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.

Warren Clinic Inc (NPI 1174582282)

Key Findings

Field	Value
Entity Type	Organization
Organization	Warren Clinic Inc
Address	6600 S Yale Ave
City	Tulsa
State	OK
ZIP	74136
Taxonomy	General Practice Physician
NPI Enumerated	March 20, 2006

Payer Source	Total Paid
Medicaid	$40.2M
Medicare	$0

WARREN CLINIC INC is effectively a single-payer Medicaid operation for the observed period — it has no Medicare billing on file while reporting $40.2M in lifetime Medicaid revenue, indicating its billed activity in these datasets is concentrated in Medicaid rather than Medicare. This payer concentration suggests the organization’s measured patient panel and revenue base in these records are primarily Medicaid beneficiaries.

Revenue concentration within Medicaid is high: the top three Medicaid codes by revenue account for 55.9% of the provider’s total Medicaid revenue. Those top codes are dominated by evaluation-and-management and inpatient follow-up services (notably 99213, 99214, and 99233), so a majority of the practice’s Medicaid dollars come from routine and higher-complexity E/M encounters rather than ancillary procedures.

The code mix (large volumes of 99213 and 99214 office visits combined with high-volume inpatient E/M codes 99233 and 99232) indicates WARREN CLINIC operates a broad primary care/general practice model with substantial hospital-based follow-up and inpatient care. High counts for discharge management (99239/99238), initial inpatient care (99222/99223), and critical care (99291) further signal an integrated ambulatory-plus-hospital service line rather than a narrow outpatient-only clinic.

WARREN CLINIC is a statewide outlier on numerous Medicaid codes: 99213 ranks #2 of 1746 providers (100th percentile, extreme outlier), 99214 ranks #6 of 1680 (100th percentile, extreme outlier), and 99233 ranks #1 of 185 (100th percentile, extreme outlier). These rankings and percentile descriptors indicate the provider is a dominant Medicaid biller in Oklahoma for both high-volume office visits and inpatient follow-up services, suggesting scale and market share versus in-state peers for core E/M services.

Several additional codes show comparably unusual in-state concentration: 99232 and 99223 each rank #1 among their peer sets (100th percentile, extreme outlier) and 99211 and 99239 also appear as extreme outliers or top-ranked. Other services such as critical care 99291 (rank #4 of 55, 94th percentile) and some procedural codes (e.g., 93306 echocardiography, 95720 long EEG review) are notably above typical state volume, indicating the clinic’s scope includes higher-acuity and diagnostic services beyond routine primary care.

Operationally, the practice’s revenue profile — heavy volumes of mid- and high-level E/M codes with substantial inpatient and discharge management billing — implies workflows that handle large patient throughput in both clinic and hospital settings. The presence of maternity global obstetric code 59400 and newborn care 99460 alongside well-child/preventive codes (99391/99392/99393) suggests the clinic also maintains significant maternal-child health services.

WARREN CLINIC’s NPI tenure (enumerated 2006-03-20, ~20 years ago) reflects long-standing operation in the market, which aligns with the scale and in-state dominance seen across multiple Medicaid codes. Long tenure combined with extreme-percentile rankings supports the interpretation of an established system or multi-site group rather than a recent or single-provider practice.

While most high-volume codes are extreme outliers within the state, several procedure codes (e.g., 59400, 95165, 69436) are within typical or unremarkable percentiles for their peer groups, indicating that although the provider is dominant for core E/M and inpatient management services, some specialized procedural volumes are more conventional relative to peers. This mix suggests strong capacity in generalist and hospital-aligned services with more typical competitive standing in select specialty procedures.

Medicaid: Complete Services Breakdown

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

203 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…	128,120	$70	$8.6M
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…	85,410	$90	$7.3M
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…	76,370	$70	$5.2M
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…	85,210	$50	$3.9M
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…	22,930	$120	$2.8M
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…	18,270	$90	$1.6M
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…	18,850	$70	$1.4M
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…	10,480	$130	$1.4M
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	490	$1,540	$748.4K
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…	4,730	$150	$685.6K

Showing 1–10 of 203

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

Warren Clinic Inc — 13 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

203 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	8	10	300	$640	$2.1M
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,…	29	530	140	$450	$1.2M
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	12	10	3,080	$240	$1.1M
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	8	10	3,950	$150	$760.7K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	13	20	580	$140	$627K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	12	50	70	$1,800	$496.5K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	7	40	60	$2,350	$476.3K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	6	10	2,000	$150	$440.6K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	7	10	510	$370	$362.5K
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…	9	50	770	$90	$353.7K

Showing 1–10 of 203

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Han-chih Chang	TN	Radiation Oncology Physician	$2.6M	$0
Mark Mclaughlin	OK	Radiation Oncology Physician	$2M	$0
Hassan Abouhouli	OK	Pulmonary Disease Physician	$1.4M	$0
Mindy Ewert	OK	Physician Assistant	$1.1M	$0
Johnathan Ledet	OK	Dermatology Physician	$862.7K	$0
Farshid Zandi	OK	Hospitalist Physician	$659K	$0
Van Woo	OK	Radiation Oncology Physician	$630.4K	$0
Edward Abraham	AR	Radiation Oncology Physician	$474.1K	$0
Sanjeev Trehan	UT	Interventional Cardiology Physician	$456.5K	$0
Ravikumar Vasireddy	OK	Hematology & Oncology Physician	$436.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Hospital, Inc.	OK	General Acute Care Hospital	$0	$43.2M
Specialized Home Nursing, Inc.	OK	Home Health Agency	$0	$21.5M
Saint Francis Outreach Services LLC	OK	Clinical Medical Laboratory	$5.4M	$15.7M
Improving Lives Counseling Services, Inc.	OK	Community/Behavioral Health Agency	$0	$21.1M
Preferred Family Health Care, Inc.	OK	Community/Behavioral Health Agency	$0	$19.4M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$18.9M
Emergency Medicine Physicians Of Tulsa County, LLC	OK	Emergency Medicine Physician	$0	$18M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$14.1M
Home Therapy Resources, Inc.	OK	Pediatric Physical Therapist	$0	$9.4M
Counseling & Recovery Services Of Oklahoma, Inc.	OK	Community/Behavioral Health Agency	$0	$8.7M

Warren Clinic Inc — 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