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.

Cherokee Nation (NPI 1275799645)

Field	Value
Entity Type	Organization
Organization	Cherokee Nation
Address	19780 E. Ross Street
City	Tahlequah
State	OK
ZIP	74464
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 5, 2008

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	6,470	$510	$3.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2,530	$540	$1.4M
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,…	11,150	$90	$991.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2,180	$70	$143.7K
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…	2,080	$50	$112.5K
D9999	N/A	90	$1,010	$95.3K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	980	$90	$84.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	910	$70	$65.2K
H2011	Crisis intervention service, per 15 minutes	100	$640	$61.1K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	70	$610	$45.3K

Showing 1–10 of 30

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

Cherokee Nation — 1 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	128	140	7,150	$220	$4.4M
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.	202	230	1,440	$170	$1.2M
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,…	18	530	140	$450	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	317	620	6,640	$70	$1.2M
D9999	N/A	29	40	310	$690	$591.7K
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…	527	1,680	820	$90	$307K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	21	20	220	$450	$286.7K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	6	10	30	$1,190	$265.9K
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…	1,330	1,750	870	$70	$254.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	66	190	480	$70	$218.8K

Showing 1–10 of 30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cherokee Nation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cherokee Nation	OK	Land Ambulance	$451.8K	$2.1M
Mohamad Mahayni	OK	Cardiovascular Disease Physician	$384.9K	$0
Kevin Hamm	KS	Diagnostic Radiology Physician	$275.4K	$66.6K
Bilal Aziz	OK	Nephrology Physician	$309.1K	$0
Jeremy Fullingim	OK	Diagnostic Radiology Physician	$220.1K	$0
Cherokee Nation	OK	Ambulatory Surgical Clinic/Center	$218K	$0
Matt Blankenship	OK	Gastroenterology Physician	$208.7K	$0
Jayesh Thakrar	IN	Diagnostic Radiology Physician	$192.3K	$4.8K
Patrick Volak	OK	Gastroenterology Physician	$194.2K	$0
Christopher Nelson	OK	Diagnostic Radiology Physician	$193.8K	$0

Nearby Providers

Other providers in the same ZIP code as Cherokee Nation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeastern Oklahoma Community Health Centers Inc	OK	Federally Qualified Health Center (FQHC)	$0	$16.6M
Creoks Mental Health Services	OK	Community/Behavioral Health Agency	$0	$12.5M
Northeastern Health System	OK	General Acute Care Hospital	$0	$9.8M
Cherokee Nation Home Health Outreach	OK	Case Management Agency	$0	$7.4M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$7M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$5.8M
Cornerstone Health Care Resources, LLC	OK	Case Management Agency	$0	$5.4M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$4.2M
Grace Medical Equipment, LLC.	OK	Oxygen Equipment & Supplies (DME)	$0	$2.8M
Northeastern Oklahoma Community Health Centers, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$2.6M

Cherokee Nation — Billing Profile & Reimbursement Data

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Cherokee Nation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References