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.

Central Oklahoma American Indian Health Council, Inc. (NPI 1407969728)

Field	Value
Entity Type	Organization
Organization	Central Oklahoma American Indian Health Council, Inc.
Address	4913 W Reno Ave
City	Oklahoma City
State	OK
ZIP	73127
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 17, 2006

Payer Source	Total Paid
Medicaid	$79.6M
Medicare	$0

Key Findings

This entity is effectively single‑payer in the claims data: there is no Medicare billing on file while it reports $79.6M in total Medicaid revenue, indicating the organization’s operating scale is driven almost entirely by Medicaid reimbursements. The provider’s taxonomy as a Federally Qualified Health Center (FQHC) aligns with this Medicaid concentration and suggests a safety‑net primary care orientation.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes account for 98.9% of this provider’s total Medicaid revenue, and a single code, 99212, accounts for $78M (98.0% of Medicaid revenue). That level of concentration signals heavy dependence on one low‑complexity E/M code for the majority of income.

The dominance of 99212 (an established patient, straightforward E/M visit; 128.9K claims, $605 avg paid/claim, $78M revenue) indicates the operation is high‑volume, low‑complexity primary care focused on frequent brief follow‑ups or problem‑focused visits. This code mix is consistent with FQHC practice patterns—routine outpatient management and access for established patients—rather than specialty or procedure‑driven lines of business.

Competitive standing for the primary revenue driver is unusually strong: 99212 ranks #3 of 529 providers in‑state (100th percentile; extreme outlier, far above typical state volume for this code), which positions the provider as a dominant state‑level participant for this specific service. In contrast, other higher‑level E/M and ancillary codes such as 99214 ($335.5K, 0.4%) rank in typical ranges (99214 ranks #977 of 1680 providers in‑state, 42th percentile).

The provider also bills for group education and population‑health codes where it appears to be unique in the state: 99412 (500 claims, $701 avg paid/claim, $350.5K revenue, 0.4%) and 99411 (154 claims, $660 avg paid/claim, $101.6K revenue, 0.1%) both rank #1 of 1 providers in‑state (0th percentile; no state peer volume comparison available), suggesting localized offerings in group education or community‑level preventive services that are not common among peers.

Behavioral health and nutrition services are present but represent a small share of Medicaid revenue: nutrition therapy codes 97802 ($219K, 0.3%) and 97803 ($145K, 0.2%) appear at moderate in‑state ranks (97802 ranks #9 of 25, 67th percentile), while psychotherapy add‑ons and individual therapy (90838, 90837, 90834) collectively contribute modest amounts (for example, 90838 $45.2K, 0.1%). This mix indicates some integrated behavioral health and dietary counseling capacity but not a major revenue driver.

Operational and reimbursement risk is concentrated: because 98.9% of Medicaid revenue is tied to the top three codes and 99212 alone represents 98.0% of Medicaid revenue, any policy, coding, or rate changes affecting 99212 or FQHC visit reimbursement could materially impact the provider’s financials. Strategic diversification of billable services or payer contracts would reduce sensitivity to changes in that single code.

The provider has long tenure in the NPI registry (NPI enumerated 2006-08-17 (~20 years ago)), which—combined with FQHC status and the strong in‑state ranking on 99212—suggests a well‑established Medicaid referral and patient panel base in Oklahoma City. That longevity supports the interpretation that the current high volume of low‑complexity established visits is a stable, institutionally embedded operating pattern rather than a short‑term anomaly.

Medicaid: Complete Services Breakdown

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

19 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,…	128,910	$610	$78M
99412	The provider offers advice on maintaining and improving health to a group of patients for roughly an hour.	500	$700	$350.5K
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…	510	$660	$335.5K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	320	$680	$219K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	200	$720	$145K
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…	260	$460	$120.9K
99411	The provider offers advice on maintaining and improving health to a group of patients for roughly half an hour.	150	$660	$101.6K
91300	N/A	130	$510	$63.1K
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	70	$640	$45.2K
0001A	N/A	120	$380	$44.2K

Showing 1–10 of 19

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

Central Oklahoma American Indian Health Council, Inc. — 1 of 19 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

19 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,…	3	530	140	$450	$1.2M
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	34	50	770	$90	$353.7K
99412	The provider offers advice on maintaining and improving health to a group of patients for roughly an hour.	1	10	500	$700	$350.7K
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…	977	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…	1,178	1,750	870	$70	$254.4K
99411	The provider offers advice on maintaining and improving health to a group of patients for roughly half an hour.	1	10	150	$660	$101.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	216	270	350	$60	$57.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	36	60	100	$30	$49.8K
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	8	10	170	$100	$48K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	63	80	560	$30	$45.5K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Central Oklahoma American Indian Health Council, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanjaykumar Hapani	OK	Hematology & Oncology Physician	$2M	$0
Wudeneh Zewdie	OK	Nephrology Physician	$386.3K	$0
Tyler Harms	OK	Physical Therapist	$58K	$0
Jin Kong	OK	Internal Medicine Physician	$52K	$0
Kelly Boucher	OK	Optometrist	$26.6K	$0
Nancy-ka Hixon	OK	Physician Assistant	$25.9K	$0
Lauren Barrett	OK	Physician Assistant	$14.9K	$0
Janice Hixson	OK	Pediatrics Physician	$730	$0

Nearby Providers

Other providers in the same ZIP code as Central Oklahoma American Indian Health Council, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Res-care Oklahoma, Inc.	OK	Nursing Care Agency	$0	$5.2M
Kevin Epperson	OK	Family Medicine Physician	$112.4K	$0
Pharmcareok, Inc.	OK	Long Term Care Pharmacy	$40.8K	$0
Karen Kyte	OK	Physician Assistant	$13.7K	$0

Central Oklahoma American Indian Health Council, Inc. — Billing Profile & Reimbursement Data

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Central Oklahoma American Indian Health Council, Inc. — 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