Physician
SSM Regional Health Services
SSM Regional Health Services was paid $149K by Medicaid between Jun 2018 and Oct 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoSSM REGIONAL HEALTH SERVICES
JEFFERSON CITY, MO 65109
JEFFERSON CITY, MO 65109
33aNPI1982137667assigned 04/10/2017
33bProvider typeOrthopaedic Surgery Physician
28Total paid$149K
24GClaims2,292
24DCodes billed12
24AFirst – last monthJun 2018 – Oct 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Missouri
Rank by total paid#8 of 67
Median peer was paid$7K
This provider vs. median23×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more
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 | 58 | $2K | |
| 2019 | 87 | $3K | |
| 2020 | 53 | $2K | |
| 2021 | 170 | $12K | |
| 2022 | 200 | $9K | |
| 2023 | 401 | $27K | |
| 2024incomplete | 1,323 | $95K |
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 | 45% | 1,143 | 1,015 | $67K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 11% | 134 | 52 | $17K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.8% | 230 | 131 | $13K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.3% | 150 | 96 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 91 | 86 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.3% | 184 | 55 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 120 | 117 | $8K |
| 62323 | 4.5% | 41 | 39 | $7K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.0% | 71 | 46 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.1% | 49 | 29 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 16 | 14 | $2K |
| 72100 | <1% | 63 | 51 | $649.08 |
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 officialMANUEL, SHASTA (REGIONAL VICE PRESIDENT FINANCE/CFO)
Parent organizationSSM REGIONAL HEALTH SERVICES
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.