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.

State Of Oklahoma (NPI 1114044369)

Field	Value
Entity Type	Organization
Organization	State Of Oklahoma
Address	123 Robert S Kerr Ave Ste 1702
City	Oklahoma City
State	OK
ZIP	73102
Taxonomy	Clinic/Center
NPI Enumerated	March 23, 2007

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

83 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	54,140	$40	$1.9M
T1001	Nursing assessment / evaluation	36,460	$50	$1.8M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	89,450	$20	$1.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	9,580	$60	$527.1K
T1027	Family training and counseling for child development, per 15 minutes	3,730	$60	$204.9K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	5,090	$20	$101.7K
92579	The provider performs a battery of tests to evaluate hearing loss in infants and toddlers. He uses sound sources to evaluate the auditory response, with reinforcement by animated toys.	2,340	$40	$98.4K
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	1,630	$30	$50.4K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1,670	$20	$40K
0001A	N/A	910	$40	$36.2K

Showing 1–10 of 83

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

State Of Oklahoma — 7 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

83 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	257	620	6,640	$70	$1.2M
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…	160	210	1,850	$70	$560.1K
T1001	Nursing assessment / evaluation	2	20	310	$60	$415K
92579	The provider performs a battery of tests to evaluate hearing loss in infants and toddlers. He uses sound sources to evaluate the auditory response, with reinforcement by animated toys.	5	30	860	$40	$60.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	1	240	360	$30	$56.9K
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…	105	110	170	$40	$50.9K
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	3	10	190	$30	$47.8K
T1027	Family training and counseling for child development, per 15 minutes	6	60	220	$30	$39.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1	420	240	$20	$39.7K
96102	N/A	2	10	350	$100	$34.4K

Showing 1–10 of 83

Nearby Providers

Other providers in the same ZIP code as State Of Oklahoma, 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
Emergency Physicians Of Mid-america, P.C.	OK	Emergency Medicine Physician	$0	$29.2M
Shelby Healthcare Ok LLC	OK	Home Health Agency	$0	$11.1M
Oklahoma State Department Of Health	OK	Clinic/Center	$0	$7.8M
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

State Of Oklahoma — Billing Profile & Reimbursement Data

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State Of Oklahoma — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References