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.

Broken Arrow Pediatrics, LLC (NPI 1265879175)

Broken Arrow Pediatrics, LLC is a pediatrics physician provider located in Broken Arrow, Oklahoma. This profile covers 0 Medicare and 43 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	Broken Arrow Pediatrics, LLC
Address	1220 N Elm Pl
City	Broken Arrow
State	OK
ZIP	74012
Taxonomy	Pediatrics Physician
NPI Enumerated	May 31, 2013

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

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

43 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…	10,300	$70	$710.4K
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…	2,840	$90	$258.3K
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…	2,460	$90	$211.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,160	$90	$192.1K
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…	1,610	$100	$165.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	6,370	$20	$114.7K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	3,860	$30	$111.8K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	4,490	$20	$80.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	340	$100	$33.5K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	3,080	$10	$30.8K

Showing 1–10 of 43

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

Broken Arrow Pediatrics, LLC — 1 of 24 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

43 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,…	417	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…	602	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…	157	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…	44	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…	33	280	470	$100	$140.8K
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…	466	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.	27	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.	23	240	360	$30	$56.9K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	83	110	170	$40	$50.9K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	1	10	1,270	$20	$46.2K

Showing 1–10 of 43

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Collaborative Therapy Services Inc	OK	Multi-Specialty Clinic/Center	$0	$12.9M
Family Smiles Dentistry, PLLC	OK	General Practice Dentistry	$0	$10.8M
Eastern Oklahoma Oral And Maxillofacial Surgeons	OK	Oral and Maxillofacial Surgery (Dentist)	$0	$8.3M
Stonewood Hills Oral Maxillofacial Surgery, Inc.	OK	Oral and Maxillofacial Surgery (Dentist)	$0	$6.5M
Eton Home Healthcare, Inc.	OK	Home Health Agency	$0	$5.6M
Brighter Dimensions, LLC	OK	Community/Behavioral Health Agency	$0	$5M
City Of Broken Arrow	OK	Land Ambulance	$1.2M	$2.4M
Dental Depot Of Broken Arrow, PLLC	OK	Dentist	$0	$3.2M
The Griffin Promise	OK	Speech-Language Pathologist	$0	$3.2M
Pmo Medical PLLC	OK	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$0	$3.1M

Broken Arrow Pediatrics, LLC — Billing Profile & Reimbursement Data

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Broken Arrow 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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