Physician
ST. John Physicians, INC.
ST. John Physicians, INC. was paid $17.69M by Medicaid between Jan 2018 and Nov 2024, across 130 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoST. JOHN PHYSICIANS, INC.
TULSA, OK 74104
TULSA, OK 74104
33aNPI1336194406assigned 05/24/2006
33bProvider typeFamily Medicine Physician
28Total paid$17.69M
24GClaims302,794
24DCodes billed130
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Oklahoma
Rank by total paid#2 of 351
Median peer was paid$153K
This provider vs. median116×
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.
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 | |
|---|---|---|---|
| 2018 | 21,024 | $673K | |
| 2019 | 15,148 | $517K | |
| 2020 | 11,675 | $400K | |
| 2021 | 24,965 | $1.32M | |
| 2022 | 85,606 | $5.09M | |
| 2023 | 95,601 | $6.29M | |
| 2024incomplete | 48,775 | $3.40M |
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 | 25% | 52,947 | 50,202 | $4.40M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 40,452 | 37,985 | $2.72M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 29,200 | 28,836 | $2.68M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 39,987 | 39,400 | $2.19M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.8% | 12,617 | 12,522 | $1.37M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 5,915 | 5,580 | $510K |
| 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% | 3,587 | 3,550 | $436K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.4% | 6,488 | 2,679 | $429K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.2% | 9,690 | 9,238 | $383K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 3,546 | 3,545 | $325K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.6% | 5,882 | 2,663 | $276K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 6,737 | 6,716 | $245K |
118 more codes
| 99223 | Prolong inpt eval add15 m | 1.3% | 3,263 | $232K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 12,430 | $222K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 5,112 | $174K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 964 | $88K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 5,404 | $84K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 634 | $67K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,222 | $58K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,081 | $58K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,565 | $56K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 10,374 | $50K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 458 | $40K |
| 92567 | <1% | 3,008 | $39K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 418 | $33K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,274 | $26K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 403 | $25K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 253 | $25K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 237 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,488 | $22K |
| 92557 | <1% | 795 | $22K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 415 | $21K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 207 | $21K |
| 95811 | <1% | 192 | $20K | |
| 99381 | <1% | 190 | $18K | |
| 99220 | <1% | 271 | $18K | |
| 92579 | <1% | 407 | $16K | |
| 90473 | <1% | 810 | $15K | |
| 31231 | <1% | 102 | $15K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 97 | $12K |
| 99460 | <1% | 136 | $12K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 101 | $11K |
| 31575 | <1% | 116 | $11K | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 471 | $10K |
| 92587 | <1% | 513 | $10K | |
| 44361 | <1% | 168 | $10K | |
| 90686 | <1% | 2,918 | $8K | |
| 43248 | <1% | 106 | $8K | |
| 93298 | <1% | 472 | $8K | |
| 20553 | <1% | 209 | $8K | |
| 94729 | <1% | 374 | $7K | |
| 90661 | <1% | 335 | $7K | |
| 92504 | <1% | 290 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 337 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 131 | $6K |
| 87807 | <1% | 529 | $6K | |
| 90674 | <1% | 554 | $6K | |
| 93000 | <1% | 586 | $5K | |
| 94726 | <1% | 244 | $5K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 55 | $4K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 25 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 53 | $4K |
| 93970 | <1% | 152 | $4K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 151 | $3K |
| 99292 | <1% | 34 | $3K | |
| 95251 | <1% | 117 | $3K | |
| 94060 | <1% | 184 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 102 | $3K |
| 96161 | <1% | 593 | $3K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 12 | $3K |
| 0002A | <1% | 66 | $3K | |
| 0001A | <1% | 62 | $2K | |
| 93296 | <1% | 254 | $2K | |
| 90677 | <1% | 812 | $2K | |
| 99217 | <1% | 39 | $2K | |
| 92552 | <1% | 107 | $2K | |
| 92555 | <1% | 106 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 60 | $2K |
| 93018 | <1% | 187 | $2K | |
| 94010 | <1% | 110 | $1K | |
| 99349 | <1% | 28 | $1K | |
| 93971 | <1% | 67 | $1K | |
| 95117 | <1% | 162 | $1K | |
| 90474 | <1% | 59 | $1K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 31 | $997.57 |
| 99441 | <1% | 29 | $985.47 | |
| 93289 | <1% | 25 | $929.68 | |
| 54150 | <1% | 12 | $883.60 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 99 | $812.80 |
| 81025 | <1% | 113 | $776.79 | |
| 99152 | <1% | 117 | $748.82 | |
| 93295 | <1% | 39 | $659.23 | |
| 0064A | <1% | 16 | $640.00 | |
| 95012 | <1% | 46 | $519.08 | |
| 99462 | <1% | 12 | $478.80 | |
| 81002 | <1% | 164 | $469.04 | |
| 90715 | <1% | 12 | $407.56 | |
| 93227 | <1% | 30 | $362.48 | |
| 95115 | <1% | 51 | $289.78 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 162 | $281.75 |
| 90651 | <1% | 60 | $239.00 | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 183 | $189.91 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $182.40 |
| 96127 | <1% | 52 | $167.70 | |
| 99442 | <1% | 16 | $152.30 | |
| 93925 | <1% | 14 | $132.61 | |
| 90656 | <1% | 72 | $93.39 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 40 | $43.27 |
| 96160 | <1% | 883 | $33.90 | |
| 90660 | <1% | 13 | $27.03 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 14 | $11.22 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 27 | $6.02 |
| 90633 | <1% | 855 | $0.04 | |
| 90670 | <1% | 2,495 | $0.01 | |
| 90680 | <1% | 1,054 | $0.01 | |
| 90672 | 0% | 84 | $0.00 | |
| 90700 | 0% | 75 | $0.00 | |
| 91300 | 0% | 161 | $0.00 | |
| 90734 | 0% | 62 | $0.00 | |
| 90648 | 0% | 62 | $0.00 | |
| 90710 | 0% | 109 | $0.00 | |
| 90707 | 0% | 81 | $0.00 | |
| 90671 | 0% | 37 | $0.00 | |
| 90647 | 0% | 1,882 | $0.00 | |
| 90716 | 0% | 87 | $0.00 | |
| 90723 | 0% | 2,016 | $0.00 | |
| 91306 | 0% | 16 | $0.00 | |
| 90696 | 0% | 21 | $0.00 | |
| 90698 | 0% | 25 | $0.00 | |
| 90697 | 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 officialSCRUGGS, KELLY (REVENUE CYCLE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| ST John Urgent Care Clinics INC | Tulsa, OK | $5.12M |
| Omni Medical Group INC | Tulsa, OK | $1.04M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.