Clinic
Saint Medical Group, LLC
Saint Medical Group, LLC was paid $1.42M by Medicaid between Apr 2019 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSAINT MEDICAL GROUP, LLC
EL RENO, OK 73036
EL RENO, OK 73036
33aNPI1992267959assigned 04/01/2019
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.42M
24GClaims24,012
24DCodes billed23
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Oklahoma
Rank by total paid#12 of 33
Median peer was paid$609K
This provider vs. median2.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 3,189 | $104K | |
| 2020 | 3,366 | $138K | |
| 2021 | 4,138 | $234K | |
| 2022 | 4,931 | $364K | |
| 2023 | 4,736 | $326K | |
| 2024incomplete | 3,652 | $258K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 8,559 | 8,290 | $596K |
| 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 | 36% | 6,602 | 6,350 | $511K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.5% | 917 | 911 | $78K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.0% | 741 | 741 | $71K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.7% | 1,355 | 1,338 | $66K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.0% | 2,881 | 2,840 | $42K |
| 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 | 2.0% | 198 | 198 | $28K |
| 87807 | <1% | 620 | 612 | $7K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 335 | 327 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 470 | 114 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 564 | 186 | $4K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 333 | 330 | $3K |
11 more codes
| 99318 | <1% | 35 | $3K | |
| 99490 | Ccm add 20min | <1% | 234 | $991.47 |
| 99304 | <1% | 25 | $348.46 | |
| 99305 | <1% | 16 | $300.49 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $294.40 |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $239.07 |
| 99307 | <1% | 38 | $211.18 | |
| 95957 | <1% | 18 | $163.92 | |
| 36556 | <1% | 15 | $103.84 | |
| 99441 | <1% | 14 | $102.94 | |
| 76937 | <1% | 16 | $19.20 |
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 HEALTH CARE OF OKLAHOMA, INC.
| Provider | Location | Paid |
|---|---|---|
| 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 |
| Saints Medical Group, LLC | Oklahoma City, OK | $174K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.