Physician
Saint Medical Group, LLC
Saint Medical Group, LLC was paid $494K by Medicaid between Dec 2020 and Nov 2024, across 32 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 30% of everything it billed.
33Billing provider infoSAINT MEDICAL GROUP, LLC
OKLAHOMA CITY, OK 73150
OKLAHOMA CITY, OK 73150
33aNPI1457972366assigned 05/01/2020
33bProvider typePediatrics Physician
28Total paid$494K
24GClaims13,594
24DCodes billed32
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Oklahoma
Rank by total paid#34 of 94
Median peer was paid$204K
This provider vs. median2.4×
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
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 | |
|---|---|---|---|
| 2020 | 22 | $2K | |
| 2021 | 2,543 | $77K | |
| 2022 | 3,263 | $116K | |
| 2023 | 4,371 | $165K | |
| 2024incomplete | 3,395 | $134K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 30% | 1,678 | 1,557 | $147K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 1,714 | 1,617 | $133K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 795 | 789 | $74K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.1% | 2,172 | 2,153 | $40K |
| 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 | 7.7% | 360 | 352 | $38K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 6.4% | 970 | 967 | $32K |
| 90474 | 2.7% | 740 | 737 | $14K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 696 | 689 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 45 | 45 | $4K |
| 99383 | <1% | 15 | 15 | $2K | |
| 99381 | <1% | 16 | 16 | $2K | |
| 96161 | <1% | 309 | 272 | $2K |
20 more codes
| 83655 | <1% | 95 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $584.88 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | $441.60 |
| 85018 | <1% | 111 | $234.21 | |
| 87807 | <1% | 13 | $151.45 | |
| 96127 | <1% | 17 | $67.32 | |
| 90677 | <1% | 347 | $0.59 | |
| 90656 | <1% | 106 | $0.01 | |
| 90680 | 0% | 856 | $0.00 | |
| 90686 | 0% | 500 | $0.00 | |
| 90723 | 0% | 148 | $0.00 | |
| 90697 | 0% | 689 | $0.00 | |
| 90647 | 0% | 15 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90670 | 0% | 706 | $0.00 | |
| 90633 | 0% | 274 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 90648 | 0% | 130 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90707 | 0% | 12 | $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 officialPENA, CRYSTAL (PROVIDER ENROLLMENT SPECIALIST)
Parent organizationSSM HEALTH CARE OF OKLAHOMA, INC.
| Provider | Location | 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.