Medicaid Provider Spending

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

SAINTS MEDICAL GROUP, LLC

NPI: 1487197497 · OKLAHOMA CITY, OK 73102 · Neurology Physician · NPI assigned 11/22/2016

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

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

$83K
Total Medicaid Paid
1,064
Total Claims
1,013
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (INSURANCE CREDENTIALING SPECIALIST)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA, INC
NPI Enumeration Date11/22/2016

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
2018 390 $26K
2021 52 $5K
2022 213 $17K
2023 190 $17K
2024 219 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 538 537 $45K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 298 295 $17K
99223 Prolong inpt eval add15 m 30 29 $5K
99233 Prolong inpt eval add15 m 46 15 $4K
95806 58 58 $2K
99205 Prolong outpt/office vis 17 17 $2K
95886 13 13 $2K
99232 Subsequent hospital care, per day, moderate complexity 27 12 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $1K
99215 Prolong outpt/office vis 12 12 $1K