ST Anthony Physicians Dermatology Midwest City

ST Anthony Physicians Dermatology Midwest City was paid $30K by Medicaid between Mar 2018 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoST ANTHONY PHYSICIANS DERMATOLOGY MIDWEST CITY
MIDWEST CITY, OK 73130

33aNPI1841659125assigned 02/16/2016

33bProvider typeDermatology Physician

28Total paid$30K

24GClaims373

24DCodes billed3

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Dermatology Physician providers in Oklahoma

Rank by total paid#12 of 22

Median peer was paid$30K

This provider vs. median1.0×

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
2018	28	$1K
2019	19	$980.93
2021	12	$993.78
2022	123	$11K
2023	51	$5K
2024incomplete	140	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	70%	224	224	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	130	129	$7K
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	8.0%	19	19	$2K

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 (INSURANCE CREDENTIALING SPECIALIST)

Parent organizationSSM HEALTH CARE OF OKLAHOMA, INC

Same official

Other billing entities under PENA, CRYSTAL

Full network →

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.