NPI: 1639612518 · OKLAHOMA CITY, OK 73118 · Allergy & Immunology Physician · NPI assigned 11/28/2016
Authorized official PENA, CRYSTAL controls 20+ related entities in our dataset. Read more
| Authorized Official | PENA, CRYSTAL (INSURANCE CREDENTIALING SPECIALIST) |
| Parent Organization | SSM HEALTH CARE OF OKLAHOMA, INC |
| NPI Enumeration Date | 11/28/2016 |
Other providers sharing the same authorized official: PENA, CRYSTAL
| Provider | City | State | Total 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 | MUSTANG | OK | $904K |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 126 | $19K |
| 2020 | 82 | $4K |
| 2021 | 28 | $3K |
| 2022 | 64 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 47 | 47 | $12K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 49 | 49 | $7K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 50 | 50 | $4K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 30 | 29 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 38 | 38 | $2K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27 | 27 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16 | 16 | $584.07 |
| 36415 | Collection of venous blood by venipuncture | 43 | 42 | $90.78 |