Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Missouri (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ssm-sluh Inc (NPI 1942685920)

Field	Value
Entity Type	Organization
Organization	Ssm-sluh Inc
Address	1201 S Grand Blvd
City	Saint Louis
State	MO
ZIP	63104
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 20, 2015

Payer Source	Total Paid
Medicaid	$20.6M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

165 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
X4011	N/A	17,980	$400	$7.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	15,580	$200	$3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	19,870	$70	$1.3M
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	49,130	$20	$1.2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3,780	$290	$1.1M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	42,190	$20	$928.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	4,840	$150	$740.5K
X4014	N/A	1,490	$490	$724.7K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	11,170	$50	$547.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	3,410	$110	$365K

Showing 1–10 of 165

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

Claims Volume vs. Missouri Distribution

Ssm-sluh Inc — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

165 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	18	110	5,700	$340	$3.2M
X4014	N/A	4	10	1,070	$1,030	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	24	100	2,240	$80	$2.2M
Y7506	N/A	58	100	980	$250	$1.6M
X4003	N/A	25	70	1,480	$80	$1.1M
X4006	N/A	16	50	370	$780	$969.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	30	90	1,850	$120	$384.1K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	82	600	140	$170	$384.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	23	110	2,100	$70	$364.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	15	240	1,740	$40	$353.4K

Showing 1–10 of 165

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ssm-sluh Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ssm Health Care Group	MO	Internal Medicine Physician	$0	$17.3M
Niraj Pahlajani	TX	Radiation Oncology Physician	$1.4M	$0
Matthew Treaster	MO	Emergency Medicine Physician	$126.7K	$655.8K
Ahsan Usman	IL	Hospitalist Physician	$306.9K	$417.5K
George Hruza	MO	MOHS-Micrographic Surgery Physician	$713.1K	$0
Ramona Behshad	MO	MOHS-Micrographic Surgery Physician	$658.1K	$0
Paul Gruber	MO	Dermatology Physician	$586.1K	$0
Shamseldeen Mahmoud	MO	Neuroradiology Physician	$109.5K	$474K
Matthew Hrastich	MO	Diagnostic Radiology Physician	$134.1K	$399.7K
Beth Levy	MO	Cytopathology Physician	$532.6K	$0

Nearby Providers

Other providers in the same ZIP code as Ssm-sluh Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ssm Cardinal Glennon Children's Hospital	MO	Children's Hospital	$0	$52.6M
Levent Akduman	MO	Ophthalmology Physician	$3.1M	$1.4M
Affinia Healthcare	MO	Federally Qualified Health Center (FQHC)	$0	$4.2M
Southside Wellness Center Inc	MO	Personal Care Attendant	$0	$3.8M
Kristin Smith	MO	Dermatopathology Physician	$451.5K	$12.4K
Nicole Burkemper	MO	Dermatology Physician	$237K	$51.7K
M Yadira Hurley	MO	Dermatopathology Physician	$242K	$38.4K
Abdalla Hassan	MO	Interventional Cardiology Physician	$244K	$8.1K
Gillian Heinecke	MO	Dermatology Physician	$226.9K	$8K
Ece Akduman	MO	Diagnostic Radiology Physician	$59.6K	$169.5K

Ssm-sluh Inc — Billing Profile & Reimbursement Data

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Ssm-sluh Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References