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.

Emergency Physicians Of Mid-america, P.C. (NPI 1063825297)

Field	Value
Entity Type	Organization
Organization	Emergency Physicians Of Mid-america, P.C.
Address	1000 N Lee Ave
City	Oklahoma City
State	OK
ZIP	73102
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 5, 2014

Payer Source	Total Paid
Medicaid	$29.2M
Medicare	$0

Key Findings

EMERGENCY PHYSICIANS OF MID-AMERICA, P.C. reports no Medicare billing on file and is effectively a Medicaid-focused practice, with total Medicaid revenue of $29.2M. The absence of Medicare activity combined with the concentrated Medicaid receipts indicates the provider’s commercial and Medicare exposure is minimal or not captured in this dataset, making Medicaid the primary payer to evaluate for operational and competitive analysis.

Revenue concentration is highly concentrated in emergency department evaluation-and-management codes: 99285 ($12.4M, 42.4%), 99284 ($12.2M, 41.9%), and 99283 ($4.6M, 15.6%) together account for 99.9% of the provider’s Medicaid revenue. This precomputed top-three share shows the business is almost entirely driven by a small set of ED E/M services rather than a broader mix of ancillary procedures or outpatient codes.

The code-level volumes and paid-per-claim differentials suggest a high-throughput emergency service model with a substantial portion of higher-acuity visits: 99284 has 123.5K claims ($99 avg paid/claim) and 99285 has 95.9K claims ($129 avg paid/claim), while 99283 accounts for 81.5K claims at a lower $56 avg paid/claim. The combination of very large claim counts and higher average payments on 99285 helps explain why both 99284 and 99285 dominate revenue despite similar dollar contributions.

Competitive standing within the state is dominant for the highest-acuity ED codes: 99285 ranks #1 of 182 providers and is labeled an "extreme outlier," 99284 ranks #2 of 230 providers and is also an "extreme outlier," and 99283 ranks #5 of 254 providers (98th percentile, extreme outlier). These rankings indicate the practice is a major statewide provider of Medicaid emergency care and operates at volumes far above typical in-state peers for these services.

Operational implications of the code mix point to a dedicated emergency medicine service line focused on ED visits with moderate-to-high medical decision making and frequent high-acuity presentations. The predominance of ED E/M codes (99285, 99284, 99283) and minimal billing for critical care (99291: 25 claims, $157 avg paid/claim, $3.9K revenue) or routine ECG interpretation (93010: 12 claims, $7 avg paid/claim, $84 revenue) suggests the group’s revenue is driven by ED throughput rather than by ancillary diagnostics or prolonged critical care.

Although 99291 and other procedure-level codes are present, their revenue contributions are negligible (99291 revenue $3.9K, 0.0% of total; 93010 revenue $84, 0.0% of total), reinforcing that the practice’s financial and operational profile is concentrated in episodic ED E/M encounters rather than ongoing inpatient critical care or procedure-based services. These small volumes and low rankings for ancillary codes are typical and unremarkable compared with the exceptional volumes in core ED codes.

The provider’s tenure is moderate: NPI enumerated on 2014-06-05 (~12 years ago), indicating roughly a decade of activity under the current NPI. That tenure combined with extreme statewide volumes for ED E/M services suggests established contracts or positioning within the local Medicaid network that sustain high visit volumes.

For payer-mix and risk analysis, the dataset should be treated as Medicaid-dominant: total Medicaid revenue is $29.2M and Medicare revenue is listed as none, so any strategic assessments, network adequacy evaluations, or utilization reviews should focus on Medicaid behavioral patterns and state-level emergency care competition rather than Medicare trends.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	95,910	$130	$12.4M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	123,480	$100	$12.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	81,470	$60	$4.6M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	1,000	$40	$35.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	30	$160	$3.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	10	$10	$80

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

Emergency Physicians Of Mid-america, P.C. — 3 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	2	230	1,440	$170	$1.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	5	250	1,820	$130	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	1	180	1,030	$200	$1M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	48	60	130	$210	$193.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	50	160	410	$80	$166.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	80	80	590	$10	$33.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Physicians Of Mid-america, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Taylor	IA	Family Medicine Physician	$8.5K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Physicians Of Mid-america, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ssm Health Care Of Oklahoma, Inc.	OK	General Acute Care Hospital	$0	$46.8M
Shelby Healthcare Ok LLC	OK	Home Health Agency	$0	$11.1M
Oklahoma State Department Of Health	OK	Clinic/Center	$0	$7.8M
State Of Oklahoma	OK	Clinic/Center	$0	$6.9M
Wound Management Of Oklahoma, Inc.	OK	Durable Medical Equipment & Medical Supplies	$0	$6.2M
Oklahoma State Department Of Health	OK	Clinical Medical Laboratory	$0	$5.1M
Oklahoma State Department Of Health	OK	Public Health or Welfare Agency	$0	$3.8M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$1.9M
State Of Oklahoma	OK	Public Health or Welfare Agency	$546.3K	$162.5K
Syed Ahmed	OK	Family Medicine Physician	$439.4K	$0

Emergency Physicians Of Mid-america, P.C. — 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