Physician
Saints Medical Group, LLC
Saints Medical Group, LLC was paid $1.36M by Medicaid between Jan 2019 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoSAINTS MEDICAL GROUP, LLC
OKLAHOMA CITY, OK 73106
OKLAHOMA CITY, OK 73106
33aNPI1194298117assigned 01/03/2019
33bProvider typeNeurology Physician
28Total paid$1.36M
24GClaims14,604
24DCodes billed23
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Neurology Physician providers in Oklahoma
Rank by total paid#3 of 17
Median peer was paid$83K
This provider vs. median17×
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 PENA, CRYSTAL 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 | |
|---|---|---|---|
| 2019 | 644 | $45K | |
| 2020 | 952 | $69K | |
| 2021 | 1,934 | $169K | |
| 2022 | 3,436 | $341K | |
| 2023 | 3,985 | $369K | |
| 2024incomplete | 3,653 | $371K |
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 | 41% | 6,067 | 5,906 | $557K |
| 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 | 19% | 2,000 | 2,000 | $255K |
| 95913 | 8.0% | 478 | 478 | $109K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.0% | 1,495 | 1,456 | $96K |
| 95886 | 6.3% | 623 | 621 | $85K | |
| 99223 | Prolong inpt eval add15 m | 5.2% | 430 | 424 | $71K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.2% | 893 | 368 | $58K |
| 95819 | 1.9% | 515 | 505 | $26K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.9% | 273 | 80 | $26K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.8% | 768 | 171 | $25K |
| 99443 | 1.7% | 228 | 226 | $23K | |
| 99205 | Prolong outpt/office vis | <1% | 46 | 46 | $8K |
11 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 59 | $5K |
| 95912 | <1% | 35 | $5K | |
| 20553 | <1% | 159 | $4K | |
| 95811 | <1% | 40 | $4K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 305 | $3K |
| 95806 | <1% | 49 | $2K | |
| 64405 | <1% | 14 | $944.24 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 83 | $819.68 |
| 99442 | <1% | 13 | $798.00 | |
| 95816 | <1% | 14 | $751.94 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 17 | $30.00 |
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 officialPENA, CRYSTAL (INSURANCE CREDENTIALING SPECIALIST)
Parent organizationSSM HEALTH CARE OF OKLAHOMA, INC.
| Provider | Location | 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 | $1.17M |
| 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 |
| SSM Healthcare of Oklahoma, INC | Oklahoma City, OK | $183K |
| Saints Medical Group, LLC | Oklahoma City, OK | $174K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.