Medicaid Provider Spending

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

SAINTS MEDICAL GROUP, LLC

NPI: 1760077499 · OKLAHOMA CITY, OK 73130 · Internal Medicine Physician · NPI assigned 03/04/2021

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

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

$1.61M
Total Medicaid Paid
19,016
Total Claims
14,953
Beneficiaries
23
Codes Billed
2021-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (PROVIDER ENROLLMENT)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA, INC.
NPI Enumeration Date03/04/2021

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
2021 1,955 $145K
2022 4,187 $330K
2023 6,111 $527K
2024 6,763 $610K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 6,055 3,055 $410K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,169 3,071 $321K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,919 2,831 $216K
99239 Hospital discharge day management, more than 30 minutes 1,711 1,683 $179K
99233 Prolong inpt eval add15 m 1,399 769 $139K
99223 Prolong inpt eval add15 m 757 743 $124K
90792 Psychiatric diagnostic evaluation with medical services 799 798 $123K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 236 236 $32K
99238 Hospital discharge day management, 30 minutes or less 369 363 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity 488 299 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 424 423 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 66 66 $6K
99221 65 65 $6K
90472 Immunization administration, each additional vaccine (list separately) 40 40 $1K
83036 Hemoglobin; glycosylated (A1C) 106 106 $884.88
81025 96 90 $727.70
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12 12 $584.88
82962 151 151 $426.79
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $382.72
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26 25 $370.27
99152 14 13 $149.78
90686 88 88 $20.15
90651 13 13 $0.00