Medicaid Provider Spending

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

SAINTS MEDICAL GROUP, LLC

NPI: 1952994832 · MOORE, OK 73160 · Family Medicine Physician · NPI assigned 02/11/2021

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

Authorized official PENA, CRYSTAL controls 20+ related entities in our dataset. Read more

$1.13M
Total Medicaid Paid
16,926
Total Claims
16,509
Beneficiaries
17
Codes Billed
2021-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (PROVIDER ENROLLMENT)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA, INC.
NPI Enumeration Date02/11/2021

Related Entities

Other providers sharing the same authorized official: PENA, CRYSTAL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 3,247 $208K
2022 6,364 $417K
2023 5,338 $368K
2024 1,977 $138K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,211 5,099 $552K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,636 5,428 $427K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 385 385 $37K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 648 634 $32K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 152 152 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 709 709 $12K
36415 Collection of venous blood by venipuncture 1,933 1,876 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 699 690 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 96 95 $8K
81025 687 674 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 183 183 $5K
90686 353 353 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 125 124 $4K
90472 Immunization administration, each additional vaccine (list separately) 27 27 $939.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17 15 $843.62
90656 36 36 $544.18
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29 29 $447.48