Medicaid Provider Spending

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

SSM HEALTH CARE OF OKLAHOMA INC

NPI: 1013314301 · OKLAHOMA CITY, OK 73118 · Internal Medicine Physician · NPI assigned 12/02/2014

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

Authorized official PENA, CRYSTAL controls 20+ related entities in our dataset. Read more

$751K
Total Medicaid Paid
10,504
Total Claims
10,378
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (INSURANCE CREDENTIALING SPECIALIST)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA INC
NPI Enumeration Date12/02/2014

Related Entities

Other providers sharing the same authorized official: PENA, CRYSTAL

ProviderCityStateTotal Paid
SAINT MEDICAL GROUP, LLC EL RENO OK $1.42M
SSM HEALTHCARE OF OK, INC OKLAHOMA CITY OK $1.42M
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $1.36M
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $1.17M
SAINT MEDICAL GROUP, LLC EL RENO OK $1.15M
SAINTS MEDICAL GROUP, LLC MUSTANG OK $904K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $896K
SHAWNEE MEDICAL CENTER CLINIC, INC. SEMINOLE OK $828K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $640K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $614K
SAINT MEDICAL GROUP, LLC OKLAHOMA CITY OK $551K
SSM HEALTHCARE OF OK, INC OKLAHOMA CITY OK $535K
SAINT MEDICAL GROUP, LLC OKLAHOMA CITY OK $494K
SAINTS MEDICAL GROUP, LLC PURCELL OK $455K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $368K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $357K
SAINT MEDICAL GROUP, LLC HARRAH OK $343K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $315K
SSM HEALTHCARE OF OKLAHOMA, INC OKLAHOMA CITY OK $183K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $174K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,317 $101K
2019 1,332 $104K
2020 944 $78K
2021 1,691 $107K
2022 2,624 $181K
2023 1,424 $101K
2024 1,172 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,235 3,192 $240K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,597 2,545 $240K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,950 1,933 $96K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 671 671 $62K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 704 700 $59K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 776 770 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 135 135 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 80 80 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 300 296 $4K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 44 44 $2K
87807 12 12 $139.80