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SSM MEDICAL GROUP, INC.

Clinic/Center, Multi-Specialty·FENTON, MO·NPI: 1700966207Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.3M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$19.3M

$19,348,378

Total Claims

362K

Beneficiaries

317K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$544K
+36%
2019
$740K
+71%
2020
$1.3M
+132%
2021
$2.9M
+31%
2022
$3.9M
+39%
2023
$5.4M
-13%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 38% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$7.3M

120K claims · 37.6%

Your Cost: $60.74/claim|Median: $53.41
1.1× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$3.7M

56K claims · 19.3%

Your Cost: $67.02/claim|Median: $37.81
1.8× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.4M

15K claims · 7.2%

Your Cost: $93.39/claim|Median: $75.18
1.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.3M

14K claims · 6.7%

Your Cost: $90.77/claim|Median: $69.35
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$763K

7,936 claims · 3.9%

Your Cost: $96.21/claim|Median: $74.82
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$725K

26K claims · 3.7%

Your Cost: $28.20/claim|Median: $23.99
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$632K

7,963 claims · 3.3%

Your Cost: $79.40/claim|Median: $74.09
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$532K

13K claims · 2.7%

Your Cost: $41.03/claim|Median: $54.68
0.8× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$298K

2,659 claims · 1.5%

Your Cost: $111.92/claim|Median: $84.03
1.3× median
90698Top 5%

$289K

8,748 claims · 1.5%

Your Cost: $33.05/claim|Median: $6.32
5.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$286K

2,821 claims · 1.5%

Your Cost: $101.48/claim|Median: $80.15
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$167K

4,462 claims · 0.9%

Your Cost: $37.37/claim|Median: $35.30
1.1× median
99309Normal range

Nursing facility care, subsequent, low complexity

$153K

7,047 claims · 0.8%

Your Cost: $21.74/claim|Median: $14.00
1.6× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$138K

9,473 claims · 0.7%

Your Cost: $14.55/claim|Median: $7.18
2.0× median
43239Normal range

Upper GI endoscopy with biopsy

$130K

904 claims · 0.7%

Your Cost: $143.80/claim|Median: $151.68
0.9× median
99255Normal range

$101K

932 claims · 0.5%

Your Cost: $108.90/claim|Median: $90.45
1.2× median
45380Normal range

Colonoscopy with biopsy

$99K

563 claims · 0.5%

Your Cost: $175.13/claim|Median: $200.68
0.9× median
90670Normal range

$96K

7,531 claims · 0.5%

Your Cost: $12.71/claim|Median: $5.94
2.1× median
87428Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$82K

1,334 claims · 0.4%

Your Cost: $61.53/claim|Median: $39.63
1.6× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$79K

355 claims · 0.4%

Your Cost: $221.31/claim|Median: $233.73
0.9× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$67K

1,641 claims · 0.3%

Your Cost: $40.87/claim|Median: $30.04
1.4× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$63K

782 claims · 0.3%

Your Cost: $80.46/claim|Median: $57.85
1.4× median
36902Normal range

$58K

466 claims · 0.3%

Your Cost: $124.81/claim|Median: $178.61
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$52K

400 claims · 0.3%

Your Cost: $130.56/claim|Median: $111.09
1.2× median
99254Normal range

$51K

560 claims · 0.3%

Your Cost: $91.95/claim|Median: $81.43
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$47K

1,794 claims · 0.2%

Your Cost: $26.15/claim|Median: $25.06
1.0× median
99308Normal range

Nursing facility care, subsequent, straightforward

$38K

2,166 claims · 0.2%

Your Cost: $17.59/claim|Median: $9.79
1.8× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$36K

406 claims · 0.2%

Your Cost: $89.07/claim|Median: $73.46
1.2× median
90680Top 25%

$36K

2,834 claims · 0.2%

Your Cost: $12.67/claim|Median: $5.58
2.3× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$35K

1,540 claims · 0.2%

Your Cost: $22.72/claim|Median: $36.70
0.6× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$34K

1,000 claims · 0.2%

Your Cost: $34.12/claim|Median: $33.72
1.0× median
90633Top 25%

$33K

2,384 claims · 0.2%

Your Cost: $13.86/claim|Median: $3.56
3.9× median
90744Top 25%

$32K

2,488 claims · 0.2%

Your Cost: $13.00/claim|Median: $5.00
2.6× median
99222Normal range

Initial hospital care, per day, moderate complexity

$32K

732 claims · 0.2%

Your Cost: $43.14/claim|Median: $51.25
0.8× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$29K

1,866 claims · 0.1%

Your Cost: $15.34/claim|Median: $11.48
1.3× median
83655Normal range

$21K

1,848 claims · 0.1%

Your Cost: $11.26/claim|Median: $10.49
1.1× median
90677Normal range

$17K

1,737 claims · 0.1%

Your Cost: $9.76/claim|Median: $12.96
0.8× median
95886Normal range

$16K

305 claims · 0.1%

Your Cost: $54.02/claim|Median: $67.70
0.8× median
99223Normal range

Initial hospital care, per day, high complexity

$15K

286 claims · 0.1%

Your Cost: $52.52/claim|Median: $67.32
0.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$15K

775 claims · 0.1%

Your Cost: $19.03/claim|Median: $16.77
1.1× median
90656Top 25%

$14K

838 claims · 0.1%

Your Cost: $17.19/claim|Median: $8.67
2.0× median
99253Normal range

$14K

211 claims · 0.1%

Your Cost: $66.64/claim|Median: $55.16
1.2× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$14K

793 claims · 0.1%

Your Cost: $17.49/claim|Median: $43.07
0.4× median
90710Top 10%

MMRV vaccine

$13K

477 claims · 0.1%

Your Cost: $26.78/claim|Median: $7.00
3.8× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$13K

361 claims · 0.1%

Your Cost: $35.01/claim|Median: $29.03
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$11K

2,660 claims · 0.1%

Your Cost: $4.25/claim|Median: $4.71
0.9× median
90681Top 25%

$10K

730 claims · 0.1%

Your Cost: $13.44/claim|Median: $5.74
2.3× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$10K

117 claims · 0.1%

Your Cost: $83.81/claim|Median: $81.92
1.0× median
95816Normal range

$10K

300 claims · 0.1%

Your Cost: $32.53/claim|Median: $56.87
0.6× median
45378Normal range

Colonoscopy, diagnostic

$9K

37 claims · 0.0%

Your Cost: $252.94/claim|Median: $225.49
1.1× median

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