Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Saints Medical Group, LLC

Saints Medical Group, LLC was paid $115K by Medicaid between Jan 2021 and Oct 2024, across 5 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 63% of everything it billed.

33Billing provider infoSAINTS MEDICAL GROUP, LLC
OKLAHOMA CITY, OK 73114
33aNPI1396343281assigned 10/13/2020
28Total paid$115K
24GClaims1,036
24DCodes billed5
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers

Next to other Otology & Neurotology Physician providers in Oklahoma

Rank by total paid#1 of 5
Median peer was paid$6K
This provider vs. median20×

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 PENA, CRYSTAL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2021198$21K
2022323$36K
2023288$32K
2024incomplete227$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 63% 538 538 $72K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 417 417 $30K
42820 Tonsillectomy and adenoidectomy; younger than age 12 5.9% 26 26 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.4% 43 43 $4K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.7% 12 12 $2K

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 officialPENA, CRYSTAL (PROVIDER ENROLLMENT COORDINATOR)
Parent organizationSSM HEALTH CARE OF OKLAHOMA, INC.
Same official

Other billing entities under PENA, CRYSTAL

Full network →
ProviderLocationPaid
Saint Medical Group, LLCEl Reno, OK$1.42M
SSM Healthcare of Ok, INCOklahoma City, OK$1.42M
Saints Medical Group, LLCOklahoma City, OK$1.36M
Saints Medical Group, LLCOklahoma City, OK$1.17M
Saint Medical Group, LLCEl Reno, OK$1.15M
Saints Medical Group, LLCMustang, OK$904K
Saints Medical Group, LLCOklahoma City, OK$896K
Shawnee Medical Center Clinic, INC.Seminole, OK$828K
SSM Health Care of Oklahoma INCOklahoma City, OK$751K
Saints Medical Group, LLCOklahoma City, OK$640K
Saints Medical Group, LLCOklahoma City, OK$614K
Saint Medical Group, LLCOklahoma City, OK$551K
SSM Healthcare of Ok, INCOklahoma City, OK$535K
Saint Medical Group, LLCOklahoma City, OK$494K
Saints Medical Group, LLCPurcell, OK$455K
Saints Medical Group, LLCOklahoma City, OK$368K
Saints Medical Group, LLCOklahoma City, OK$357K
Saint Medical Group, LLCHarrah, OK$343K
Saints Medical Group, LLCOklahoma City, OK$315K
SSM Healthcare of Oklahoma, INCOklahoma City, OK$183K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.