Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST ANTHONY PHYSICIANS ALLERGY

NPI: 1639612518 · OKLAHOMA CITY, OK 73118 · Allergy & Immunology Physician · NPI assigned 11/28/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PENA, CRYSTAL controls 20+ related entities in our dataset. Read more

$31K
Total Medicaid Paid
300
Total Claims
298
Beneficiaries
8
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (INSURANCE CREDENTIALING SPECIALIST)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA, INC
NPI Enumeration Date11/28/2016

Related Entities

Other providers sharing the same authorized official: PENA, CRYSTAL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 126 $19K
2020 82 $4K
2021 28 $3K
2022 64 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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