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.

Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa (NPI 1134163942)

Key Findings

Field	Value
Entity Type	Organization
Organization	Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
Address	4444 E 41st Street 3rd Floor Ste B
City	Tulsa
State	OK
ZIP	74135
Taxonomy	Pediatrics Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicaid	$43.2M
Medicare	$0

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and total Medicaid revenue is $43.2M, indicating the organization’s commercial/Medicare footprint is negligible compared with its Medicaid activity. The absence of Medicare claims makes Medicaid the sole visible source of fee-for-service revenue in the dataset.

Revenue is highly concentrated in a few outpatient evaluation-and-management and preventive codes: the precomputed top-3 Medicaid codes account for 45.8% of total Medicaid revenue, led by 99213 ($8.9M, 21.7%), 99214 ($5.3M, 13.0%), and 99391 ($4.6M, 11.2%). This concentration signals that routine office E/M and well-child preventive visits are the primary revenue drivers.

The code mix points to a high-volume pediatric primary care and preventive care operation: frequent use of well-patient codes 99391, 99392, 99393, and 99394 alongside high volumes of established-patient E/M codes 99213 and 99214 indicates the practice focuses on well-child visits, immunizations, and ongoing outpatient management. Substantial claims counts for vaccine administration codes (90471/90472/90474) further support that immunization delivery is a core service line.

The provider also shows significant hospital and newborn care activity within the Medicaid population: inpatient-related codes 99232 ($2.1M, 5.1%) and 99222 ($1.9M, 4.6%) have notable revenue shares and high in-state ranks (99232 ranks #9 of 279, 97th percentile; 99222 ranks #2 of 124, 99th percentile labeled an "extreme outlier"). Newborn evaluation code 99460 ($972.8K, 2.4%) ranks #2 of 88 (99th percentile), indicating meaningful perinatal/newborn services in addition to outpatient pediatrics.

Competitively, the provider is a dominant statewide player for several pediatric preventive and clinic codes: 99391 ranks #1 of 273 providers in-state (100th percentile, "extreme outlier"), 99393 ranks #1 of 291 (100th percentile, "extreme outlier"), and 99394 ranks #1 of 269 (100th percentile, "extreme outlier"). Even the high-volume office visit code 99213 is an outlier statewide (76.9K claims, $8.9M revenue; ranks #9 of 1746, 100th percentile), suggesting this entity functions as a high-throughput pediatric hub in Oklahoma.

Immunization services and preventive screening are operational strengths: large claim counts for vaccine administration codes (90471: 72.4K claims, $1.3M, 3.2% revenue, ranks #3 of 418, 100th percentile; 90472: 45.7K claims, $1.5M, 3.6% revenue, ranks #2 of 239, 100th percentile; 90474: 10.4K claims, $187.8K, ranks #1 of 83, 100th percentile) indicate high throughput for routine childhood immunizations and supplemental vaccine encounters. This pattern aligns with the high volumes of preventive visit codes.

The dataset shows service breadth that extends into specialty diagnostics and chronic disease monitoring: transthoracic echo 93303 ($454.2K, 1.1%) and 93304 ($196.6K, 0.5%) are present alongside continuous glucose monitor interpretation 95251 ($245.8K, 0.6%) which ranks #1 of 14 providers in-state (100th percentile). These entries suggest the provider offers or coordinates some subspecialty diagnostic and diabetes-management services for the pediatric Medicaid population in addition to primary care.

The provider has long tenure in the registry (NPI enumerated 2006-06-15, noted as ~20 years ago), and the combination of sustained enrollment plus the high claim volumes and numerous top in-state ranks suggests an established pediatric practice with entrenched referral or patient-capture patterns in the Medicaid market. This longevity supports interpreting the high volumes as stable operational scale rather than a transient spike.

Medicaid: Complete Services Breakdown

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

116 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	76,930	$120	$8.9M
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…	33,350	$160	$5.3M
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…	34,090	$140	$4.6M
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…	26,510	$140	$3.6M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	18,770	$140	$2.6M
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…	17,870	$120	$2.1M
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…	8,850	$220	$1.9M
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…	15,410	$120	$1.8M
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	45,740	$30	$1.5M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	9,180	$150	$1.4M

Showing 1–10 of 116

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

Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa — 19 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

116 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	5	10	2,460	$230	$1.3M
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,…	64	530	140	$450	$1.2M
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	22	50	770	$90	$353.7K
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…	21	1,680	820	$90	$307K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	5	10	2,960	$50	$284.3K
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…	9	1,750	870	$70	$254.4K
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…	35	190	480	$70	$218.8K
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…	9	280	840	$50	$179.5K
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	2	10	50	$240	$164.4K
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…	1	270	600	$90	$159.1K

Showing 1–10 of 116

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
D & D Services Inc	OK	Nursing Care Agency	$0	$119.1M
Grand Lake Mental Health Center, Inc.	OK	Community/Behavioral Health Agency	$0	$38.5M
Family & Children's Services, Inc	OK	Community/Behavioral Health Agency	$0	$25.4M
Creoks Mental Health Services	OK	Community/Behavioral Health Agency	$0	$17.3M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$11.4M
Therapy 4 Kids Inc	OK	Pediatric Occupational Therapist	$0	$8.4M
Life Senior Services, Inc	OK	Case Management Agency	$0	$6.9M
Counseling & Recovery Services Of Oklahoma, Inc.	OK	Community/Behavioral Health Agency	$0	$5.8M
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.6M
Dental Depot Of I-44 & Harvard, PLLC	OK	Dentist	$0	$4.2M

Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa — Billing Profile & Reimbursement Data

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Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa	OK	Internal Medicine Physician	$0	$15.6M
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa	OK	Professional Counselor	$0	$10.3M
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa	OK	Pediatrics Physician	$0	$3.1M
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa	OK	Multi-Specialty Clinic/Center	$0	$1.8M
Michael Gold	OK	Gynecologic Oncology Physician	$615.7K	$0
Harry Ma	CT	Vascular Surgery Physician	$409.1K	$0
Narottam Regmi	OK	Nephrology Physician	$293.7K	$0
Pranay Kathuria	OK	Nephrology Physician	$270K	$0
Krishna Baradhi	OK	Nephrology Physician	$231.5K	$0
Anand Khurana	OK	Nephrology Physician	$221.1K	$0