Behavioral
SSM Health Care of Oklahoma, INC.
SSM Health Care of Oklahoma, INC. was paid $856K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoSSM HEALTH CARE OF OKLAHOMA, INC.
OKLAHOMA CITY, OK 73102
OKLAHOMA CITY, OK 73102
33aNPI1487677456assigned 07/25/2006
33bProvider typePsychologist
28Total paid$856K
24GClaims12,646
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Psychologist providers in Oklahoma
Rank by total paid#9 of 37
Median peer was paid$151K
This provider vs. median5.7×
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 MANUEL, SHASTA 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 | |
|---|---|---|---|
| 2018 | 3,359 | $159K | |
| 2019 | 646 | $41K | |
| 2020 | 740 | $51K | |
| 2021 | 1,330 | $118K | |
| 2022 | 3,339 | $237K | |
| 2023 | 1,800 | $149K | |
| 2024incomplete | 1,432 | $101K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 70% | 7,243 | 7,092 | $596K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 2,567 | 2,539 | $160K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 449 | 442 | $38K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.6% | 1,293 | 1,292 | $22K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 321 | 321 | $13K |
| 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 | <1% | 39 | 39 | $6K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 206 | 206 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 177 | 67 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 57 | 57 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 41 | 41 | $4K |
| 99318 | <1% | 33 | 33 | $3K | |
| 90686 | <1% | 55 | 55 | $743.21 |
10 more codes
| 99307 | <1% | 37 | $526.40 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 14 | $415.96 |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | $273.35 |
| 90677 | <1% | 12 | $270.28 | |
| 36556 | <1% | 15 | $111.35 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $103.68 |
| 90656 | <1% | 12 | $83.72 | |
| 76937 | <1% | 16 | $18.08 | |
| 96160 | <1% | 20 | $2.36 | |
| 90670 | 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 officialMANUEL, SHASTA (VP FINANCE)
| Provider | Location | Paid |
|---|---|---|
| SSM Health Care of Oklahoma, INC. | Oklahoma City, OK | $46.86M |
| ST Anthony Shawnee Hospital INC | Shawnee, OK | $23.00M |
| Saints Medical Group, LLC | Shawnee, OK | $14.52M |
| Saint Medical Group, LLC | Shawnee, OK | $4.51M |
| SSM Regional Health Services | Jefferson City, MO | $2.49M |
| Saints Medical Group, LLC | Shawnee, OK | $1.32M |
| SSM Regional Health Services | Jefferson City, MO | $1.26M |
| SSM Regional Health Services | Jefferson City, MO | $842K |
| SSM Regional Health Services | Jefferson City, MO | $398K |
| SSM Regional Health Services | Belle, MO | $388K |
| SSM Regional Health Services | Tipton, MO | $304K |
| SSM Health Care of Oklahoma, INC | Oklahoma City, OK | $269K |
| Saint Medical Group, LLC | Tecumseh, OK | $246K |
| SSM Regional Health Services | Jefferson City, MO | $239K |
| Saint Medical Group, LLC | Chandler, OK | $194K |
| SSM Regional Health Services | Jefferson City, MO | $191K |
| Saints Medical Group, LLC | Okemah, OK | $165K |
| SSM Regional Health Services | Jefferson City, MO | $149K |
| Saints Medical Group, LLC | Oklahoma City, OK | $84K |
| SSM Regional Health Services | Jefferson City, MO | $61K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.