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

Saint Medical Group, LLC

Saint Medical Group, LLC was paid $117K by Medicaid between Aug 2021 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoSAINT MEDICAL GROUP, LLC
EDMOND, OK 73034
33aNPI1578174983assigned 08/11/2020
33bProvider typePediatrics Physician
28Total paid$117K
24GClaims1,887
24DCodes billed7
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Oklahoma

Rank by total paid#52 of 94
Median peer was paid$204K
This provider vs. median0.6×

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
2021142$7K
2022480$28K
2023868$55K
2024incomplete397$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 72% 1,145 1,087 $85K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17% 410 403 $20K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3.2% 204 203 $4K
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 3.0% 37 36 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.4% 33 30 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 28 28 $3K
90674 0% 30 30 $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 COORDINATOR)
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.