Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

SSM Healthcare of Ok, INC

SSM Healthcare of Ok, INC was paid $535K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider infoSSM HEALTHCARE OF OK, INC
OKLAHOMA CITY, OK 73150
33aNPI1871862334assigned 12/29/2011
28Total paid$535K
24GClaims6,711
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Oklahoma

Rank by total paid#105 of 351
Median peer was paid$153K
This provider vs. median3.5×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018784$49K
2019581$41K
2020308$23K
2021763$57K
20221,471$119K
20231,271$116K
2024incomplete1,533$130K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 74% 4,404 4,285 $395K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 1,783 1,733 $114K
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 3.3% 135 135 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 288 285 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 15 13 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 14 14 $623.56
0002A <1% 14 14 $529.00
0001A <1% 12 12 $480.00
90686 <1% 46 46 $291.09

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 HEALTHCARE OF OK, INC
Same official

Other billing entities under PENA, CRYSTAL

Full network →
ProviderLocationPaid
Saint Medical Group, LLCEl Reno, OK$1.42M
SSM Healthcare of Ok, INCOklahoma City, OK$1.42M
Saints Medical Group, LLCOklahoma City, OK$1.36M
Saints Medical Group, LLCOklahoma City, OK$1.17M
Saint Medical Group, LLCEl Reno, OK$1.15M
Saints Medical Group, LLCMustang, OK$904K
Saints Medical Group, LLCOklahoma City, OK$896K
Shawnee Medical Center Clinic, INC.Seminole, OK$828K
SSM Health Care of Oklahoma INCOklahoma City, OK$751K
Saints Medical Group, LLCOklahoma City, OK$640K
Saints Medical Group, LLCOklahoma City, OK$614K
Saint Medical Group, LLCOklahoma City, OK$551K
Saint Medical Group, LLCOklahoma City, OK$494K
Saints Medical Group, LLCPurcell, OK$455K
Saints Medical Group, LLCOklahoma City, OK$368K
Saints Medical Group, LLCOklahoma City, OK$357K
Saint Medical Group, LLCHarrah, OK$343K
Saints Medical Group, LLCOklahoma City, OK$315K
SSM Healthcare of Oklahoma, INCOklahoma City, OK$183K
Saints Medical Group, LLCOklahoma City, OK$174K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.