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.

Ashley Mathias (NPI 1326588526)

Field	Value
Entity Type	Individual
Organization	Ashley Mathias
Address	11621 N Santa Fe Ave Ste A6
City	Oklahoma City
State	OK
ZIP	73114
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	March 7, 2017

Payer Source	Total Paid
Medicare	$28.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	210	$70	$15.7K
G0408	Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth	130	$70	$8.1K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	80	$40	$3.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	20	$60	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Ashley Mathias — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	254	270	170	$70	$42.7K
99233	416	1,260	120	$90	$19.1K
G0408	4	10	100	$70	$14.1K
90833	21	60	60	$40	$4.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duncan Regional Hospital, Inc.	OK	Rural Acute Care Hospital	$0	$17.8M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Duncan Regional Hospital, Inc.	OK	Rural Health Clinic/Center	$0	$4.7M
Duncan Regional Hospital, Inc	OK	Rural Health Clinic/Center	$0	$4.2M
Duncan Regional Hospital, Inc	OK	Rural Health Clinic/Center	$0	$3.6M
Duncan Regional Hospital, Inc.	OK	Rural Health Clinic/Center	$0	$3.4M
Duncan Regional Hospital, Inc.	OK	Rural Health Clinic/Center	$0	$2.3M
Solutions Practice Management	OK	Family Medicine Physician	$0	$2M
Holloway Group Inc	OK	Multi-Specialty Clinic/Center	$0	$1.7M
Straight Line Arla	TX	Psychiatry Physician	$242.4K	$1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diagnostic Laboratory Of Oklahoma LLC	OK	Clinical Medical Laboratory	$12.4M	$69M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$19.3M
Mcbride Clinic Orthopedic Hospital, LLC	OK	General Acute Care Hospital	$0	$9M
Coordinated Care Health Solutions, LLC	OK	Clinical Medical Laboratory	$395.7K	$5.8M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$6M
Personal Nursing Care, Inc	OK	Home Health Agency	$0	$5.6M
Lori Craig	OK	Nurse Practitioner	$4.5M	$0
Diagnostic Pathology Services, Inc.	OK	Clinical Medical Laboratory	$460.1K	$2.9M
Integris Ddsi Endoscopy Centers LLC	OK	Ambulatory Surgical Clinic/Center	$1.1M	$1.2M
Todd Mollet	OK	MOHS-Micrographic Surgery Physician	$2.1M	$0

Ashley Mathias — Billing Profile & Reimbursement Data

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Ashley Mathias — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References