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.

Flores Pediatrics, LLC (NPI 1245386697)

Flores Pediatrics, LLC is a pediatrics physician provider located in Yukon, Oklahoma. This profile covers 0 Medicare and 56 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	Flores Pediatrics, LLC
Address	415 E Main St Bldg B
City	Yukon
State	OK
ZIP	73099
Taxonomy	Pediatrics Physician
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

56 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…	20,980	$70	$1.5M
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…	11,170	$100	$1.1M
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…	3,330	$90	$309.2K
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…	3,530	$90	$307.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,620	$90	$240.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	10,510	$20	$189.2K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	4,130	$40	$152.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,470	$100	$148.7K
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,…	2,420	$40	$101.5K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	2,020	$40	$78.6K

Showing 1–10 of 56

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

Flores Pediatrics, LLC — 3 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

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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,…	54	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…	93	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…	57	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…	32	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…	29	280	470	$100	$140.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	47	190	80	$200	$128K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	17	290	200	$90	$72.1K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	44	290	260	$40	$69.7K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	21	240	360	$30	$56.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	18	420	240	$20	$39.7K

Showing 1–10 of 56

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oklahoma Family Counseling Centers	OK	Medical Specialty Clinic/Center	$0	$15.2M
Complete Rehab, LLC	OK	Rehabilitation Clinic/Center	$0	$11.5M
Yukon Dental Center For Kids	OK	Pediatric Dentistry	$0	$9.8M
Heritage Assisted Living Center L.L.C.	OK	Assisted Living Facility	$0	$7.4M
Trinity Loveless, Md, PLLC	OK	Medical Specialty Clinic/Center	$0	$7.4M
Integris Canadian Valley Hospital	OK	General Acute Care Hospital	$0	$7.1M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$6.3M
Yco Clinton, Inc.	OK	Community/Behavioral Health Agency	$0	$3.6M
Mt Lincoln PLLC	OK	General Practice Dentistry	$0	$2.8M
Family Urgent Care Yukon LLC	OK	Primary Care Clinic/Center	$0	$2.8M

Flores Pediatrics, LLC — Billing Profile & Reimbursement Data

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Flores Pediatrics, LLC — 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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