Medicaid Provider Spending

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

SAINT MEDICAL GROUP, LLC

NPI: 1457540015 · HARRAH, OK 73045 · Hematology & Oncology Physician · NPI assigned 10/19/2007

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

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

$343K
Total Medicaid Paid
5,071
Total Claims
4,977
Beneficiaries
8
Codes Billed
2021-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (PROVIDER ENROLLMENT)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA INC
NPI Enumeration Date10/19/2007

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
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
2021 304 $26K
2022 1,456 $110K
2023 1,642 $107K
2024 1,669 $100K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,711 2,655 $198K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 922 893 $88K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 464 459 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 210 210 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 538 534 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 131 131 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 81 81 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $800.81