Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › SAINT LOUIS › SSM HEALTH CARE ST. LOUIS

SSM HEALTH CARE ST. LOUIS

NPI: 1962572396 · SAINT LOUIS, MO 63117 · General Acute Care Hospital · NPI assigned 11/09/2006

$50.07M
Total Medicaid Paid
528,641
Total Claims
448,803
Beneficiaries
159
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCAPERS, TRAVIS (PRESIDENT)
Parent OrganizationSSM HEALTH CARE CORPORATION
NPI Enumeration Date11/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75,508 $15.27M
2019 68,526 $11.40M
2020 52,845 $4.98M
2021 74,467 $2.31M
2022 85,895 $4.53M
2023 97,405 $6.45M
2024 73,995 $5.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
X4011 State-specific procedure code 29,477 27,588 $7.59M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 66,199 60,808 $5.50M
X4003 25,248 17,137 $3.54M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 70,365 60,451 $3.21M
99284 Emergency department visit for the evaluation and management, high severity 15,686 14,567 $2.80M
99283 Emergency department visit for the evaluation and management, moderate severity 19,713 18,646 $2.66M
80053 Comprehensive metabolic panel 50,018 45,605 $2.14M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 10,355 9,497 $1.63M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,679 5,099 $1.62M
59025 Fetal non-stress test 4,384 3,747 $1.59M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,282 4,815 $1.45M
87086 Culture, bacterial; quantitative colony count, urine 4,837 4,504 $978K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,796 7,734 $955K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,371 3,626 $950K
81001 10,134 9,526 $905K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,249 7,638 $841K
X4006 1,984 1,579 $822K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15,093 13,696 $705K
87808 4,235 4,020 $671K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,750 3,548 $617K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 4,168 3,983 $614K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,754 3,549 $611K
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 1,314 828 $528K
G0378 Hospital observation service, per hour 953 811 $412K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,721 3,230 $365K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,172 1,930 $348K
45380 Colonoscopy, flexible; with biopsy, single or multiple 836 778 $337K
71046 Radiologic examination, chest; 2 views 5,261 4,968 $337K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,590 1,263 $320K
84702 7,349 6,999 $306K
76818 2,943 2,046 $299K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,454 3,344 $298K
84484 12,475 9,107 $274K
90853 Group psychotherapy (other than of a multiple-family group) 18,035 1,452 $245K
36415 Collection of venous blood by venipuncture 3,409 2,766 $241K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,114 2,918 $236K
86780 2,860 2,732 $205K
81025 3,199 3,079 $182K
74177 Computed tomography, abdomen and pelvis; with contrast material 804 756 $152K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,814 2,055 $148K
86900 848 789 $137K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 438 375 $125K
86901 843 789 $118K
71045 Radiologic examination, chest; single view 3,325 2,995 $117K
86850 853 802 $114K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,276 519 $107K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 619 603 $101K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,287 2,082 $101K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,316 3,284 $95K
96375 Therapeutic injection; each additional sequential IV push 2,617 2,130 $87K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 404 391 $76K
J3490 Unclassified drugs 6,508 3,865 $69K
86592 181 168 $69K
86803 453 430 $60K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 257 243 $58K
81003 12,147 10,364 $56K
Y7506 380 328 $52K
87340 672 632 $48K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,767 4,728 $47K
36902 81 78 $45K
70450 Computed tomography, head or brain; without contrast material 815 742 $45K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,107 2,947 $41K
86762 317 303 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 301 154 $35K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 990 935 $35K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 78 75 $34K
82962 2,778 2,367 $33K
88142 167 156 $32K
82947 95 89 $26K
73630 118 103 $26K
76820 258 199 $26K
87428 985 982 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,490 1,458 $26K
96361 Intravenous infusion, hydration; each additional hour 526 487 $25K
87081 480 438 $25K
80055 63 58 $24K
80048 Basic metabolic panel (calcium, ionized) 644 577 $22K
83690 3,516 3,268 $20K
90832 Psychotherapy, 30 minutes with patient 711 621 $19K
76801 133 117 $18K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 39 37 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,630 1,609 $15K
83735 1,834 1,637 $14K
83020 60 60 $10K
73564 254 193 $10K
75710 64 50 $8K
87400 174 166 $8K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 343 182 $7K
95911 24 24 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 16 12 $7K
62323 16 13 $6K
87536 145 134 $6K
83036 Hemoglobin; glycosylated (A1C) 1,121 1,092 $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 253 234 $6K
76819 Fetal biophysical profile; without non-stress testing 82 70 $6K
0240U 45 45 $5K
76821 79 63 $5K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 272 258 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 69 65 $3K
94726 12 12 $2K
95886 42 39 $2K
94060 13 13 $2K
Y7507 20 12 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 109 109 $2K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 14 12 $1K
83880 75 65 $1K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 29 26 $1K
93976 27 24 $1K
71260 Computed tomography, thorax, diagnostic; with contrast material 15 13 $1K
77336 31 12 $1K
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 223 220 $1K
88307 14 14 $991.90
83605 55 43 $869.97
80061 Lipid panel 160 146 $859.12
99238 Hospital discharge day management, 30 minutes or less 12 12 $741.96
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 15 $692.76
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 29 28 $623.12
73502 12 12 $585.71
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 894 723 $577.50
86361 38 36 $470.42
87430 26 26 $402.86
81002 155 149 $370.55
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 26 25 $342.68
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 630 513 $341.25
64483 16 13 $325.71
90480 34 33 $285.40
82657 14 14 $264.52
0124A 13 13 $243.37
87899 14 14 $191.73
51798 13 12 $144.00
G0008 Administration of influenza virus vaccine 47 17 $143.57
C1887 Catheter, guiding (may include infusion/perfusion capability) 235 196 $139.50
85379 28 27 $131.07
C1769 Guide wire 1,323 1,080 $122.25
J7050 Infusion, normal saline solution, 250 cc 932 347 $114.22
85027 25 25 $84.04
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 820 744 $66.97
J1644 Injection, heparin sodium, per 1000 units 1,553 1,165 $62.89
J2704 Injection, propofol, 10 mg 344 323 $62.12
87205 13 12 $59.83
76937 40 25 $49.13
J7030 Infusion, normal saline solution , 1000 cc 342 307 $48.73
80069 15 13 $41.25
J1100 Injection, dexamethasone sodium phosphate, 1 mg 359 337 $7.39
J3010 Injection, fentanyl citrate, 0.1 mg 756 677 $2.52
J2250 Injection, midazolam hydrochloride, per 1 mg 332 295 $2.51
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 186 137 $0.16
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 71 67 $0.00
36215 40 37 $0.00
C1757 Catheter, thrombectomy/embolectomy 12 12 $0.00
36416 80 80 $0.00
87807 57 57 $0.00
36591 255 126 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 335 141 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 12 12 $0.00
99070 134 39 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 42 42 $0.00
A9270 Non-covered item or service 16 13 $0.00
C2623 Catheter, transluminal angioplasty, drug-coated, non-laser 13 12 $0.00