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.

Family Health Center Of Southern Oklahoma Inc (NPI 1174830665)

Field	Value
Entity Type	Organization
Organization	Family Health Center Of Southern Oklahoma Inc
Address	107 E Post Ave
City	Coalgate
State	OK
ZIP	74538
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 7, 2010

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	15,300	$190	$2.9M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	980	$30	$32.2K
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…	6,640	$1	$19.9K
99442	N/A	310	$50	$15.4K
99443	N/A	30	$100	$2.7K
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…	440	$10	$2.6K
98968	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	20	$40	$810
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	30	$20	$710
98967	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	20	$20	$510
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	20	$30	$410

Showing 1–10 of 14

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

Family Health Center Of Southern Oklahoma Inc — 0 of 10 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	44	140	7,150	$220	$4.4M
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,…	255	530	140	$450	$1.2M
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…	1,016	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…	245	1,750	870	$70	$254.4K
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…	516	710	140	$100	$74.6K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	34	80	560	$30	$45.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	215	270	90	$100	$35.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	42	50	160	$10	$35.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	240	420	270	$10	$12.9K
99442	N/A	14	90	50	$60	$11.9K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Family Health Center Of Southern Oklahoma Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Center Of Southern Oklahoma Inc	OK	Federally Qualified Health Center (FQHC)	$0	$10.6M
Family Health Center Of Southern Oklahoma Inc	OK	Federally Qualified Health Center (FQHC)	$0	$1.6M
Larry Burns	OK	Physician Assistant	$17.5K	$0
Bobby Priddy	OK	Family Nurse Practitioner	$13.5K	$0
Paul Reel	OK	Family Medicine Physician	$12.6K	$0
Wilson Davis	OK	Internal Medicine Physician	$6.9K	$0
Heather Workman	OK	Family Nurse Practitioner	$5.4K	$0
Ralph Falconer	OK	Physician Assistant	$3.7K	$0
Relinda Black	OK	Family Nurse Practitioner	$3.4K	$0
Stephanie Jones	OK	Family Medicine Physician	$1.8K	$0

Nearby Providers

Other providers in the same ZIP code as Family Health Center Of Southern Oklahoma Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coal County General Hospital	OK	Critical Access Hospital	$0	$1.8M
Richard Helton	OK	Family Medicine Physician	$283.4K	$32.9K
Xyz Medical LLC	OK	Clinical Medical Laboratory	$94.2K	$74.2K

Family Health Center Of Southern Oklahoma Inc — Billing Profile & Reimbursement Data

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Family Health Center Of Southern Oklahoma Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References