Radiologic examination, chest; single view 1,557 1,401 $63K
80048 Basic metabolic panel (calcium, ionized) 1,276 1,023 $56K
85610 1,996 1,680 $30K
83690 1,218 1,132 $28K
0240U 308 279 $27K
73610 708 582 $27K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 425 376 $26K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,359 1,221 $25K
84702 2,130 2,021 $25K
74177 Computed tomography, abdomen and pelvis; with contrast material 181 164 $24K
73630 583 454 $22K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 217 190 $21K
96375 Therapeutic injection; each additional sequential IV push 768 569 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 417 369 $20K
80050 General health panel 44 36 $18K
96361 Intravenous infusion, hydration; each additional hour 302 242 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 466 412 $12K
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 159 101 $11K
73564 381 302 $11K
84443 Thyroid stimulating hormone (TSH) 1,790 1,053 $11K
92134 396 350 $11K
73560 163 140 $11K
97162 83 38 $10K
73130 707 508 $10K
20611 101 65 $9K
92083 240 223 $9K
87522 Neg quan hep c or qual rna 255 235 $9K
72100 382 346 $8K
88305 Level IV - Surgical pathology, gross and microscopic examination 205 168 $8K
72125 Computed tomography, cervical spine; without contrast material 194 159 $7K
90792 Psychiatric diagnostic evaluation with medical services 68 65 $7K
72040 365 317 $7K
83735 2,543 1,521 $6K
83880 245 216 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 82 79 $5K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 65 60 $5K
73521 91 90 $5K
82550 297 203 $5K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 34 27 $5K
82553 41 37 $5K
82962 431 311 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 357 245 $4K
73502 173 149 $4K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 42 40 $4K
81003 232 180 $4K
86235 1,238 215 $3K
73030 182 151 $3K
91010 13 12 $3K
72082 117 106 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 27 26 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 47 40 $3K
73110 198 156 $3K
0001A 160 156 $3K
82805 33 28 $2K
0002A 145 145 $2K
77336 47 24 $2K
94726 15 13 $2K
92202 158 152 $2K
73562 154 130 $2K
86038 585 346 $2K
86832 19 12 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14 14 $2K
94060 15 13 $2K
91200 42 39 $2K
86833 19 12 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 93 72 $2K
J2704 Injection, propofol, 10 mg 100 88 $2K
83605 164 150 $1K
77334 18 12 $1K
73523 17 16 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 66 61 $1K
72110 47 42 $1K
87086 Culture, bacterial; quantitative colony count, urine 397 331 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 53 49 $1K
86256 182 94 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 29 26 $859.44
84100 768 364 $852.37
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 32 32 $838.43
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 35 30 $815.76
92133 29 26 $741.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 346 249 $732.49
72050 27 27 $691.21
86140 1,174 810 $633.54
86803 210 156 $606.51
86480 24 12 $605.38
83970 42 26 $571.96
86900 98 74 $548.31
82607 302 217 $529.04
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 702 507 $505.40
83516 352 161 $484.49
83615 696 409 $460.50
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $440.60
85652 1,214 839 $396.66
85027 284 240 $341.01
86850 98 74 $335.91
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 29 28 $275.00
84439 585 408 $273.59
86160 206 76 $268.43
87340 284 184 $261.64
80061 Lipid panel 304 230 $245.30
92025 13 12 $220.32
51798 14 14 $201.60
82728 432 329 $186.67
83036 Hemoglobin; glycosylated (A1C) 330 253 $185.53
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $181.10
86901 81 61 $179.94
84466 205 165 $172.68
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 27 25 $171.68
86200 77 51 $162.25
82784 127 39 $152.82
82746 142 103 $149.97
36415 Collection of venous blood by venipuncture 2,027 1,509 $119.39
83540 271 210 $116.33
82570 317 237 $114.67
86704 100 69 $112.63
72170 44 39 $101.19
J1030 Injection, methylprednisolone acetate, 40 mg 14 12 $89.04
85730 112 97 $74.46
82085 123 74 $60.26
86706 46 29 $58.65
J7050 Infusion, normal saline solution, 250 cc 335 140 $56.36
86431 138 82 $40.54
J2795 Injection, ropivacaine hydrochloride, 1 mg 75 55 $27.55
84550 160 106 $17.34
84165 26 15 $15.78
86225 18 13 $12.98
V2632 Posterior chamber intraocular lens 285 173 $10.32
82043 54 51 $6.05
84156 42 28 $1.15
J3010 Injection, fentanyl citrate, 0.1 mg 78 66 $0.55
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 52 37 $0.02
A9270 Non-covered item or service 304 242 $0.00
99070 237 69 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 20 13 $0.00
J7030 Infusion, normal saline solution , 1000 cc 47 44 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 33 25 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 55 46 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 50 25 $0.00