Medicaid Provider Spending

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

SAINTS MEDICAL GROUP, LLC

NPI: 1407211048 · OKLAHOMA CITY, OK 73114 · Rheumatology Physician · NPI assigned 12/28/2015

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

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

$1.17M
Total Medicaid Paid
12,966
Total Claims
12,901
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (INSURANCE CREDENTIALING SPECIALIST)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA, INC
NPI Enumeration Date12/28/2015

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
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
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $174K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,052 $79K
2019 815 $60K
2020 807 $70K
2021 1,085 $108K
2022 2,569 $234K
2023 3,000 $294K
2024 3,638 $326K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,718 10,662 $956K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,579 1,579 $207K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 433 427 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 97 96 $2K
99215 Prolong outpt/office vis 15 15 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 12 $868.78
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) 110 110 $187.05