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.

Healthcare One Associates PLLC (NPI 1174811368)

Healthcare One Associates PLLC is a clinic/center provider located in El Reno, Oklahoma. This profile covers 0 Medicare and 34 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Healthcare One Associates PLLC
Address	1900 S Country Club Rd
City	El Reno
State	OK
ZIP	73036
Taxonomy	Clinic/Center
NPI Enumerated	July 21, 2011

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	46,150	$100	$4.5M
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…	25,820	$70	$1.8M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	8,250	$80	$692.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	11,110	$50	$544.5K
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…	4,310	$90	$405K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	10,680	$30	$298.9K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	4,740	$50	$227.4K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	11,920	$10	$166.9K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	2,140	$30	$66.2K
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	510	$100	$51.1K

Showing 1–10 of 34

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

Healthcare One Associates PLLC — 10 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	16	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…	43	1,750	870	$70	$254.4K
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…	287	720	120	$150	$94.5K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	6	50	280	$50	$81.5K
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…	91	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…	27	710	140	$100	$74.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	273	290	200	$90	$72.1K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	2	110	160	$80	$69.9K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	27	80	330	$60	$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.	172	240	360	$30	$56.9K

Showing 1–10 of 34

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hamid Mahmood	OK	Internal Medicine Physician	$90.9K	$0
Allison Henrichs	OK	Family Nurse Practitioner	$85.8K	$0
Jana Thomas	OK	Family Nurse Practitioner	$59.5K	$0
Christopher Redden	OK	Family Nurse Practitioner	$57K	$0
Bailey Daugherty	OK	Family Nurse Practitioner	$32.4K	$0
Kristi Parish	OK	Family Nurse Practitioner	$32.4K	$0
Ann Burkle Robison	IA	Family Nurse Practitioner	$31.9K	$0
Alisha Cerda	OK	Family Nurse Practitioner	$30.8K	$0
Angela Upton	OK	Family Nurse Practitioner	$27.5K	$0
Cheston Ellis	OK	Primary Care Nurse Practitioner	$26.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$8.5M
El Reno Indian Health Center	OK	Public Health or Welfare Agency	$0	$4.6M
Clinton Strong	OK	Family Medicine Physician	$97.1K	$0
John Ditmars	OK	Podiatrist	$32.5K	$0
Debra Murray	OK	Family Nurse Practitioner	$26K	$0
Khanh Dupont	OK	Family Nurse Practitioner	$24.3K	$0
Darcy White	OK	Family Nurse Practitioner	$22.6K	$0
Ray Tate	OK	General Practice Dentistry	$14.2K	$0
Robin Yates	OK	Family Nurse Practitioner	$7.1K	$0

Healthcare One Associates PLLC — Billing Profile & Reimbursement Data

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Healthcare One Associates PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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