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.

Paul Zito (NPI 1396155966)

Field	Value
Entity Type	Individual
Organization	Paul Zito
Address	Oklahoma Cancer Specialist & Research Institute
City	Tulsa
State	OK
ZIP	74146
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	May 5, 2014

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Medicare: Complete Services Breakdown

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

102 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	11,000	$40	$473K
J9299	Injection, nivolumab, 1 mg	16,920	$20	$406.1K
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	6,840	$40	$259.9K
J1930	Injection, lanreotide, 1 mg	3,120	$50	$140.4K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	80	$1,030	$85.7K
J1449	Injection, eflapegrastim-xnst, 0.1 mg	3,170	$30	$85.6K
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	2,270	$40	$81.7K
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…	610	$90	$53.7K
J1627	Injection, granisetron, extended-release, 0.1 mg	10,400	$10	$52K
J3490	Unclassified drugs	120	$430	$51.2K

Showing 1–10 of 102

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 102 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Paul Zito — 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. state median

102 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	112	10	10,600	$40	$466.9K
J9299	6	10	14,050	$20	$324.4K
J9144	9	10	6,480	$40	$248.5K
J1930	3	10	2,910	$40	$137.2K
J1569	16	20	3,670	$30	$125.8K
J0897	440	70	2,130	$20	$91.2K
J1449	3	10	3,040	$30	$78.5K
Q5118	22	10	1,480	$30	$37.8K
Q5123	3	10	1,080	$30	$37.3K
Q5119	32	10	1,280	$20	$31.1K

Showing 1–10 of 102

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospitalist Medicine Physicians Of Texas, PLLC	TX	Internal Medicine Physician	$0	$16.3M
Hospital Service Dist. No. 1 Of The Parish Of St. Charles, State Of La	LA	General Acute Care Hospital	$0	$13.9M
Vishnu Madireddy	IL	Internal Medicine Physician	$389K	$3.1M
Grenville Jones	ME	Therapeutic Radiology Physician	$2.8M	$0
Clinton J Baird Plc	OK	Neurological Surgery Physician	$0	$2.6M
Scott Cole	OK	Hematology & Oncology Physician	$2.3M	$0
Charles Taylor	OK	Hematology & Oncology Physician	$2.3M	$0
Mark Olsen	OK	Hematology & Oncology Physician	$2.2M	$0
Melinda Dunlap	OK	Hematology & Oncology Physician	$2.1M	$0
Mark Jennings	TX	Internal Medicine Physician	$2.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Option 1 Nutrition Solutions LLC	OK	Durable Medical Equipment & Medical Supplies	$0	$18.8M
Regional Medical Laboratory, Inc	OK	Clinical Medical Laboratory	$0	$17.6M
Labcorp Oklahoma, Inc.	OK	Clinical Medical Laboratory	$6.8M	$7.8M
Access Pain Solutions	OK	Pain Medicine Physician	$0	$13.1M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$10.5M
Advanced Pediatric Care	OK	Durable Medical Equipment & Medical Supplies	$0	$4.9M
Asm LLC	OK	Customized Equipment (DME)	$0	$4.7M
Pathology Laboratory Associates, Inc.	OK	Anatomic Pathology & Clinical Pathology Physician	$22.2K	$3.9M
Sleep Management, L.L.C.	OK	Oxygen Equipment & Supplies (DME)	$0	$3.6M
Tulsa Bone & Joint Associates PC	OK	Orthopaedic Surgery Physician	$0	$3M

Paul Zito — 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