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.
ENID, OK 73701
Next to other Internal Medicine Physician providers in Oklahoma
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 176 | $15K | |
| 2019 | 235 | $33K | |
| 2020 | 83 | $46K | |
| 2021 | 2,558 | $192K | |
| 2022 | 11,800 | $702K | |
| 2023 | 9,720 | $554K | |
| 2024incomplete | 3,828 | $219K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mcallen Hospitalist Group, PLLC | Edinburg, TX | $7.40M |
| Texomacare | Denison, TX | $5.95M |
| Northwest Texas Wyatt Clinic PLLC | Amarillo, TX | $4.39M |
| Northern Nevada Medical Group, LLC | Sparks, NV | $2.60M |
| Texomacare | Madill, OK | $2.35M |
| Mid Atlantic Medicine LLC | Washington, DC | $1.84M |
| Las Vegas Medical Group LLC | Las Vegas, NV | $1.36M |
| Aiken Professional Association, LLC | Aiken, SC | $1.35M |
| Northwest Urgent Care, PLLC | Amarillo, TX | $1.02M |
| Texomacare Specialty Physicians | Denison, TX | $644K |
| Eastern Pennsylvania Physician Alliance LLC | Clarion, PA | $636K |
| NWTX Physician Network, PLLC | Amarillo, TX | $475K |
| Heart Clinic, PLLC | Mcallen, TX | $385K |
| Laredo Physicians Group | Laredo, TX | $365K |
| Nevada Urgent Care Network LLC | Sparks, NV | $211K |
| Uhs of Desert Springs, INC. | Henderson, NV | $151K |
| Manatee Cardiology Associates, LLC | Bradenton, FL | $23K |
| Wellington Physician Alliances INC | Wellington, FL | $14K |
| Manatee Physician Alliance, LLC | Bradenton, FL | $14K |
| Mary Alice Cowan, MD, PLLC | Houston, TX | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.