Medicaid Provider Spending

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

SSM HEALTHCARE OF OKLAHOMA, INC

NPI: 1093125072 · OKLAHOMA CITY, OK 73102 · Gastroenterology Physician · NPI assigned 04/30/2014

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

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

$183K
Total Medicaid Paid
1,808
Total Claims
1,759
Beneficiaries
8
Codes Billed
2018-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (INSURANCE CREDENTIALING SPECIALIST)
Parent OrganizationSSM HEALTHCARE OF OKLAHOMA, INC
NPI Enumeration Date04/30/2014

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
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 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
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $174K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31 $2K
2021 38 $6K
2022 243 $26K
2023 508 $53K
2024 988 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 968 961 $92K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 450 450 $57K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 155 155 $13K
99222 Initial hospital care, per day, moderate complexity 88 88 $9K
99223 Prolong inpt eval add15 m 37 37 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity 52 25 $2K
99232 Subsequent hospital care, per day, moderate complexity 31 16 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27 27 $1K