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.

Tulsa Emergency Medical Center Inc (NPI 1063479087)

Key Findings

Field	Value
Entity Type	Organization
Organization	Tulsa Emergency Medical Center Inc
Address	2929 S Garnett Rd
City	Tulsa
State	OK
ZIP	74129
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicaid	$23.7M
Medicare	$0

This provider is effectively single‑payer in the dataset: there is no Medicare billing on file while total Medicaid revenue is $23.7M, indicating Medicaid is the operating revenue base reported here. Analysts should treat comparisons and risk exposure through the Medicaid lens rather than a mixed Medicare/Medicaid model.

Revenue is highly concentrated in a small set of evaluation-and-management (E/M) visit codes: the top three Medicaid codes 99214, 99213, and 99203 together account for 77.1% of the provider's total Medicaid revenue. That concentration implies the business depends heavily on office/outpatient visit volume for its financial performance rather than on high-revenue procedures or long-term services.

The code mix and top revenue drivers point to an urgent care / high-throughput outpatient model: 99214 ($9.6M, 40.4%), 99213 ($5.5M, 23.2%), 99203 ($3.2M, 13.5%) are the dominant revenue sources, representing mostly moderate- and low-complexity established-patient visits and new-patient visits. This pattern is consistent with episodic, walk‑in care where front‑end E/M encounters form the primary revenue stream.

The provider also reports substantial point-of-care and infectious-disease testing volumes, creating a meaningful ancillary revenue stream: 87804 ($1.1M, 4.6%) ranks #2 in-state (100th percentile; extreme outlier), 87426 ($690.7K, 2.9%) ranks #6 (98th percentile; notably above typical), U0002 ($631.9K, 2.7%) ranks #2 (98th percentile; extreme outlier), and 87880 ($444K, 1.9%) ranks #3 (100th percentile; extreme outlier). These testing patterns align with urgent care demand for rapid flu, COVID-19, and strep diagnostics.

On competitive standing within Oklahoma the provider is a dominant volume leader for its top E/M codes: 99214 ranks #4 of 1680 (100th percentile; extreme outlier), 99213 ranks #10 of 1746 (99th percentile; extreme outlier), and 99203 ranks #1 of 708 (100th percentile; extreme outlier). Statewide percentiles and rank positions indicate this entity operates at scale for ambulatory visit volumes compared with in‑state peers.

The provider has an established enrollment history—NPI enumerated 2006-04-26 (~20 years ago)—which supports the interpretation that these high volumes reflect a sustained operational model rather than a short-term spike. Long tenure combined with the outlier volumes suggests mature processes and capacity to support high patient throughput.

Services outside high-volume E/M visits and rapid testing generate minimal revenue in the reported Medicaid profile: chest x-ray 71046 ($4.8K) and injections such as 96372 ($39.1K) are present but represent a very small share of revenue. This pattern is consistent with an urgent care that refers or does not routinely perform advanced imaging, extended procedures, or infusion services on-site.

From a payer-portfolio and strategic-risk perspective, the heavy dependence on three E/M codes (77.1% of Medicaid revenue) creates sensitivity to changes in outpatient reimbursement, coding guidance, or shifts in patient mix, even though the provider's dominant in-state position may offer negotiating or volume advantages. Ancillary testing provides some revenue diversification, but it does not offset the concentration in visit-based revenue streams.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	101,710	$90	$9.6M
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…	73,300	$80	$5.5M
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…	34,410	$90	$3.2M
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…	14,840	$140	$2.1M
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.	38,940	$30	$1.1M
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,…	16,450	$40	$690.7K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	12,390	$50	$631.9K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	12,430	$40	$447.5K
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.	31,710	$10	$444K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	2,300	$20	$39.1K

Showing 1–10 of 21

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

Tulsa Emergency Medical Center Inc — 10 of 20 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

21 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,…	375	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…	4	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…	10	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…	4	720	120	$150	$94.5K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	2	50	280	$50	$81.5K
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…	1	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,…	6	290	260	$40	$69.7K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	3	110	170	$40	$50.9K
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.	2	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.	3	540	270	$10	$23.4K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hunter Scheib	OK	Physician Assistant	$118.2K	$0
Zackery Devine	OK	Physician Assistant	$32.3K	$0
Jill Renfro	OK	Family Nurse Practitioner	$16.4K	$0
Sarah Rayburn	OK	Physician Assistant	$6.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oklahoma Healthcare Services, LLC	OK	Home Health Agency	$0	$32.8M
Community Health Connection Inc	OK	Federally Qualified Health Center (FQHC)	$0	$14.1M
Shortline Dental PLLC	OK	General Practice Dentistry	$0	$10.3M
Family & Children's Services, Inc	OK	Community/Behavioral Health Agency	$0	$5.1M
Estrellitas Pediatrics Christy Stewart Aprn, Cnp	OK	Primary Care Nurse Practitioner	$0	$4.7M
Dental Depot Of Tulsa	OK	General Practice Dentistry	$0	$4.3M
Cardelyn Dds Inc PC	OK	Dentist	$0	$4.1M
Morton Comprehensive Health Services, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$2.9M
Anew Dawn Counseling Services LLC	OK	Mental Health Counselor	$0	$2.6M
Family Hope House, PLLC	OK	Mental Health Counselor	$0	$2M

Tulsa Emergency Medical Center Inc — Billing Profile & Reimbursement Data

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Tulsa Emergency Medical Center Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References