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.

Chickasaw Nation Division Of Health (NPI 1255364923)

Key Findings

Field	Value
Entity Type	Organization
Organization	Chickasaw Nation Division Of Health
Address	1921 Stonecipher Blvd
City	Ada
State	OK
ZIP	74820
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicaid	$161.8M
Medicare	$0

This provider is effectively single‑payer at scale: Medicare billing is recorded as none while Medicaid lifetime revenue totals $161.8M, so all documented government fee‑for‑service revenue for this entity is from Medicaid. Analysts should treat Medicaid as the primary (and practically sole) public payer when modeling this provider's volumes and revenue exposure.

Revenue is extremely concentrated in a single procedure: 99212 accounts for $161.3M of the Medicaid total (99.7% of this provider's Medicaid revenue) and the precomputed top‑3 codes together represent 99.9% of Medicaid revenue. This concentration indicates that a single outpatient E/M code dominates cash flow and should be the focus of any reimbursement, utilization, or contract‑negotiation analysis.

The operational footprint implied by the top codes is outpatient/ambulatory care centered on established‑patient office visits. The top three Medicaid codes are 99212, 99213, and 99214—all outpatient E/M codes—so the provider’s business appears to be organized around high‑volume clinic visits rather than inpatient or procedurally driven services. The presence of G0463 and multiple vaccine codes further supports an outpatient clinic model with preventative and primary care activity.

99212 is an outlier in the state: the code ranks #1 of 529 providers in‑state (100th percentile; extreme outlier, far above typical state volume for this code) with 291.2K claims and an average paid/claim of $554. That ranking establishes the provider as a dominant in‑state source of billed encounters for this specific low‑level established‑patient E/M code, and any peer comparisons or attribution studies should flag this provider as atypical.

Other individual codes show typical or modest participation relative to state peers. For example, 99213 (430 claims, $178K revenue) ranks #1065 of 1746 (39th percentile) and 99214 (381 claims, $165.4K revenue) ranks #1053 of 1680 (37th percentile), which are characterized as typical, unremarkable volumes; similarly 90832 (226 claims, $97.2K revenue) ranks #16 of 45 (66th percentile) and appears to be a routine behavioral‑health psychotherapy activity rather than a major revenue driver.

Several immunization codes and other outpatient items appear in the claims mix but report $0 avg paid/claim (for example, 90472: 232 claims, $0 avg paid/claim, $0 revenue; 90686: 186 claims, $0 avg paid/claim, $0 revenue). These entries indicate billed activity that did not generate Medicaid paid revenue in the dataset and should be investigated in reconciliation or audit workflows to understand payer adjudication or alternative payment handling.

Competitive implications: given the extreme statewide concentration for 99212 and the negligible Medicare presence (none), this provider should be treated as a locally dominant Medicaid outpatient clinic rather than a diversified hospital competitor. Its market influence is concentrated in low‑level established‑patient visits where it ranks at the very top of in‑state providers, while for higher‑complexity E/M codes and other services it sits at typical or below‑top percentiles.

The provider has an established administrative tenure: NPI enumerated (registered) on 2006-07-08 (~20 years ago). That duration supports interpretations that current billing patterns are not a short‑term artifact of a newly registered entity but reflect a sustained operating model focused on Medicaid outpatient encounters over many years.

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
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,…	291,150	$550	$161.3M
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…	430	$410	$178K
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…	380	$430	$165.4K
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…	230	$430	$97.2K
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.	470	$90	$41.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	520	$40	$21.8K
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…	60	$120	$6.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	40	$120	$5.1K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	230	$0	$0
90633	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.	10	$0	$0

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

Chickasaw Nation Division Of Health — 1 of 8 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
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,…	1	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…	1,053	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…	1,065	1,750	870	$70	$254.4K
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.	39	190	80	$200	$128K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	137	240	360	$30	$56.9K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	36	50	290	$50	$47.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	154	420	240	$20	$39.7K
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…	159	210	200	$50	$35.4K
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…	16	50	160	$10	$35.1K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	152	320	170	$1	$1.1K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chickasaw Nation Division Of Health	OK	Primary Care Clinic/Center	$0	$30.6M
Chickasaw Nation Division Of Health	OK	Primary Care Clinic/Center	$0	$18M
Chickasaw Nation Division Of Health	OK	Primary Care Clinic/Center	$0	$17.8M
Vinay Shah	OK	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Abdul Khan	TX	Nephrology Physician	$426.5K	$0
Glen Diacon	OK	Specialist	$422.6K	$0
Chickasaw Nation Division Of Health	OK	Ambulatory Surgical Clinic/Center	$312.8K	$0
George Chrysant	OK	Interventional Cardiology Physician	$298.7K	$0
Andres Caero Romero	OK	Nephrology Physician	$294.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital Ada, Inc	OK	General Acute Care Hospital	$0	$10.5M
Lighthouse Behavioral Wellness Centers	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Journey Therapeutic Services PLLC	OK	Clinical Social Worker	$0	$5.1M
Mccall's Chapel School Inc	OK	Nursing Care Agency	$0	$5M
Mercy Hospital Ada, Inc	OK	Ambulance	$0	$4.6M
Central Oklahoma Family Medical Center, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$4.3M
Quickcare Aprn-cnp, LLC	OK	Family Nurse Practitioner	$0	$3.8M
Robert Morton	OK	Psychiatry Physician	$1.3M	$2.2M
A Path Of Care Home Health I, Inc.	OK	Home Health Agency	$0	$3.4M
Air Evac Ems Inc	OK	Air Ambulance	$1.1M	$2.1M

Chickasaw Nation Division Of Health — Billing Profile & Reimbursement Data

Sign up for Chickasaw Nation Division Of Health — Billing Profile & Reimbursement Data policy alerts

Chickasaw Nation Division Of Health — Billing Profile & Reimbursement Data

Sign up for Chickasaw Nation Division Of Health — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References