Medicaid Provider Spending

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

SAINTS MEDICAL GROUP, LLC

NPI: 1194298117 · OKLAHOMA CITY, OK 73106 · Neurology Physician · NPI assigned 01/03/2019

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

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

$1.36M
Total Medicaid Paid
14,604
Total Claims
13,060
Beneficiaries
23
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (INSURANCE CREDENTIALING SPECIALIST)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA, INC.
NPI Enumeration Date01/03/2019

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 $1.17M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 644 $45K
2020 952 $69K
2021 1,934 $169K
2022 3,436 $341K
2023 3,985 $369K
2024 3,653 $371K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,067 5,906 $557K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,000 2,000 $255K
95913 478 478 $109K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,495 1,456 $96K
95886 623 621 $85K
99223 Prolong inpt eval add15 m 430 424 $71K
99232 Subsequent hospital care, per day, moderate complexity 893 368 $58K
95819 515 505 $26K
99233 Prolong inpt eval add15 m 273 80 $26K
99231 Subsequent hospital care, per day, straightforward or low complexity 768 171 $25K
99443 228 226 $23K
99205 Prolong outpt/office vis 46 46 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 59 59 $5K
95912 35 35 $5K
20553 159 156 $4K
95811 40 40 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 305 304 $3K
95806 49 49 $2K
64405 14 14 $944.24
J1030 Injection, methylprednisolone acetate, 40 mg 83 80 $819.68
99442 13 13 $798.00
95816 14 13 $751.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17 16 $30.00