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.

Northeastern Oklahoma Community Health Centers, Inc. (NPI 1073164125)

Field	Value
Entity Type	Organization
Organization	Northeastern Oklahoma Community Health Centers, Inc.
Address	1203 E Ross Byp
City	Tahlequah
State	OK
ZIP	74464
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 20, 2019

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	9,930	$190	$1.9M
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	160	$170	$27.2K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	330	$30	$11.3K
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…	2,100	$1	$8.4K
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…	2,850	$1	$5.7K
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…	1,030	$1	$2.1K
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…	810	$1	$1.6K
99205	The provider sees a new 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 provider…	280	$1	$830
95115	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.	130	$10	$770
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	120	$0	$0

Showing 1–10 of 12

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

Northeastern Oklahoma Community Health Centers, Inc. — 0 of 9 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	60	140	7,150	$220	$4.4M
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,…	217	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…	525	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…	480	1,750	870	$70	$254.4K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	6	10	150	$120	$191.6K
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…	126	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…	175	300	100	$150	$79.5K
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…	96	710	140	$100	$74.6K
99205	The provider sees a new 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 provider…	32	150	60	$210	$50.3K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	49	80	560	$30	$45.5K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northeastern Oklahoma Community Health Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeastern Oklahoma Community Health Centers Inc	OK	Federally Qualified Health Center (FQHC)	$0	$16.6M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$7M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$5.8M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$4.2M
Northeastern Oklahoma Community Health Centers Inc	OK	Federally Qualified Health Center (FQHC)	$0	$3.3M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$3M
Northeastern Oklahoma Community Health Centers, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$2.6M
Northeastern Oklahoma Community Health Centers, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$2.6M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$2.2M
Robert Mcdonald	MO	Otolaryngic Allergy Physician	$55.6K	$53K

Nearby Providers

Other providers in the same ZIP code as Northeastern Oklahoma Community Health Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Creoks Mental Health Services	OK	Community/Behavioral Health Agency	$0	$12.5M
Northeastern Health System	OK	General Acute Care Hospital	$0	$9.8M
Cherokee Nation Home Health Outreach	OK	Case Management Agency	$0	$7.4M
Cherokee Nation	OK	General Acute Care Hospital	$0	$6.4M
Cornerstone Health Care Resources, LLC	OK	Case Management Agency	$0	$5.4M
Grace Medical Equipment, LLC.	OK	Oxygen Equipment & Supplies (DME)	$0	$2.8M
Cherokee Nation	OK	Land Ambulance	$451.8K	$2.1M
Northeastern Health System	OK	Land Ambulance	$0	$2.3M
Evolve Professional Counseling LLC	OK	Community/Behavioral Health Agency	$0	$2.1M
Northeastern Health System	OK	Emergency Medicine Physician	$0	$2.1M

Northeastern Oklahoma Community Health Centers, Inc. — Billing Profile & Reimbursement Data

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Northeastern Oklahoma Community Health Centers, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References