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.

Emergency Services Of Oklahoma PC (NPI 1215249891)

Field	Value
Entity Type	Organization
Organization	Emergency Services Of Oklahoma PC
Address	901 N Porter Ave
City	Norman
State	OK
ZIP	73071
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 12, 2010

Payer Source	Total Paid
Medicaid	$29.2M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively single-payer from the claims data perspective, reporting $29.2M in total Medicaid revenue. The absence of Medicare activity means the provider’s entire reported revenue base in the dataset is concentrated in Medicaid, which makes payer-specific policy or rate changes in Medicaid particularly consequential for its financial profile.

Revenue is extremely concentrated in three emergency department E/M codes: 99284, 99285, and 99283 together account for 99.9% of the provider’s total Medicaid revenue. Individually these codes generate $13.6M (99284), $9M (99285), and $6.5M (99283) of revenue, indicating a very narrow revenue mix tied to ED evaluation-and-management services.

The code mix identifies the operation as an emergency department–focused service line: 99284 (moderate complexity), 99285 (high complexity), and 99283 (low complexity) dominate both claims counts and revenue. The high volumes reported — e.g., 137.3K claims for 99284 and 116.7K claims for 99283 — suggest continuous, high-throughput ED activity covering a broad range of acuity levels rather than a diversified outpatient or inpatient practice.

Within the ED mix there is a meaningful share of higher-acuity work: 99285 represents 30.9% of Medicaid revenue with $9M reported and 75.7K claims, indicating substantial high medical decision-making encounters. 99284 is even larger at 46.6% of revenue and $13.6M, so the practice appears to bill heavily for moderate- to high-acuity emergency visits rather than only low-acuity encounters.

Statewide competitive standing for core ED codes is dominant. The provider ranks #1 of 230 for 99284 (100th percentile, labeled an extreme outlier), #1 of 254 for 99283 (100th percentile, extreme outlier), and #3 of 182 for 99285 (99th percentile, extreme outlier), which collectively position it as a major high-volume ED billing entity in Oklahoma for these services.

Ancillary and critical care services are a very small portion of reported Medicaid revenue: 99291 (critical care) accounts for $14.7K and 0.1% of revenue with only 97 claims, while 93010 (ECG interpretation) and 99282 each produce negligible revenue. This pattern suggests clinical operations are centered on ED evaluation-and-management throughput rather than on billed critical care time or billed diagnostic procedures.

The provider’s NPI has been enumerated since 2010-07-12 (~16 years ago), indicating a long-tenured presence in the market. That tenure combined with extreme in-state volume for core ED codes is consistent with an established, high-capacity emergency services provider rather than a newly entered practice.

Given the very high concentration of revenue in three ED E/M codes (99.9% of Medicaid revenue) and sole reliance on Medicaid ($29.2M reported), the provider’s financial performance will be highly sensitive to Medicaid reimbursement policy, coding guidance, or state-level utilization shifts for 99284, 99285, and 99283. Analysts should therefore treat changes to those specific code populations as primary drivers of future revenue variance.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	137,330	$100	$13.6M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	75,680	$120	$9M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	116,660	$60	$6.5M
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…	100	$150	$14.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	210	$40	$7.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	20	$10	$170

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

Emergency Services Of Oklahoma PC — 3 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	1	230	1,440	$170	$1.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1	250	1,820	$130	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3	180	1,030	$200	$1M
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…	34	60	130	$210	$193.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	92	160	410	$80	$166.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	71	80	590	$10	$33.3K

Nearby Providers

Other providers in the same ZIP code as Emergency Services Of Oklahoma PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oklahoma Mental Health Council	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12M
Classen Urgent Care Clinic LLC	OK	Urgent Care Clinic/Center	$0	$10.4M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$8.8M
State Of Oklahoma	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.1M
Childrens' Recovery Center Of Oklahoma	OK	Community/Behavioral Health Agency	$0	$6.8M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$4.2M
Affordable Quality Healthcare, LLC	OK	Family Nurse Practitioner	$0	$2.7M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$1.8M
State Of Oklahoma	OK	Psychiatric Hospital	$0	$1.8M
Samuel Dakil	OK	Urology Physician	$823.8K	$0

Emergency Services Of Oklahoma PC — Billing Profile & Reimbursement Data

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Emergency Services Of Oklahoma PC — 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

Nearby Providers

Frequently Asked Questions

References