Physician
Saints Medical Group, LLC
Saints Medical Group, LLC was paid $1.61M by Medicaid between Apr 2021 and Nov 2024, across 23 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 25% of everything it billed.
33Billing provider infoSAINTS MEDICAL GROUP, LLC
OKLAHOMA CITY, OK 73130
OKLAHOMA CITY, OK 73130
33aNPI1760077499assigned 03/04/2021
33bProvider typeInternal Medicine Physician
28Total paid$1.61M
24GClaims19,016
24DCodes billed23
24AFirst – last monthApr 2021 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Oklahoma
Rank by total paid#8 of 108
Median peer was paid$75K
This provider vs. median21×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 1,955 | $145K | |
| 2022 | 4,187 | $330K | |
| 2023 | 6,111 | $527K | |
| 2024incomplete | 6,763 | $610K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 25% | 6,055 | 3,055 | $410K |
| 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 | 20% | 3,169 | 3,071 | $321K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 2,919 | 2,831 | $216K |
| 99239 | Hospital discharge day management, more than 30 minutes | 11% | 1,711 | 1,683 | $179K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.7% | 1,399 | 769 | $139K |
| 99223 | Prolong inpt eval add15 m | 7.7% | 757 | 743 | $124K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 7.6% | 799 | 798 | $123K |
| 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 | 2.0% | 236 | 236 | $32K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.5% | 369 | 363 | $25K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.0% | 488 | 299 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 424 | 423 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 66 | 66 | $6K |
11 more codes
| 99221 | <1% | 65 | $6K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 40 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 106 | $884.88 |
| 81025 | <1% | 96 | $727.70 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $584.88 |
| 82962 | <1% | 151 | $426.79 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $382.72 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $370.27 |
| 99152 | <1% | 14 | $149.78 | |
| 90686 | <1% | 88 | $20.15 | |
| 90651 | 0% | 13 | $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 officialPENA, CRYSTAL (PROVIDER ENROLLMENT)
Parent organizationSSM HEALTH CARE OF OKLAHOMA, INC.
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.