SAINTS MEDICAL GROUP, LLC
NPI: 1235382540
· BLANCHARD, OK 73010
· Family Medicine Physician
· NPI assigned 10/30/2008
$199K
Total Medicaid Paid
Provider Details
| Authorized Official | BAIN, KATY (CLIENT ACCOUNT REPRESENTATIVE) |
| NPI Enumeration Date | 10/30/2008 |
Related Entities
Other providers sharing the same authorized official: BAIN, KATY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
430 |
$35K |
| 2019 |
431 |
$34K |
| 2020 |
311 |
$22K |
| 2021 |
477 |
$38K |
| 2022 |
536 |
$41K |
| 2023 |
241 |
$19K |
| 2024 |
114 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,398 |
1,304 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
892 |
837 |
$65K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
178 |
176 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$925.84 |
| 90686 |
|
29 |
29 |
$0.00 |