Medicaid Provider Spending

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

SAINT MEDICAL GROUP, LLC

NPI: 1033755426 · OKLAHOMA CITY, OK 73103 · Orthopaedic Surgery Physician · NPI assigned 11/21/2019

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

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

$551K
Total Medicaid Paid
7,434
Total Claims
7,192
Beneficiaries
19
Codes Billed
2020-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (CREDENTIALING SPECIALIST)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA, INC.
NPI Enumeration Date11/21/2019

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
SSM HEALTH CARE OF OKLAHOMA INC OKLAHOMA CITY OK $751K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $640K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $614K
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
2020 97 $7K
2021 420 $35K
2022 1,625 $109K
2023 3,193 $233K
2024 2,099 $166K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,253 1,253 $158K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,364 1,322 $125K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,517 1,480 $103K
20611 571 524 $45K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 461 461 $41K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 661 634 $24K
73610 349 336 $11K
73630 311 300 $9K
73110 249 216 $8K
72110 171 171 $7K
73130 199 177 $6K
76942 146 139 $6K
99215 Prolong outpt/office vis 12 12 $2K
73502 53 53 $2K
72050 26 26 $1K
73564 24 24 $1K
73030 36 36 $826.03
73140 19 16 $615.79
20610 12 12 $552.35