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

Saints Medical Group, LLC

Saints Medical Group, LLC was paid $83K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoSAINTS MEDICAL GROUP, LLC
OKLAHOMA CITY, OK 73102
33aNPI1487197497assigned 11/22/2016
33bProvider typeNeurology Physician
28Total paid$83K
24GClaims1,064
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Neurology Physician providers in Oklahoma

Rank by total paid#9 of 17
Median peer was paid$83K
This provider vs. median1.0×

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$5.0K$10K2018201920202021202220232024
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
2018390$26K
202152$5K
2022213$17K
2023190$17K
2024incomplete219$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 54% 538 537 $45K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 298 295 $17K
99223 Prolong inpt eval add15 m 6.0% 30 29 $5K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.1% 46 15 $4K
95806 2.5% 58 58 $2K
99205 Prolong outpt/office vis 2.5% 17 17 $2K
95886 2.4% 13 13 $2K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.3% 27 12 $2K
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 2.1% 13 13 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.4% 12 12 $1K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.4% 12 12 $1K

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 (INSURANCE CREDENTIALING SPECIALIST)
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.