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.

Northeastern Health System (NPI 1457574170)

Field	Value
Entity Type	Organization
Organization	Northeastern Health System
Address	1400 E Downing St
City	Tahlequah
State	OK
ZIP	74464
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 11, 2007

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	9,070	$90	$770.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	7,130	$60	$392.1K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	1,930	$100	$201K
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…	1,630	$100	$166.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	600	$190	$112.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,990	$40	$107.6K
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…	1,770	$40	$72.7K
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…	870	$50	$45.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	480	$90	$43.5K
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…	1,660	$20	$38.2K

Showing 1–10 of 32

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

Northeastern Health System — 0 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	42	230	1,440	$170	$1.2M
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,…	430	530	140	$450	$1.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	82	250	1,820	$130	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	67	180	1,030	$200	$1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	36	50	70	$1,800	$496.5K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	66	70	290	$290	$376.1K
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…	1,263	1,680	820	$90	$307K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	23	70	150	$450	$279K
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…	655	1,750	870	$70	$254.4K
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…	52	190	480	$70	$218.8K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeastern Health System	OK	General Acute Care Hospital	$0	$9.8M
Northeastern Health System	OK	Land Ambulance	$0	$2.3M
Hassan Abouhouli	OK	Pulmonary Disease Physician	$1.4M	$0
Farshid Zandi	OK	Hospitalist Physician	$659K	$0
Edward Abraham	AR	Radiation Oncology Physician	$474.1K	$0
Jewell Daniels	OK	Urology Physician	$449.1K	$0
Ravikumar Vasireddy	OK	Hematology & Oncology Physician	$436.5K	$0
Christopher Higgins	OK	Cardiovascular Disease Physician	$406.7K	$0
Christopher Deloache	OK	Orthopaedic Surgery Physician	$402.8K	$0
Azzam Almounajjed	OK	Internal Medicine Physician	$339.1K	$0

Nearby Providers

Other providers in the same ZIP code as Northeastern Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeastern Oklahoma Community Health Centers Inc	OK	Federally Qualified Health Center (FQHC)	$0	$16.6M
Creoks Mental Health Services	OK	Community/Behavioral Health Agency	$0	$12.5M
Cherokee Nation Home Health Outreach	OK	Case Management Agency	$0	$7.4M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$7M
Cherokee Nation	OK	General Acute Care Hospital	$0	$6.4M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$5.8M
Cornerstone Health Care Resources, LLC	OK	Case Management Agency	$0	$5.4M
Northeastern Oklahoma Community Health Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$4.2M
Grace Medical Equipment, LLC.	OK	Oxygen Equipment & Supplies (DME)	$0	$2.8M
Northeastern Oklahoma Community Health Centers, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$2.6M

Northeastern Health System — Billing Profile & Reimbursement Data

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Northeastern Health System — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References