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.

Providence Family Practice, PLLC (NPI 1215185491)

Providence Family Practice, PLLC is a family nurse practitioner provider located in Oklahoma City, Oklahoma. This profile covers 0 Medicare and 46 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	Providence Family Practice, PLLC
Address	1016 Sw 44th St Ste 400
City	Oklahoma City
State	OK
ZIP	73109
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 31, 2008

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

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

46 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…	29,870	$80	$2.3M
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…	4,170	$110	$450.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,160	$90	$200.4K
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…	1,640	$90	$152.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,460	$100	$148.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	4,220	$30	$109.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	1,660	$50	$81.5K
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…	900	$90	$79.2K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	3,170	$20	$63.4K
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	1,420	$20	$27K

Showing 1–10 of 46

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

Providence Family Practice, PLLC — 2 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

46 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…	284	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…	33	1,750	870	$70	$254.4K
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…	113	270	600	$90	$159.1K
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…	66	280	470	$100	$140.8K
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…	221	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…	620	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.	28	290	200	$90	$72.1K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	52	240	360	$30	$56.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	44	420	240	$20	$39.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	18	270	90	$100	$35.5K

Showing 1–10 of 46

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$57M
Positive Changes LLC	OK	Psychiatric Hospital	$0	$44.3M
Integris South Oklahoma City Hospital Corporation	OK	General Acute Care Hospital	$0	$38.7M
Osu-center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$16.3M
Okc Dental	OK	General Practice Dentistry	$0	$7.1M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$3.2M
Total Care Behavioral Health Services, LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.4M
Hands To Guide You Inc	OK	Community/Behavioral Health Agency	$0	$2.2M
Christiana Williams	OK	Nurse Practitioner	$1.8K	$2.2M
Integris Ddsi Endoscopy Centers LLC	OK	Ambulatory Surgical Clinic/Center	$656.6K	$1.4M

Providence Family Practice, PLLC — Billing Profile & Reimbursement Data

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Providence Family Practice, 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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