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.

Matthew Payne (NPI 1124169008)

Field	Value
Entity Type	Individual
Organization	Matthew Payne
Address	940 Ne 13th St
City	Oklahoma City
State	OK
ZIP	73104
Taxonomy	Pediatrics Physician
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicare	$105.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	590	$60	$35.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	250	$130	$31.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	230	$60	$13.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	130	$90	$11.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	70	$90	$6K
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…	40	$160	$6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$100	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Matthew Payne — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	584	1,260	120	$90	$19.1K
99232	173	1,770	90	$60	$14K
99291	464	780	50	$160	$11.8K
99223	67	1,550	50	$130	$9.6K
99239	360	690	80	$90	$8.5K
99222	898	1,130	30	$90	$4.6K
99238	7	560	30	$60	$2.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Matthew Payne, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stillwater Medical Center Authority	OK	General Acute Care Hospital	$0	$15.7M
Stillwater Medical Center Authority	OK	Family Medicine Physician	$0	$13.2M
Stillwater Medical Center Authority	OK	Rural Acute Care Hospital	$0	$3.3M
Scott Cole	OK	Hematology & Oncology Physician	$2.3M	$0
Mark Jennings	TX	Internal Medicine Physician	$2.1M	$0
Kevin Weibel	OK	Hematology & Oncology Physician	$1.7M	$0
Matthew Flood	OK	Ophthalmology Physician	$1.1M	$0
Eric Thomas	OK	Obstetrics & Gynecology Physician	$536.3K	$0
Steven Cummings	OK	Internal Medicine Physician	$359.5K	$0
Andrea Fraley	OK	Sports Medicine (Physical Medicine & Rehabilitation) Physician	$355.9K	$0

Nearby Providers

Other providers in the same ZIP code as Matthew Payne, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ou Health Partners, Inc	OK	Multi-Specialty Clinic/Center	$0	$118.5M
Board Of Regents Of The University Of Oklahoma - Ou Physicians	OK	Multi-Specialty Clinic/Center	$0	$96.6M
Ou Medicine Inc.	OK	General Acute Care Hospital	$0	$63M
Oklahoma Allergy & Asthma Clinic	OK	Specialist	$0	$13.7M
University Of Oklahoma Heal Sci Ctr College Of Medicine Ophthalmology	OK	Ophthalmology Physician	$0	$9.5M
Emergency Physicians Of Midwest City, LLC	OK	Emergency Medicine Physician	$0	$8.1M
Board Of Regents Of The University Of Oklahoma-ou Physicians	OK	Clinic/Center	$0	$5.4M
Mcgee Eye Surgery Center LLC	OK	Ambulatory Surgical Clinic/Center	$2.8M	$2M
Questcare Em Oklahoma LLC	OK	Emergency Medicine Physician	$0	$4M
Dianon Systems Inc	OK	Clinical Medical Laboratory	$2.5M	$1.3M

Matthew Payne — Billing Profile & Reimbursement Data

Sign up for Matthew Payne — Billing Profile & Reimbursement Data policy alerts

Matthew Payne — Billing Profile & Reimbursement Data

Sign up for Matthew Payne — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References