Physician
Saint Medical Group, LLC
Saint Medical Group, LLC was paid $4.51M by Medicaid between May 2021 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoSAINT MEDICAL GROUP, LLC
SHAWNEE, OK 74804
SHAWNEE, OK 74804
33aNPI1306447172assigned 11/06/2020
33bProvider typeDermatology Physician
28Total paid$4.51M
24GClaims63,444
24DCodes billed43
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in Oklahoma
Rank by total paid#1 of 22
Median peer was paid$30K
This provider vs. median152×
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 MANUEL, SHASTA 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 | |
|---|---|---|---|
| 2021 | 9,283 | $763K | |
| 2022 | 17,501 | $1.36M | |
| 2023 | 20,415 | $1.35M | |
| 2024incomplete | 16,245 | $1.03M |
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 | 38% | 16,629 | 16,360 | $1.70M |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 23% | 561 | 559 | $1.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 7,859 | 7,632 | $577K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.7% | 7,091 | 7,019 | $259K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.6% | 7,383 | 7,314 | $207K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.1% | 9,666 | 9,583 | $141K |
| 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 | 2.5% | 798 | 798 | $111K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 1,050 | 1,046 | $92K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 649 | 649 | $60K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.0% | 1,272 | 1,269 | $47K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 2,551 | 2,535 | $47K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 378 | 378 | $34K |
31 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 443 | $32K |
| 76801 | <1% | 524 | $31K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 320 | $24K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,442 | $21K |
| 76830 | Ultrasound, transvaginal | <1% | 196 | $14K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 189 | $11K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 121 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 70 | $6K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 291 | $6K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 138 | $5K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 24 | $4K |
| 87807 | <1% | 318 | $4K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 59 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 167 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 328 | $3K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 158 | $2K |
| 90686 | <1% | 785 | $1K | |
| 99460 | <1% | 13 | $1K | |
| 90474 | <1% | 28 | $513.52 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 377 | $370.46 |
| 90677 | <1% | 137 | $270.38 | |
| 90656 | <1% | 124 | $188.42 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 87 | $173.02 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 12 | $115.20 |
| 36415 | Collection of venous blood by venipuncture | <1% | 36 | $80.10 |
| 90647 | 0% | 47 | $0.00 | |
| 90723 | 0% | 282 | $0.00 | |
| 90648 | 0% | 325 | $0.00 | |
| 90670 | 0% | 431 | $0.00 | |
| 90681 | 0% | 70 | $0.00 | |
| 96160 | 0% | 15 | $0.00 |
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 officialMANUEL, SHASTA (VICE PRESIDENT - FINANCE)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.