Medicaid Provider Spending

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

SAINTS MEDICAL GROUP, LLC

NPI: 1043852940 · PURCELL, OK 73080 · Internal Medicine Physician · NPI assigned 10/11/2019

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

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

$455K
Total Medicaid Paid
6,479
Total Claims
6,315
Beneficiaries
13
Codes Billed
2021-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (PROVIDER ENROLLMENT/INS CREDENTIAL)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA, INC
NPI Enumeration Date10/11/2019

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 18 $1K
2022 423 $35K
2023 2,565 $185K
2024 3,473 $235K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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