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.

Osu Center For Health Sciences (NPI 1407001654)

Key Findings

Field	Value
Entity Type	Organization
Organization	Osu Center For Health Sciences
Address	6151 S Yale Ave
City	Tulsa
State	OK
ZIP	74136
Taxonomy	Medical Specialty Clinic/Center
NPI Enumerated	December 1, 2008

Payer Source	Total Paid
Medicaid	$18.9M
Medicare	$0

OSU CENTER FOR HEALTH SCIENCES has no Medicare billing on file and reports $18.9M in lifetime Medicaid revenue, making its public billing footprint effectively Medicaid‑centric. This payer concentration means analyses of utilization and competitive position should be interpreted within a Medicaid context rather than a mixed Medicare/Medicaid profile.

Revenue is highly concentrated in a small set of neonatal care codes: the precomputed top three Medicaid codes (99469, 99480, 99479) account for 61.5% of the provider's Medicaid revenue. Individually those codes are listed as 99469 ($6.4M, 34.6%), 99480 ($2.6M, 14.1%), and 99479 ($2.4M, 12.8%), indicating a dominant contribution from newborn and low birth weight infant services.

The code mix indicates a substantive NICU and newborn care operation. High‑revenue neonatal codes include 99469 (subsequent neonatal critical care) and direction-of-care codes for recovering low birth weight infants 99480 and 99479, while complementary inpatient neonatal services such as 99468 ($1.7M, initial neonatal critical care) and 99472 ($1.0M, follow-up care) further support a continuous NICU care pathway.

Competitive standing across neonatal codes is mixed: 99480 ranks #1 of 8 in-state (100th percentile) and 99468 ranks #1 of 5 (100th percentile), showing the provider is a leading in-state reporter for these specific services even though the dataset labels these volumes as "typical, unremarkable volume." By contrast, 99469 ranks #3 of 5 (50th percentile) and 99479 ranks #3 of 8 (71st percentile), indicating more moderate statewide positioning for those adjacent neonatal services.

Beyond neonatal care, the provider reports meaningful inpatient and critical care E/M activity consistent with hospital‑based pediatric services. Examples include 99233 ($368.2K), 99223 ($279.3K), 99239 ($323.8K, rank #7 of 117, 95th percentile), and critical care 99291 ($99.7K), which together point to sustained inpatient throughput and higher‑complexity encounters.

The organization also bills substantial outpatient and diagnostic services that complement pediatric and perinatal care: 99214 ($658.8K) for outpatient E/M, 93306 echocardiography ($597.5K, rank #9 of 81, 90th percentile), and fetal imaging 76811 ($148.1K) and 76816 ($96.2K). These ancillary service lines support a broader maternal–child health footprint beyond pure NICU care.

The heavy dependence on a narrow set of neonatal codes concentrates financial exposure: with $18.9M in Medicaid revenue and the top three codes comprising 61.5% of Medicaid revenue, the provider's revenue profile will be sensitive to changes in birth volumes, regional NICU referral patterns, or Medicaid reimbursement policy for neonatal services. This concentration is a key risk/strategic factor for payers and network planners assessing stability and growth.

OSU CENTER FOR HEALTH SCIENCES has a long tenure in public records (NPI enumerated 2008-12-01, ~18 years ago), indicating an established presence in the market. Combined with top statewide rankings on select neonatal codes, the profile is consistent with a longstanding hospital‑affiliated neonatal/pediatric service line rather than a new entrant or purely outpatient clinic.

Medicaid: Complete Services Breakdown

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

70 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	10,090	$630	$6.4M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	13,600	$190	$2.6M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	11,850	$200	$2.4M
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	1,170	$1,480	$1.7M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	1,720	$610	$1M
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…	5,070	$130	$658.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	5,240	$110	$597.5K
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…	2,610	$140	$368.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,880	$180	$338.4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1,940	$170	$323.8K

Showing 1–10 of 70

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

Osu Center For Health Sciences — 2 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

70 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	3	10	10,090	$570	$4.9M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	3	10	300	$640	$2.1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	3	10	8,540	$160	$1.5M
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,…	492	530	140	$450	$1.2M
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	9	10	3,080	$240	$1.1M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	1	10	6,620	$170	$1M
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	1	10	140	$1,420	$682.7K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	10	20	580	$140	$627K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	45	50	70	$1,800	$496.5K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	19	40	60	$2,350	$476.3K

Showing 1–10 of 70

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Hospital, Inc.	OK	General Acute Care Hospital	$0	$43.2M
Warren Clinic Inc	OK	General Practice Physician	$0	$40.2M
Specialized Home Nursing, Inc.	OK	Home Health Agency	$0	$21.5M
Saint Francis Outreach Services LLC	OK	Clinical Medical Laboratory	$5.4M	$15.7M
Improving Lives Counseling Services, Inc.	OK	Community/Behavioral Health Agency	$0	$21.1M
Preferred Family Health Care, Inc.	OK	Community/Behavioral Health Agency	$0	$19.4M
Emergency Medicine Physicians Of Tulsa County, LLC	OK	Emergency Medicine Physician	$0	$18M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$14.1M
Home Therapy Resources, Inc.	OK	Pediatric Physical Therapist	$0	$9.4M
Counseling & Recovery Services Of Oklahoma, Inc.	OK	Community/Behavioral Health Agency	$0	$8.7M

Osu Center For Health Sciences — Billing Profile & Reimbursement Data

Sign up for Osu Center For Health Sciences — Billing Profile & Reimbursement Data policy alerts

Osu Center For Health Sciences — Billing Profile & Reimbursement Data

Sign up for Osu Center For Health Sciences — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References