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.

Durant Hma Physician Management, LLC (NPI 1043361116)

Durant Hma Physician Management, LLC is a internal medicine physician provider located in Durant, Oklahoma. This profile covers 0 Medicare and 96 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	Durant Hma Physician Management, LLC
Address	1400 Bryan Dr
City	Durant
State	OK
ZIP	74701
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

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

96 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…	44,260	$60	$2.7M
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…	13,720	$70	$988.1K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	390	$1,850	$720.7K
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…	5,760	$80	$478.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10,410	$40	$364.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3,110	$70	$205.3K
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…	1,530	$120	$185.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,450	$90	$123.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2,900	$40	$118.9K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	930	$120	$106.8K

Showing 1–10 of 96

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

Durant Hma Physician Management, LLC — 3 of 25 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

96 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,…	74	530	140	$450	$1.2M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	31	50	70	$1,800	$496.5K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	9	40	60	$2,350	$476.3K
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…	74	1,680	820	$90	$307K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	42	70	150	$450	$279K
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…	21	1,750	870	$70	$254.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	74	190	480	$70	$218.8K
59510	In this global service, the provider provides all of the antepartum care, admission to the hospital for delivery, delivery of the fetus and placenta via an abdominal incision, and inpatient and…	7	10	90	$2,570	$210.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	22	280	840	$50	$179.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	76	270	600	$90	$159.1K

Showing 1–10 of 96

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Durant Hma LLC	OK	General Acute Care Hospital	$0	$13M
Midwest City Hma Physician Management, LLC	OK	Obstetrics & Gynecology Physician	$0	$2.4M
Hayden Henry	OK	Urology Physician	$460.7K	$0
Bolaji Sofola	OK	Urology Physician	$432.4K	$0
Mcdonald Arnot	TX	Otolaryngology Physician	$137.7K	$241.9K
Chadi Dib	TX	Interventional Cardiology Physician	$249.9K	$0
Julie Curtis	OK	Physician Assistant	$212.9K	$0
Satish Bagdure	TX	Internal Medicine Physician	$205.6K	$0
Jodi Robinson	OK	Family Nurse Practitioner	$130.9K	$0
Christopher Leslie	OK	Orthopaedic Surgery Physician	$105.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
People First Industries Of Bryan County Inc	OK	Durable Medical Equipment & Medical Supplies	$0	$49.3M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$40.3M
Center For Psychological Development, Inc.	OK	Mental Health Counselor	$0	$12.7M
Lighthouse Behavioral Wellness Centers	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.8M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$7.8M
Riverbend Counseling Services, LLC	OK	Community/Behavioral Health Agency	$0	$6.8M
Family Care Center Of Durant PC	OK	Family Nurse Practitioner	$0	$4.1M
Heart And Medical Center Inc	OK	Internal Medicine Physician	$0	$4M
Marshall County Hma LLC	OK	Rural Health Clinic/Center	$0	$3.8M
Janee Standifer Slp, LLC	OK	Speech-Language Pathologist	$0	$3.4M

Durant Hma Physician Management, LLC — Billing Profile & Reimbursement Data

Sign up for Durant Hma Physician Management, LLC — Billing Profile & Reimbursement Data policy alerts

Durant Hma Physician Management, LLC — Billing Profile & Reimbursement Data

Sign up for Durant Hma Physician Management, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References