NPI: 1043852940 · PURCELL, OK 73080 · Internal Medicine Physician · NPI assigned 10/11/2019
Authorized official PENA, CRYSTAL controls 20+ related entities in our dataset. Read more
| Authorized Official | PENA, CRYSTAL (PROVIDER ENROLLMENT/INS CREDENTIAL) |
| Parent Organization | SSM HEALTH CARE OF OKLAHOMA, INC |
| NPI Enumeration Date | 10/11/2019 |
Other providers sharing the same authorized official: PENA, CRYSTAL
| Provider | City | State | Total 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 |
| 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 | 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 18 | $1K |
| 2022 | 423 | $35K |
| 2023 | 2,565 | $185K |
| 2024 | 3,473 | $235K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,896 | 2,792 | $221K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,231 | 1,187 | $123K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 749 | 749 | $70K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 316 | 311 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 609 | 605 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 243 | 239 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 41 | 41 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 193 | 191 | $2K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 15 | 15 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 107 | 106 | $2K |
| 90686 | 41 | 41 | $527.80 | |
| 90715 | 12 | 12 | $450.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 26 | 26 | $9.35 |