NP / PA
Shawnee Medical Center Clinic, INC.
Shawnee Medical Center Clinic, INC. was paid $828K by Medicaid between Apr 2021 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoSHAWNEE MEDICAL CENTER CLINIC, INC.
SEMINOLE, OK 74868
SEMINOLE, OK 74868
33aNPI1861034779assigned 10/11/2019
33bProvider typePhysician Assistant
28Total paid$828K
24GClaims11,172
24DCodes billed22
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Oklahoma
Rank by total paid#9 of 21
Median peer was paid$181K
This provider vs. median4.6×
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 | 415 | $32K | |
| 2022 | 2,659 | $187K | |
| 2023 | 4,742 | $355K | |
| 2024incomplete | 3,356 | $254K |
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 | 61% | 4,978 | 4,682 | $501K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 3,027 | 2,862 | $221K |
| 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 | 4.6% | 276 | 276 | $38K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 1,014 | 1,008 | $18K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 278 | 269 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 309 | 300 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 200 | 199 | $5K |
| 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% | 50 | 50 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 320 | 310 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 244 | 226 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 26 | 26 | $2K |
| 99384 | <1% | 16 | 16 | $2K |
10 more codes
| 90686 | <1% | 185 | $2K | |
| 99382 | <1% | 15 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15 | $1K |
| 99383 | <1% | 13 | $1K | |
| 90677 | <1% | 12 | $1K | |
| 90715 | <1% | 28 | $620.00 | |
| 90656 | <1% | 46 | $460.47 | |
| 87807 | <1% | 32 | $372.80 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $126.10 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 75 | $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/INS CREDENTIAL)
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 |
| 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 |
| Saints Medical Group, LLC | Oklahoma City, OK | $174K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.