Medicaid Provider Spending

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

SAINTS MEDICAL GROUP, LLC

NPI: 1811447899 · OKLAHOMA CITY, OK 73102 · Sleep Medicine (Internal Medicine) Physician · NPI assigned 10/13/2016

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

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

$640K
Total Medicaid Paid
7,612
Total Claims
4,970
Beneficiaries
15
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (INSURANCE CREDENTIALING SPECIALIST)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA, INC
NPI Enumeration Date10/13/2016

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 $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
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $174K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 443 $38K
2019 426 $37K
2020 149 $14K
2021 751 $75K
2022 1,219 $100K
2023 1,805 $159K
2024 2,819 $217K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 2,819 912 $260K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,920 2,863 $243K
99232 Subsequent hospital care, per day, moderate complexity 881 299 $61K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 177 177 $20K
99223 Prolong inpt eval add15 m 126 123 $20K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 55 24 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 128 128 $10K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 146 91 $8K
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 76 76 $2K
94729 64 63 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26 26 $1K
94060 51 50 $939.06
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 15 $550.38
94726 25 25 $473.37
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 103 98 $168.13