Medicaid Provider Spending

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

SAINT MEDICAL GROUP, LLC

NPI: 1982351979 · CHOCTAW, OK 73020 · Family Medicine Physician · NPI assigned 03/09/2022

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

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

$475K
Total Medicaid Paid
6,554
Total Claims
6,364
Beneficiaries
10
Codes Billed
2022-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPENA, CRYSTAL (PROVIDER ENROLLMENT)
Parent OrganizationSSM HEALTH CARE OF OKLAHOMA, INC.
NPI Enumeration Date03/09/2022

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
2022 1,575 $104K
2023 2,825 $209K
2024 2,154 $161K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,284 3,169 $245K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,817 1,762 $186K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 236 236 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 361 359 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 53 53 $5K
36415 Collection of venous blood by venipuncture 595 577 $3K
90472 Immunization administration, each additional vaccine (list separately) 116 116 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 31 31 $3K
90686 49 49 $205.40
90715 12 12 $0.00