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

ST Anthony Physicians Allergy

ST Anthony Physicians Allergy was paid $31K by Medicaid between Jan 2018 and Apr 2022, across 8 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 40% of everything it billed.

33Billing provider infoST ANTHONY PHYSICIANS ALLERGY
OKLAHOMA CITY, OK 73118
33aNPI1639612518assigned 11/28/2016
28Total paid$31K
24GClaims300
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers

Next to other Allergy & Immunology Physician providers in Oklahoma

Rank by total paid#5 of 7
Median peer was paid$203K
This provider vs. median0.2×

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
2018126$19K
202082$4K
202128$3K
202264$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95004 Percutaneous tests with allergenic extracts, immediate type reaction 40% 47 47 $12K
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 22% 49 49 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14% 50 50 $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 8.6% 30 29 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7.6% 38 38 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.4% 27 27 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.9% 16 16 $584.07
36415 Collection of venous blood by venipuncture <1% 43 42 $90.78

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.