NP / PA
Saints Medical Group, LLC
Saints Medical Group, LLC was paid $1.32M by Medicaid between Apr 2021 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoSAINTS MEDICAL GROUP, LLC
SHAWNEE, OK 74804
SHAWNEE, OK 74804
33aNPI1093395618assigned 04/08/2021
33bProvider typeMedical Physician Assistant
28Total paid$1.32M
24GClaims15,794
24DCodes billed21
24AFirst – last monthApr 2021 – Nov 2024
Compared with peers
Next to other Medical Physician Assistant providers in Oklahoma
Rank by total paid#1 of 9
Median peer was paid$256K
This provider vs. median5.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 2,202 | $183K | |
| 2022 | 4,891 | $399K | |
| 2023 | 4,731 | $407K | |
| 2024incomplete | 3,970 | $327K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 45% | 5,912 | 5,662 | $589K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 4,228 | 4,073 | $310K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 1,359 | 1,359 | $183K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.0% | 1,065 | 1,065 | $92K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 4.9% | 329 | 329 | $64K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 2.2% | 128 | 128 | $29K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 1,135 | 1,121 | $20K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 244 | 243 | $7K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 42 | 42 | $6K |
| 95115 | <1% | 689 | 238 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 37 | 37 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 31 | 31 | $3K |
9 more codes
| 92567 | <1% | 126 | $2K | |
| 90686 | <1% | 200 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 94 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $382.72 |
| 95117 | <1% | 34 | $308.65 | |
| 90656 | <1% | 40 | $293.02 | |
| 90688 | <1% | 15 | $79.64 | |
| 96160 | 0% | 61 | $0.00 | |
| 90633 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMANUEL, SHASTA (VICE PRESIDENT - FINANCE)
| Provider | Location | Paid |
|---|---|---|
| SSM Health Care of Oklahoma, INC. | Oklahoma City, OK | $46.86M |
| ST Anthony Shawnee Hospital INC | Shawnee, OK | $23.00M |
| Saints Medical Group, LLC | Shawnee, OK | $14.52M |
| Saint Medical Group, LLC | Shawnee, OK | $4.51M |
| SSM Regional Health Services | Jefferson City, MO | $2.49M |
| SSM Regional Health Services | Jefferson City, MO | $1.26M |
| SSM Health Care of Oklahoma, INC. | Oklahoma City, OK | $856K |
| SSM Regional Health Services | Jefferson City, MO | $842K |
| SSM Regional Health Services | Jefferson City, MO | $398K |
| SSM Regional Health Services | Belle, MO | $388K |
| SSM Regional Health Services | Tipton, MO | $304K |
| SSM Health Care of Oklahoma, INC | Oklahoma City, OK | $269K |
| Saint Medical Group, LLC | Tecumseh, OK | $246K |
| SSM Regional Health Services | Jefferson City, MO | $239K |
| Saint Medical Group, LLC | Chandler, OK | $194K |
| SSM Regional Health Services | Jefferson City, MO | $191K |
| Saints Medical Group, LLC | Okemah, OK | $165K |
| SSM Regional Health Services | Jefferson City, MO | $149K |
| Saints Medical Group, LLC | Oklahoma City, OK | $84K |
| SSM Regional Health Services | Jefferson City, MO | $61K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.