Medicaid Provider Spending

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

SAINTS MEDICAL GROUP, LLC

NPI: 1184859464 · OKLAHOMA CITY, OK 73102 · Pain Medicine (Anesthesiology) Physician · NPI assigned 05/15/2009

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

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

$368K
Total Medicaid Paid
8,383
Total Claims
7,509
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (INSURANCE CREDENTIALING SPECIALIST)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA INC
NPI Enumeration Date05/15/2009

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 $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
2018 480 $29K
2019 327 $12K
2020 562 $20K
2021 549 $19K
2022 1,834 $74K
2023 2,172 $111K
2024 2,459 $103K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,674 1,638 $144K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,488 1,458 $92K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 413 413 $49K
99152 4,240 3,532 $40K
64493 180 150 $17K
64483 132 104 $12K
64494 153 124 $8K
64635 32 26 $4K
62323 18 13 $1K
64636 16 14 $406.62
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 37 37 $52.78