Medicaid Provider Spending

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

SAINTS MEDICAL GROUP, LLC

NPI: 1881648285 · SHAWNEE, OK 74804 · Allergy & Immunology Physician · NPI assigned 05/20/2006

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

Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more

$14.52M
Total Medicaid Paid
281,340
Total Claims
250,193
Beneficiaries
132
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMANUEL, SHASTA (VICE PRESIDENT - FINANCE)
NPI Enumeration Date05/20/2006

Related Entities

Other providers sharing the same authorized official: MANUEL, SHASTA

ProviderCityStateTotal Paid
SSM HEALTH CARE OF OKLAHOMA, INC. OKLAHOMA CITY OK $46.86M
ST ANTHONY SHAWNEE HOSPITAL INC SHAWNEE OK $23.00M
SAINT MEDICAL GROUP, LLC SHAWNEE OK $4.51M
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $2.49M
SAINTS MEDICAL GROUP, LLC SHAWNEE OK $1.32M
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $1.26M
SSM HEALTH CARE OF OKLAHOMA, INC. OKLAHOMA CITY OK $856K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $842K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $398K
SSM REGIONAL HEALTH SERVICES BELLE MO $388K
SSM REGIONAL HEALTH SERVICES TIPTON MO $304K
SSM HEALTH CARE OF OKLAHOMA, INC OKLAHOMA CITY OK $269K
SAINT MEDICAL GROUP, LLC TECUMSEH OK $246K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $239K
SAINT MEDICAL GROUP, LLC CHANDLER OK $194K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $191K
SAINTS MEDICAL GROUP, LLC OKEMAH OK $165K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $149K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $84K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $61K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47,586 $2.43M
2019 45,333 $2.55M
2020 40,369 $2.13M
2021 42,100 $2.03M
2022 30,942 $1.61M
2023 40,240 $2.01M
2024 34,770 $1.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65,626 62,846 $5.43M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,666 38,478 $2.50M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,127 11,505 $1.05M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,822 7,819 $726K
97530 Therapeutic activities, direct patient contact, each 15 minutes 15,816 5,030 $719K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 9,150 3,000 $572K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 329 329 $555K
90472 Immunization administration, each additional vaccine (list separately) 13,368 13,224 $462K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 23,842 23,667 $427K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 7,931 2,683 $246K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,465 8,283 $235K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,381 3,349 $225K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,608 2,608 $204K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13,170 12,922 $187K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,477 1,477 $158K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,315 1,315 $122K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 872 871 $62K
99205 Prolong outpt/office vis 323 323 $45K
99232 Subsequent hospital care, per day, moderate complexity 1,666 814 $43K
90474 2,088 2,088 $37K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 212 212 $35K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,797 1,742 $32K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,562 3,539 $31K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 605 598 $27K
97533 458 199 $25K
99215 Prolong outpt/office vis 306 299 $25K
99460 282 281 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 222 222 $23K
90962 729 729 $22K
99238 Hospital discharge day management, 30 minutes or less 326 322 $21K
36415 Collection of venous blood by venipuncture 7,539 6,947 $19K
90715 624 624 $18K
71046 Radiologic examination, chest; 2 views 945 917 $17K
99223 Prolong inpt eval add15 m 203 199 $17K
0001A 292 292 $12K
99233 Prolong inpt eval add15 m 282 156 $12K
0002A 264 264 $11K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 91 91 $8K
87807 581 567 $7K
99188 529 529 $6K
74019 252 246 $5K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 52 52 $5K
0071A 130 130 $5K
90686 4,078 4,078 $5K
92567 407 405 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 186 64 $4K
95251 172 171 $4K
0012A 107 107 $4K
97162 54 54 $4K
94060 647 646 $4K
0072A 98 98 $4K
76801 62 62 $3K
96161 669 609 $3K
0011A 117 117 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 39 39 $3K
90961 55 55 $3K
71271 39 39 $3K
97167 36 36 $3K
83036 Hemoglobin; glycosylated (A1C) 344 344 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 12 12 $3K
95115 453 154 $2K
96127 584 578 $2K
92523 12 12 $2K
96381 132 132 $2K
97165 25 25 $2K
20610 60 60 $2K
90935 Hemodialysis procedure with single evaluation by a physician 87 54 $2K
J0558 Injection, penicillin g benzathine and penicillin g procaine, 100,000 units 12 12 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 96 96 $2K
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) 63 63 $2K
80053 Comprehensive metabolic panel 182 180 $2K
93000 162 162 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 237 234 $1K
93971 92 92 $1K
72141 12 12 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 118 117 $1K
92557 39 39 $1K
71250 24 24 $1K
73110 46 40 $1K
80061 Lipid panel 96 96 $1K
81003 447 446 $950.10
74018 51 50 $879.12
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 60 59 $863.50
84443 Thyroid stimulating hormone (TSH) 67 67 $850.18
76536 12 12 $835.52
99222 Initial hospital care, per day, moderate complexity 27 27 $734.81
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $557.67
0004A 13 13 $520.00
92579 13 12 $493.09
90656 548 548 $460.62
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17 17 $443.88
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12 12 $375.16
72100 14 14 $319.20
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) 153 152 $312.13
73562 12 12 $311.56
90677 1,211 1,211 $280.05
J1100 Injection, dexamethasone sodium phosphate, 1 mg 395 334 $272.98
90688 84 84 $249.76
93016 14 14 $248.63
92555 12 12 $233.64
73630 12 12 $222.14
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 24 24 $183.31
93018 14 14 $164.78
99442 12 12 $157.66
80069 17 12 $150.60
93880 12 12 $139.21
90734 124 124 $125.50
84439 14 14 $112.28
92551 12 12 $111.84
81025 13 13 $85.97
J0696 Injection, ceftriaxone sodium, per 250 mg 41 41 $77.09
99173 14 14 $35.28
96160 119 119 $4.52
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg 13 13 $4.16
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 12 12 $1.14
90681 2,016 2,016 $0.43
90633 1,471 1,471 $0.13
90381 124 124 $0.12
90670 3,826 3,826 $0.01
90380 14 13 $0.01
90707 242 242 $0.00
90710 150 150 $0.00
90700 167 167 $0.00
90685 13 13 $0.00
91308 55 53 $0.00
90648 29 29 $0.00
90723 3,656 3,656 $0.00
90647 3,510 3,510 $0.00
90716 243 243 $0.00
90696 93 93 $0.00
90651 98 98 $0.00
90680 27 27 $0.00