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.

Kathleen Ward (NPI 1033221783)

Field	Value
Entity Type	Individual
Organization	Kathleen Ward
Address	609 S 2nd St
City	Mcalester
State	OK
ZIP	74501
Taxonomy	Clinical Psychologist
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	4,570	$170	$795.9K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	2,750	$200	$553K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,820	$130	$507.8K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	3,430	$100	$356.9K
96101	N/A	1,090	$150	$165.2K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	2,740	$50	$123.3K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	2,030	$30	$63K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	1,380	$40	$55.4K

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

Kathleen Ward — 5 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1	40	330	$180	$107.1K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	2	30	180	$170	$85.5K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	3	40	190	$110	$55.2K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1	40	170	$100	$44.5K
96101	N/A	2	30	100	$180	$41.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1	130	60	$120	$41.3K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	4	40	150	$40	$16.9K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	4	40	160	$30	$14.2K

Nearby Providers

Other providers in the same ZIP code as Kathleen Ward, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$38M
State Of Oklahoma	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.2M
Caring Hands Healthcare Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$10.9M
Mcalester Regional Health Center Authority	OK	Rural Acute Care Hospital	$0	$10.1M
Southern Oklahoma Treatment Services, Inc.	OK	Community/Behavioral Health Agency	$0	$5M
Completecare Private Services, LLC	OK	Home Health Agency	$0	$4.5M
Ergonomic Consultants, LLC	OK	Multi-Specialty Clinic/Center	$0	$3.7M
Mcalester Children's Dental Clinic	OK	Dental Clinic/Center	$0	$3.3M
Mcalester Medical Services, LLC	OK	Internal Medicine Physician	$0	$2.9M
Kennedy Eyecare LLC	OK	Optometrist	$0	$2.6M

Kathleen Ward — Billing Profile & Reimbursement Data

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Kathleen Ward — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References