Medicaid Provider Spending

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

SAINTS MEDICAL GROUP, LLC

NPI: 1396343281 · OKLAHOMA CITY, OK 73114 · Otology & Neurotology Physician · NPI assigned 10/13/2020

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

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

$115K
Total Medicaid Paid
1,036
Total Claims
1,036
Beneficiaries
5
Codes Billed
2021-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (PROVIDER ENROLLMENT COORDINATOR)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA, INC.
NPI Enumeration Date10/13/2020

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 $1.36M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 198 $21K
2022 323 $36K
2023 288 $32K
2024 227 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 538 538 $72K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 417 417 $30K
42820 Tonsillectomy and adenoidectomy; younger than age 12 26 26 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 43 43 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 12 12 $2K