Medicaid Provider Spending

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

SAINT MEDICAL GROUP, LLC

NPI: 1306447172 · SHAWNEE, OK 74804 · Dermatology Physician · NPI assigned 11/06/2020

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

Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more

$4.51M
Total Medicaid Paid
63,444
Total Claims
62,598
Beneficiaries
43
Codes Billed
2021-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMANUEL, SHASTA (VICE PRESIDENT - FINANCE)
NPI Enumeration Date11/06/2020

Related Entities

Other providers sharing the same authorized official: MANUEL, SHASTA

ProviderCityStateTotal 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
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $2.49M
SAINTS MEDICAL GROUP, LLC SHAWNEE OK $1.32M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 9,283 $763K
2022 17,501 $1.36M
2023 20,415 $1.35M
2024 16,245 $1.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,629 16,360 $1.70M
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 561 559 $1.06M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,859 7,632 $577K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,091 7,019 $259K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,383 7,314 $207K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9,666 9,583 $141K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 798 798 $111K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,050 1,046 $92K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 649 649 $60K
90472 Immunization administration, each additional vaccine (list separately) 1,272 1,269 $47K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,551 2,535 $47K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 378 378 $34K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 443 443 $32K
76801 524 523 $31K
77067 Screening mammography, bilateral, including computer-aided detection 320 320 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,442 1,413 $21K
76830 Ultrasound, transvaginal 196 196 $14K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 189 189 $11K
99238 Hospital discharge day management, 30 minutes or less 121 121 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 70 70 $6K
77063 Screening digital breast tomosynthesis, bilateral 291 291 $6K
76819 Fetal biophysical profile; without non-stress testing 138 80 $5K
J0561 Injection, penicillin g benzathine, 100,000 units 24 24 $4K
87807 318 317 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 59 59 $3K
71046 Radiologic examination, chest; 2 views 167 160 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 328 328 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 158 158 $2K
90686 785 785 $1K
99460 13 13 $1K
90474 28 28 $513.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg 377 376 $370.46
90677 137 137 $270.38
90656 124 124 $188.42
J0696 Injection, ceftriaxone sodium, per 250 mg 87 84 $173.02
J1010 Injection, methylprednisolone acetate, 1 mg 12 12 $115.20
36415 Collection of venous blood by venipuncture 36 36 $80.10
90647 47 47 $0.00
90723 282 282 $0.00
90648 325 325 $0.00
90670 431 430 $0.00
90681 70 70 $0.00
96160 15 15 $0.00