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.

Choctaw Nation Of Oklahoma (NPI 1396173449)

Field	Value
Entity Type	Organization
Organization	Choctaw Nation Of Oklahoma
Address	1801 Chukka Hina
City	Durant
State	OK
ZIP	74701
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	October 29, 2013

Payer Source	Total Paid
Medicaid	$40.3M
Medicare	$0

Key Findings

CHOCTAW NATION OF OKLAHOMA reports no Medicare billing on file and $40.3M in lifetime Medicaid revenue, indicating the organization is effectively single-payer in this dataset and is highly dependent on Medicaid for its billed clinical activity. This payer concentration is a primary characteristic of the provider’s revenue profile and should be considered when assessing reimbursement and policy exposure.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, signaling that a very small set of services drives nearly all reported Medicaid receipts. That concentration creates operational and reimbursement sensitivity if code mix or payment rates change.

The top-revenue Medicaid code is 99212 (established patient office/outpatient visit, straightforward decision making), with 74.4K claims and an average paid per claim of $541 yielding $40.3M in revenue — this single code accounts for 100.0% of the reported Medicaid revenue and ranks the provider #4 of 529 in-state (99th percentile; extreme outlier). These metrics indicate the organization operates a very high-volume ambulatory primary care model focused on brief, established patient visits.

By contrast, 99214 (established patient visit with moderate complexity) appears only 325 times for $5.9K in revenue (0.0% of total Medicaid revenue) and ranks #1099 of 1680 in-state (35th percentile), a typical and unremarkable position for that code. The sharp difference between high-volume, high-revenue 99212 activity and negligible 99214 revenue suggests the clinic’s case mix skews heavily toward lower-complexity encounters rather than longer, higher-complexity visits.

The provider’s competitive standing in the state is concentrated: its #4 ranking and 99th percentile position on 99212 mark it as a dominant statewide participant for that specific primary care E/M code, while its position on 99214 shows it is not similarly dominant for moderate-complexity E/M services. Analysts should interpret the provider as a major access point for Medicaid established-patient visits in Oklahoma, especially for straightforward outpatient encounters.

Operational implications include a likely staffing and throughput model optimized for high-volume, shorter visits consistent with the 99212 description; the $541 average paid per 99212 claim also indicates substantial realized reimbursement from those encounters. Given the reliance on one high-volume code, any operational changes or Medicaid policy revisions affecting office/outpatient established-visit reimbursement could materially shift revenue.

The provider has an established tenure with NPI enumeration dated 2013-10-29 (~13 years ago), which, combined with the large Medicaid footprint and concentrated code mix, suggests a long-standing, Medicaid-focused primary care clinic rather than a recently established or diversified multi-payer practice. This longevity supports the interpretation that the observed patterns are persistent operational characteristics rather than transient anomalies.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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,…	74,410	$540	$40.3M
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…	330	$20	$5.8K

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

Choctaw Nation Of Oklahoma — 1 of 2 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

2 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,…	4	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…	1,099	1,680	820	$90	$307K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Choctaw Nation Of Oklahoma	OK	Rural Acute Care Hospital	$0	$83.5M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$38M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$30.3M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$25.3M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$9M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$7M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$4.8M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$3.2M
Matthew Phillips	OK	Ophthalmology Physician	$871.6K	$0
Ronald Kingsley	OK	Retina Specialist (Ophthalmology) Physician	$831.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
People First Industries Of Bryan County Inc	OK	Durable Medical Equipment & Medical Supplies	$0	$49.3M
Durant Hma LLC	OK	General Acute Care Hospital	$0	$13M
Center For Psychological Development, Inc.	OK	Mental Health Counselor	$0	$12.7M
Lighthouse Behavioral Wellness Centers	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.8M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$7.8M
Durant Hma Physician Management, LLC	OK	Internal Medicine Physician	$0	$6.9M
Riverbend Counseling Services, LLC	OK	Community/Behavioral Health Agency	$0	$6.8M
Family Care Center Of Durant PC	OK	Family Nurse Practitioner	$0	$4.1M
Heart And Medical Center Inc	OK	Internal Medicine Physician	$0	$4M
Marshall County Hma LLC	OK	Rural Health Clinic/Center	$0	$3.8M

Choctaw Nation Of Oklahoma — Billing Profile & Reimbursement Data

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Choctaw Nation Of Oklahoma — 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