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    OpenPayerNPI Medicare & MedicaidMark Mclaughlin
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    Mark Mclaughlin — Billing Profile & Reimbursement Data

    NPI 1386164507 · Oklahoma City, OK · Radiation Oncology Physician

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    Mark Mclaughlin is a radiation oncology physician provider located in Oklahoma City, Oklahoma. This profile covers 27 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Mclaughlin
    Address5901 W Memorial Rd
    CityOklahoma City
    StateOK
    ZIP73142
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedJune 20, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the dominant payer presence: lifetime Medicare revenue is $2M while there is no Medicaid billing on file, so the practice is effectively single‑payer Medicare from a billing perspective. That concentration implies revenue exposure is tied to Medicare reimbursements and utilization patterns rather than a diversified payer mix.

    Revenue is highly concentrated in a very small set of services: the precomputed top three Medicare codes account for 76.7% of total Medicare revenue, and a single code, 77523, represents 67.1% of Medicare revenue ($1.3M). This degree of concentration indicates the business is driven overwhelmingly by one high‑revenue procedure.

    The code mix and descriptions point to a specialized, high‑technology radiation oncology operation: heavy billing for 77523 (proton beam technical component), frequent use of image guidance codes such as G6002 (stereoscopic x‑ray guidance), and prostate spacer procedures under 55874 together suggest a clinical focus on advanced external beam modalities and prostate cancer care. These procedure types are consistent with a center that offers proton therapy, robust image guidance, and prostate‑specific workflow.

    For several top codes this provider is a market leader nationally: 77523 ranks #7 of 111 providers (95th percentile) and is described as notably above typical national volume, signaling the provider is a major national participant for proton technical services. Similarly, other planning and delivery codes show elevated national standing rather than modest local practice volumes.

    G6002 is an extreme statistical outlier in national comparison: it produces $101.6K (5.1% of Medicare revenue) from 1.9K claims and ranks #20 of 2280 providers (99th percentile) with the label "extreme outlier, far above typical national volume." This suggests unusually high use of stereoscopic x‑ray guidance relative to peers and indicates intensive image‑guided workflows.

    The practice demonstrates strong in‑house planning, dosimetry, and medical physics activity as shown by high national percentiles on several support codes: 77334 ($45.5K) ranks #66 of 4463 (99th percentile); 77290 ($36.8K) ranks #116 of 3650 (97th percentile); and 77295 ($24.7K) ranks #120 of 3008 (96th percentile). Together with 77331 ranking #14 of 267 (95th percentile) for dosimetry, these results show the provider bills substantially for technical planning and QA services that underpin complex radiation treatments.

    Beyond procedure volumes, the practice also bills a non‑trivial amount for high‑acuity consults and visits: 99205 appears with 106 claims and $16.2K revenue (0.8% of Medicare revenue) and ranks #2701 of 66257 providers (96th percentile), indicating above‑typical volume of complex new patient evaluations. This supports a model in which advanced technical treatments are paired with higher‑complexity clinical evaluation.

    The provider’s NPI was enumerated on 2017-06-20 (~9 years ago), indicating a moderate tenure in the Medicare program. Combined with the concentrated revenue mix and multiple high national percentiles, tenure plus utilization patterns are consistent with an established, specialized radiation oncology operation rather than a new or diffuse general practice.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77523This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is…1,960$690$1.3M
    G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy1,880$50$101.6K
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…40$2,050$90.2K
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session290$250$73.3K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…440$140$63.2K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.500$90$45.5K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…110$320$36.8K
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…50$670$32.1K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…500$60$30.2K
    77014N/A330$90$28.4K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77523110280$690$383.2K
    G6015610270$250$141K
    77373310150$700$84.6K
    5587411020$1,700$40.8K
    77427740210$140$33.5K
    A464821080$390$33K
    770142640500$50$29.2K
    7728074050$160$28.4K
    77301253040$580$28K
    G6002120240$30$13.4K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Warren Clinic IncOKGeneral Practice Physician$0$40.2M
    Saint Francis Hospital Muskogee IncOKGeneral Acute Care Hospital$0$16.8M
    Matthew ComstockOKInterventional Cardiology Physician$2.8M$0
    Han-chih ChangTNRadiation Oncology Physician$2.6M$0
    Hassan AbouhouliOKPulmonary Disease Physician$1.4M$0
    Mindy EwertOKPhysician Assistant$1.1M$0
    Mark StoreyOKRadiation Oncology Physician$1.1M$0
    Johnathan LedetOKDermatology Physician$862.7K$0
    Samuel DakilOKUrology Physician$823.8K$0
    Bradley WilsonOKUrology Physician$688.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alexander FrankOKFamily Medicine Physician$4M$0
    Long Term Care Specialists, IncOKGeriatric Medicine (Family Medicine) Physician$0$3.3M
    Speech Pathway LLCOKSpeech-Language Pathologist$0$1.8M
    Leslie YonemotoOKRadiation Oncology Physician$1.4M$0
    Terry HermanceOKFamily Medicine Physician$768.1K$0
    Angela McguireOKGeneral Practice Physician$738.3K$0
    Graciela GallardoOKFamily Medicine Physician$710K$0
    Tamara AltstattOKAdult Health Nurse Practitioner$436.8K$0
    Ronald CableOKFamily Medicine Physician$403.2K$0
    David NeumannOKGastroenterology Physician$392.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oklahoma Distribution
    Mark Mclaughlin — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma