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.

Williams Medical Group Practice, LLC (NPI 1346608809)

Key Findings

Field	Value
Entity Type	Organization
Organization	Williams Medical Group Practice, LLC
Address	6744 Nw Cache Rd
City	Lawton
State	OK
ZIP	73505
Taxonomy	Family Medicine Physician
NPI Enumerated	January 29, 2016

Payer Source	Total Paid
Medicaid	$27.6M
Medicare	$0

This provider is effectively single‑payer on file: there is no Medicare billing on file while total Medicaid revenue is $27.6M, so all observed fee‑for‑service scale and volume come through Medicaid. Analysts should treat this profile as Medicaid‑concentrated rather than a mixed Medicare/Medicaid practice when assessing market exposure and payer negotiations.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 51.9% of total Medicaid revenue. Those top three codes are 99214 ($6.5M revenue, 68.8K claims, $94 avg paid/claim — 23.5% of Medicaid revenue), 87426 ($4M revenue, 98.3K claims, $41 avg paid/claim — 14.6% of Medicaid revenue), and 87502 ($3.8M revenue, 47.6K claims, $80 avg paid/claim — 13.8% of Medicaid revenue), indicating a small set of services drives the majority of receipts.

Code mix and volumes point to a combined primary‑care plus high‑throughput diagnostic testing operation. Large E/M volumes (99214: 68.8K claims; 99204: 27.1K claims; 99213: 32.9K claims) alongside very high counts of infectious‑disease tests (87426: 98.3K claims; 87880: 108.7K claims; 87502: 47.6K claims; 87811: 54.6K claims) suggest routine office care is bundled with substantial in‑house or associated lab/testing activity rather than a pure office‑visit clinic.

Competitive standing within Oklahoma is strong and, for key testing and some E/M codes, dominant. Multiple codes are labeled as "extreme outlier" at the state level: 87426 ranks #1 of 288 providers (100th percentile; extreme outlier), 87502 ranks #1 of 112 providers (100th percentile; extreme outlier), 87811 and 87804 rank #1 in their peer sets (both 100th percentile; extreme outliers), and 99214 ranks #8 of 1680 providers (100th percentile; extreme outlier), indicating the provider is a major volume leader statewide for those services.

The economics reflect a high‑volume, lower‑unit‑price testing footprint combined with higher‑paid evaluation visits: average paid per claim is $41 for 87426 and $14 for 87880 but $94 for 99214 and $128 for 99204. This mix produces material revenue from testing due to claim counts (e.g., 98.3K claims for 87426) while E/M codes contribute larger per‑claim dollars, so both components materially shape overall Medicaid revenue.

Clinical intake and continuity both appear meaningful: the practice reports very large new‑patient and established‑patient visit volumes (99204: 27.1K claims, 99203: 18K claims, 99214: 68.8K claims, 99213: 32.9K claims). That combination implies ongoing primary care management plus substantial new‑patient throughput, consistent with a practice that accepts walk‑ins, referrals, or operates a centralized intake/testing portal.

The provider has been enumerated since 2016‑01‑29 (~10 years ago), giving roughly a decade of billing history to have built these high testing and visit volumes; tenure supports that these patterns reflect an established operating model rather than a very recent surge.

Because more than half of Medicaid revenue is concentrated in three codes (51.9%) and many testing codes rank as extreme outliers, the provider’s Medicaid revenue is operationally sensitive to demand for respiratory and infectious disease testing and to Medicaid reimbursement policy for those codes. Analysts should consider that changes in testing demand or state coverage/payment rules could materially affect overall revenue given the observed concentration.

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
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…	68,830	$90	$6.5M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	98,330	$40	$4M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	47,600	$80	$3.8M
99204	The provider sees a new 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 provider…	27,050	$130	$3.5M
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…	32,890	$70	$2.2M
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…	54,570	$40	$1.9M
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	54,390	$30	$1.6M
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	108,670	$10	$1.5M
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…	17,990	$80	$1.5M
87400	The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.	14,930	$30	$373.2K

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

Williams Medical Group Practice, LLC — 12 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
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,…	207	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…	8	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…	31	1,750	870	$70	$254.4K
99204	The provider sees a new 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 provider…	1	720	120	$150	$94.5K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	15	50	280	$50	$81.5K
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…	7	710	140	$100	$74.6K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	1	110	160	$80	$69.9K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	1	290	260	$40	$69.7K
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…	1	110	170	$40	$50.9K
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…	44	210	200	$50	$35.4K

Showing 1–10 of 30

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$18.3M
Chris Larrow PLLC	OK	General Practice Dentistry	$0	$16.6M
State Of Oklahoma	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.1M
Southwestern Medical Center, LLC	OK	General Acute Care Hospital	$0	$9.4M
Health Watch Health Care Of Sw Oklahoma, LLC	OK	Home Health Agency	$0	$9.1M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$7.1M
Ocean Dental, PC	OK	General Practice Dentistry	$0	$5.5M
Our House Mhsa Inc	OK	Mental Health Counselor	$0	$5.1M
Wavel L. Wells, Dds, Inc	OK	General Practice Dentistry	$0	$4.5M
Comanche County Hospital Authority	OK	Land Ambulance	$837.1K	$3.4M

Williams Medical Group Practice, LLC — Billing Profile & Reimbursement Data

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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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Williams Medical Group Practice, LLC	OK	Rural Health Clinic/Center	$0	$1.8M
Williams Medical Group Practice, LLC	OK	Rural Health Clinic/Center	$0	$1.8M
Williams Medical Group Practice, LLC	OK	Rural Health Clinic/Center	$0	$1.6M
Williams Medical Group Practice, LLC	OK	Rural Health Clinic/Center	$0	$1.6M
Williams Medical Group Practice, LLC	KS	Family Medicine Physician	$0	$730K
Kelleena Duran	OK	Family Nurse Practitioner	$361.7K	$0
Britney Welch	OK	Physician Assistant	$223.8K	$0
Joseph Moore	OK	Internal Medicine Physician	$144.5K	$0
Joanna Smith	OK	Psychiatric/Mental Health Nurse Practitioner	$104.6K	$0
Jeffrey Martindale	OK	Counseling Psychologist	$96.9K	$0