Physician
Saints Medical Group, LLC
Saints Medical Group, LLC was paid $904K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoSAINTS MEDICAL GROUP, LLC
MUSTANG, OK 73064
MUSTANG, OK 73064
33aNPI1508263229assigned 11/24/2014
33bProvider typeDermatology Physician
28Total paid$904K
24GClaims15,268
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dermatology Physician providers in Oklahoma
Rank by total paid#4 of 22
Median peer was paid$30K
This provider vs. median30×
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 | |
|---|---|---|---|
| 2018 | 2,255 | $131K | |
| 2019 | 1,885 | $112K | |
| 2020 | 1,208 | $67K | |
| 2021 | 1,851 | $102K | |
| 2022 | 2,902 | $179K | |
| 2023 | 3,054 | $179K | |
| 2024incomplete | 2,113 | $135K |
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 | 41% | 3,878 | 3,668 | $368K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 3,220 | 3,104 | $225K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,247 | 1,175 | $108K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 833 | 833 | $77K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 6.2% | 1,607 | 1,607 | $56K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.9% | 2,958 | 2,951 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 90 | 90 | $8K |
| 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% | 24 | 24 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | 14 | $1K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 15 | 15 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | 32 | $897.92 |
| 90474 | <1% | 29 | 29 | $531.86 |
15 more codes
| 0071A | <1% | 12 | $480.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 39 | $345.78 |
| 96381 | <1% | 13 | $222.86 | |
| 83655 | <1% | 15 | $161.55 | |
| 90686 | <1% | 500 | $140.12 | |
| 85018 | <1% | 27 | $60.57 | |
| 90656 | <1% | 76 | $0.03 | |
| 90680 | 0% | 29 | $0.00 | |
| 90723 | 0% | 150 | $0.00 | |
| 90647 | 0% | 152 | $0.00 | |
| 90677 | 0% | 15 | $0.00 | |
| 90670 | 0% | 238 | $0.00 | |
| 90681 | 0% | 30 | $0.00 | |
| 90671 | 0% | 13 | $0.00 | |
| 90633 | 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 (INSURANCE CREDENTIALING 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 | 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 |
| 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.