Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OK › Enid › NPI 1740302751
Physician

ST. Mary's Physician Associates, LLC

ST. Mary's Physician Associates, LLC was paid $1.76M by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoST. MARY'S PHYSICIAN ASSOCIATES, LLC
ENID, OK 73701
33aNPI1740302751assigned 04/03/2007
28Total paid$1.76M
24GClaims28,400
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Oklahoma

Rank by total paid#7 of 108
Median peer was paid$75K
This provider vs. median23×

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 EVANS, TODD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
2018176$15K
2019235$33K
202083$46K
20212,558$192K
202211,800$702K
20239,720$554K
2024incomplete3,828$219K
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 33% 9,254 8,578 $582K
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 21% 4,230 4,046 $374K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 10% 2,983 1,435 $184K
90792 Psychiatric diagnostic evaluation with medical services 7.3% 862 862 $129K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 7.2% 74 74 $127K
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 3.0% 458 458 $53K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2.1% 284 273 $36K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.8% 879 852 $31K
90460 Immunization administration through 18 years of age via any route, first or only component 1.6% 695 693 $29K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.5% 305 302 $27K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.2% 222 222 $21K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 173 173 $16K
42 more codes
99203 Doctor's office visit, new patient (routine) <1% 174 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 210 $12K
99239 Hospital discharge day management, more than 30 minutes <1% 124 $12K
11721 <1% 988 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 805 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,170 $11K
99443 <1% 135 $10K
99238 Hospital discharge day management, 30 minutes or less <1% 133 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 89 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 307 $8K
11056 <1% 227 $7K
73630 <1% 265 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 137 $7K
99308 Subsequent nursing facility care, per day, straightforward <1% 339 $6K
87807 <1% 360 $4K
76801 <1% 25 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 24 $2K
90474 <1% 107 $2K
95886 <1% 13 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 113 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 31 $2K
99442 <1% 12 $970.73
90715 <1% 62 $878.56
93000 <1% 121 $832.67
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 53 $493.85
20610 <1% 15 $476.26
90686 <1% 120 $377.27
73564 <1% 12 $328.35
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 17 $232.64
92567 <1% 15 $163.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 14 $38.96
0502F 0% 68 $0.00
90633 0% 84 $0.00
90670 0% 185 $0.00
96160 0% 27 $0.00
90700 0% 26 $0.00
90651 0% 27 $0.00
90680 0% 88 $0.00
90647 0% 105 $0.00
90723 0% 116 $0.00
90698 0% 12 $0.00
90716 0% 26 $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 officialEVANS, TODD (CFO)
Same official

Other billing entities under EVANS, TODD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.