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.

Kickapoo Tribal Health Center (NPI 1265518203)

Field	Value
Entity Type	Organization
Organization	Kickapoo Tribal Health Center
Address	105365 S. Hwy 102
City	Mcloud
State	OK
ZIP	74851
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

Key Findings

This provider is effectively single-payer in the claims dataset: there is no Medicare billing on file and all reported lifetime revenue is Medicaid-based, totaling $19.9M. The absence of Medicare activity means analyses should focus on Medicaid payment policy and state-level competitive dynamics rather than cross-payer comparisons.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and a single code, 99212, is listed with $19.9M in revenue (100.0% of Medicaid revenue). That concentration indicates most of the clinic's Medicaid receipts are driven by routine established-patient outpatient visits rather than a diversified procedure mix.

The clinical and service-line profile is consistent with a primary-care FQHC: 99212 (established patient office/outpatient E/M, straightforward) is the dominant revenue driver, and the provider's taxonomy is Federally Qualified Health Center (FQHC). This combination signals an operational focus on high-volume, routine outpatient management and primary-care encounters rather than specialty procedures or inpatient services.

Volume and unit economics for the dominant code show high throughput and substantial per-visit payments: 99212 appears on 33.7K claims with an average paid/claim of $589 and $19.9M in revenue. Those figures together suggest the center manages a large established patient panel and receives meaningful Medicaid reimbursement per visit, supporting ongoing primary-care operations.

Competitive standing for 99212 is strong in-state: the code ranks #9 of 529 providers in-state (98th percentile; notably above typical state volume for this code), which positions the center as a high-volume provider of established-patient office visits relative to peers. By contrast, its G0467 activity is minimal and unremarkable, indicating the provider is not a leading biller of the FQHC-bundle visit code among state peers.

G0467 is present but negligible in financial impact: G0467 shows 39 claims, $31 avg paid/claim, and $1.2K revenue (0.0% of Medicaid revenue), ranking #72 of 84 providers in-state (14th percentile; typical, unremarkable volume for this code). The presence of G0467 at very low volume suggests either selective use of the FQHC bundle code or payer-specific billing patterns that favor per-visit E/M coding like 99212.

Tenure and operational consistency are evident: the NPI was enumerated on 2006-10-31 (~20 years ago), indicating a long-established practice in MCLOUD, OK. That longevity, combined with concentrated Medicaid revenue of $19.9M, supports the view of an established community primary-care provider serving a steady Medicaid population.

The extreme concentration on 99212 also creates operational sensitivity to coding and payment changes: because the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue and 99212 alone represents $19.9M, policy, audit, or reimbursement shifts affecting 99212 payments or utilization could materially affect the provider's revenue profile. Analysts should monitor state Medicaid policy and coding guidance for E/M visits and FQHC billing rules.

Medicaid: Complete Services Breakdown

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

2 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,…	33,750	$590	$19.9M
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…	40	$30	$1.2K

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

Kickapoo Tribal Health Center — 1 of 2 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

2 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,…	9	530	140	$450	$1.2M
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…	72	80	560	$30	$45.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kickapoo Tribal Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harbans Hans	OK	Psychiatry Physician	$42.1K	$0
Vytautas Ringus	OK	Orthopaedic Surgery Physician	$40.9K	$0
Kenneth Golda	OK	Podiatrist	$9.6K	$940
Christopher May	AZ	Cardiovascular Disease Physician	$9.1K	$0

Kickapoo Tribal Health Center — Billing Profile & Reimbursement Data

Sign up for Kickapoo Tribal Health Center — Billing Profile & Reimbursement Data policy alerts

Kickapoo Tribal Health Center — Billing Profile & Reimbursement Data

Sign up for Kickapoo Tribal Health Center — 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

Frequently Asked Questions

References