NPI: 1871862334 · OKLAHOMA CITY, OK 73150 · Family Medicine Physician · NPI assigned 12/29/2011
Authorized official PENA, CRYSTAL controls 20+ related entities in our dataset. Read more
| Authorized Official | PENA, CRYSTAL (INSURANCE CREDENTIALING SPECIALIST) |
| Parent Organization | SSM HEALTHCARE OF OK, INC |
| NPI Enumeration Date | 12/29/2011 |
Other providers sharing the same authorized official: PENA, CRYSTAL
| Provider | City | State | Total 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 |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 784 | $49K |
| 2019 | 581 | $41K |
| 2020 | 308 | $23K |
| 2021 | 763 | $57K |
| 2022 | 1,471 | $119K |
| 2023 | 1,271 | $116K |
| 2024 | 1,533 | $130K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,404 | 4,285 | $395K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,783 | 1,733 | $114K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 135 | 135 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 288 | 285 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15 | 13 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 14 | 14 | $623.56 |
| 0002A | 14 | 14 | $529.00 | |
| 0001A | 12 | 12 | $480.00 | |
| 90686 | 46 | 46 | $291.09 |