Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SSM REGIONAL HEALTH SERVICES

NPI: 1982137667 · JEFFERSON CITY, MO 65109 · Orthopaedic Surgery Physician · NPI assigned 04/10/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more

$149K
Total Medicaid Paid
2,292
Total Claims
1,731
Beneficiaries
12
Codes Billed
2018-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMANUEL, SHASTA (REGIONAL VICE PRESIDENT FINANCE/CFO)
Parent OrganizationSSM REGIONAL HEALTH SERVICES
NPI Enumeration Date04/10/2017

Related Entities

Other providers sharing the same authorized official: MANUEL, SHASTA

ProviderCityStateTotal Paid
SSM HEALTH CARE OF OKLAHOMA, INC. OKLAHOMA CITY OK $46.86M
ST ANTHONY SHAWNEE HOSPITAL INC SHAWNEE OK $23.00M
SAINTS MEDICAL GROUP, LLC SHAWNEE OK $14.52M
SAINT MEDICAL GROUP, LLC SHAWNEE OK $4.51M
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $2.49M
SAINTS MEDICAL GROUP, LLC SHAWNEE OK $1.32M
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $1.26M
SSM HEALTH CARE OF OKLAHOMA, INC. OKLAHOMA CITY OK $856K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $842K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $398K
SSM REGIONAL HEALTH SERVICES BELLE MO $388K
SSM REGIONAL HEALTH SERVICES TIPTON MO $304K
SSM HEALTH CARE OF OKLAHOMA, INC OKLAHOMA CITY OK $269K
SAINT MEDICAL GROUP, LLC TECUMSEH OK $246K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $239K
SAINT MEDICAL GROUP, LLC CHANDLER OK $194K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $191K
SAINTS MEDICAL GROUP, LLC OKEMAH OK $165K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $84K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $61K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 58 $2K
2019 87 $3K
2020 53 $2K
2021 170 $12K
2022 200 $9K
2023 401 $27K
2024 1,323 $95K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,143 1,015 $67K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 134 52 $17K
99233 Prolong inpt eval add15 m 230 131 $13K
90834 Psychotherapy, 45 minutes with patient 150 96 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 91 86 $8K
99232 Subsequent hospital care, per day, moderate complexity 184 55 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 120 117 $8K
62323 41 39 $7K
99239 Hospital discharge day management, more than 30 minutes 71 46 $4K
99222 Initial hospital care, per day, moderate complexity 49 29 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 14 $2K
72100 63 51 $649.08