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.

Aky Md, LLC (NPI 1063846699)

Key Findings

Field	Value
Entity Type	Organization
Organization	Aky Md, LLC
Address	400 N Eastern Ave
City	Moore
State	OK
ZIP	73160
Taxonomy	Pediatrics Physician
NPI Enumerated	August 30, 2013

Payer Source	Total Paid
Medicaid	$42.2M
Medicare	$0

AKY MD, LLC is effectively a single‑payer Medicaid practice at scale: it reports $42.2M in lifetime Medicaid revenue and has no Medicare billing on file. This concentration means all observed clinical and revenue activity is driven by Medicaid-covered services rather than a mix of Medicare/Medicaid practice lines.

Revenue is highly concentrated in a small set of E&M and preventive pediatric codes: the top three Medicaid codes (99214, 99213, 99392) account for 67.4% of the provider's total Medicaid revenue. In dollar terms those codes are 99214 ($16.1M, 38.5%), 99213 ($9.1M, 21.9%), and 99392 ($2.9M, 7.0%), indicating heavy dependence on established office visits and preventive well-child visits for revenue.

The code mix and volumes point to a high-throughput pediatric primary care operation: large counts for established visit codes (99214: 155.9K claims; 99213: 126.7K claims) and well-patient codes (99392: 32.6K claims; 99391: 33K claims; 99393: 17K claims) suggest routine longitudinal care and scheduled well-child services are the core service lines. Substantial vaccine administration activity (90471: 83.5K claims; 90472: 33.9K claims; 90474: 10.2K claims) further supports a preventive-immunization focus typical of pediatric clinics.

AKY MD is a clear statewide volume leader on key pediatric codes: 99214 ranks #1 of 1680 providers in Oklahoma (100th percentile; extreme outlier), 99213 ranks #3 of 1746 (100th percentile; extreme outlier), and 99392 ranks #1 of 283 providers (100th percentile; extreme outlier). Multiple additional codes (99391, 90471, 99393, 90472, 87880, 99381, 96110, 96161, 96127) also appear at or near the 99–100th percentiles, reinforcing that this provider is an outlier in state-level volume for pediatric preventive and office services.

Point-of-care testing and infectious disease testing are meaningful ancillary revenue streams: COVID/respiratory testing codes such as 87426 ($951.7K), 87428 ($217.7K), and influenza/strep rapid tests (87804: $486.3K; 87880: $378.4K; 87651: $322.9K) appear with high ranks (mostly 98–99th percentiles), indicating routine use of rapid diagnostics alongside office visits. Payers should expect frequent testing claims associated with acute respiratory presentation in a pediatric population.

The provider’s operational footprint is long-established: the NPI was enumerated on 2013-08-30 (approximately 13 years ago), so the observed high volumes represent sustained activity rather than a brief spike. That tenure supports interpreting the extreme-volume signals as persistent practice patterns rather than a transient change.

From a contracting and utilization perspective, AKY MD’s dominance in routine pediatric E&M and preventive care suggests it could materially affect network capacity for pediatric primary care in its market. Given the large share of revenue from a few codes and the provider’s extreme percentile rankings, payers may want to treat AKY MD as a major pediatric access point when modeling network adequacy, reimbursement, or targeted quality programs.

Despite very high visit volumes, not all codes are uniformly dominant: several evaluation and therapy codes (e.g., 97530 at the 71st percentile, 92507 at the 68th percentile) have only typical or modest state-level presence, indicating the practice concentrates its scale on core pediatric office, preventive, immunization, and rapid-test services rather than a broad multidisciplinary service mix. This pattern helps narrow expectations about where utilization management efforts will be most impactful.

Medicaid: Complete Services Breakdown

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

87 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…	155,920	$100	$16.1M
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…	126,660	$70	$9.1M
99392	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…	32,610	$90	$2.9M
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…	33,020	$90	$2.8M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	83,460	$30	$2.3M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	16,980	$90	$1.5M
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	33,880	$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,…	24,400	$40	$951.7K
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.	18,700	$30	$486.3K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	5,490	$80	$450.3K

Showing 1–10 of 87

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

Aky Md, LLC — 22 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

87 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,…	65	530	140	$450	$1.2M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	58	200	1,720	$80	$645.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	67	210	1,850	$70	$560.1K
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…	1	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…	3	1,750	870	$70	$254.4K
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…	2	270	600	$90	$159.1K
99392	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	280	470	$100	$140.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	7	190	80	$200	$128K
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…	78	720	120	$150	$94.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	266	300	100	$150	$79.5K

Showing 1–10 of 87

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspirus Wausau Hospital, Inc.	WI	General Acute Care Hospital	$0	$16.3M
Aspirus Medical Group, Inc.	WI	Clinic/Center	$0	$2.5M
Aspirus Wausau Hospital, Inc.	WI	General Acute Care Hospital	$0	$1.9M
Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin	WI	Rural Health Clinic/Center	$0	$1.3M
Kerry Kirifides, M.d., P.A.	DE	Pediatrics Physician	$0	$1M
Richard Fuller	WI	Adult Medicine Physician	$368.6K	$408.5K
John Millichap	IL	Neurology with Special Qualifications in Child Neurology Physician	$49.3K	$239.6K
Christopher Cheng	CA	Neurology Physician	$239.3K	$36.2K
Edward Barton	CA	Neurology Physician	$260.1K	$0
Balaji Shanmugam	FL	Interventional Cardiology Physician	$257.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Innovative Medical Supply, LLC	OK	Durable Medical Equipment & Medical Supplies	$0	$13.6M
Integrated Therapy Solutions Of Oklahoma, LLC	OK	Community/Behavioral Health Agency	$0	$4.6M
Physicians Surgical Center LLC	OK	Ambulatory Surgical Clinic/Center	$1.9M	$2.7M
David Roberts Consulting, LLC	OK	Secured Medical Transport (VAN)	$0	$4.3M
Pkl Orthodontics, PC	OK	Dental Clinic/Center	$0	$3.7M
Today's Therapy Solutions	OK	Speech-Language Pathologist	$0	$3.7M
Quick Urgent Care LLC	OK	Urgent Care Clinic/Center	$0	$3.5M
Moore Family Therapy	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Mercy Oklahoma Ambulatory Services LLC	OK	Urgent Care Clinic/Center	$0	$2.9M
Moore Autism Center, P.C.	OK	Clinical Child & Adolescent Psychologist	$0	$2.8M

Aky Md, LLC — 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