Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oklahoma for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oklahoma only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oklahoma (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

St John Urgent Care Clinics Inc (NPI 1003918830)

St John Urgent Care Clinics Inc is a urgent care clinic/center provider located in Tulsa, Oklahoma. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	St John Urgent Care Clinics Inc
Address	1923 S Utica Ave
City	Tulsa
State	OK
ZIP	74104
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	September 2, 2006

Payer Source	Total Paid
Medicaid	$5.1M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	29,370	$70	$2.1M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	10,390	$100	$1.1M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	9,710	$90	$893.2K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	10,400	$40	$384.8K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	9,430	$30	$264K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	13,950	$10	$195.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	1,160	$140	$158.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	210	$50	$9.5K
87807	The lab analyst performs the technical lab test to analyze for the presence of respiratory syncytial virus (RSV) in a specimen by immunoassay using direct optical, meaning visual, observation.	830	$10	$9.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	100	$60	$6.2K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oklahoma Distribution

St John Urgent Care Clinics Inc — 5 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	228	530	140	$450	$1.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	105	1,680	820	$90	$307K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	34	1,750	870	$70	$254.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	89	720	120	$150	$94.5K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	12	710	140	$100	$74.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	11	290	260	$40	$69.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	12	550	220	$30	$31.9K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	11	540	270	$10	$23.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	115	180	240	$10	$22.8K
87400	The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.	49	80	180	$20	$19.3K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. John Physicians, Inc.	OK	Internal Medicine Physician	$0	$17.7M
Jane Phillips Memorial Medical Center, Inc.	OK	General Acute Care Hospital	$0	$6.8M
Anderson Mehrle	OK	Cardiovascular Disease Physician	$486.1K	$0
Vishal Aggarwal	OK	Internal Medicine Physician	$436.6K	$0
Matthew Vanvalin	OK	Physician Assistant	$409.1K	$0
Donald Simmons	TX	Family Medicine Physician	$408.6K	$0
Samantha Kipps	OK	Family Nurse Practitioner	$388.4K	$0
Richard Holsopple	OK	Emergency Medicine Physician	$376.4K	$0
Kenneth Reed	OK	Pain Medicine (Anesthesiology) Physician	$371.6K	$0
David Remy	OK	Emergency Medicine Physician	$286.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Green Country Emergency Physicians Group Of Tulsa PLLC	OK	Emergency Medicine Physician	$0	$18.9M
Ahs Oklahoma Physician Group LLC	OK	Family Medicine Physician	$0	$17.4M
Ahs Hillcrest Medical Center, LLC	OK	General Acute Care Hospital	$0	$14.4M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$8.5M
Oklahoma State University	OK	Medical Specialty Clinic/Center	$0	$8.2M
Mbc Dental	OK	General Practice Dentistry	$0	$7.4M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$6.4M
Community Health Connection, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$6.4M
Tulsa Hospitalists Inc	OK	Internal Medicine Physician	$0	$5.6M
St John Medical Center Inc	OK	General Acute Care Hospital	$0	$5.3M

St John Urgent Care Clinics Inc — Billing Profile & Reimbursement Data

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St John Urgent Care Clinics Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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