Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidClifford Henderson
    Ask Trek AI about this page

    Clifford Henderson — Billing Profile & Reimbursement Data

    NPI 1477713642 · Oklahoma City, OK · Dermatology Physician

    Customize your policy alerts

    Sign up for Clifford Henderson — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Clifford Henderson is a dermatology physician provider located in Oklahoma City, Oklahoma. This profile covers 29 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationClifford Henderson
    Address9720 Broadway Ext
    CityOklahoma City
    StateOK
    ZIP73114
    TaxonomyDermatology Physician
    NPI EnumeratedJune 11, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    This provider reports $1.2M in lifetime Medicare revenue and has no Medicaid billing on file, making its public payer footprint effectively single-payer (Medicare-only) in the available data. The absence of Medicaid activity means analyses of in-state Medicaid competition or payer-mix diversification are not supported by the dataset.

    Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 63.3% of this provider's total Medicare revenue, driven by Q4159 ($376.5K, 32.1% of Medicare revenue), 17311 ($263K, 22.4%), and 17312 ($103.7K, 8.8%). This concentration signals reliance on a small set of high-value procedural codes for the majority of Medicare receipts.

    The code mix and volumes point to a Mohs- and reconstruction-focused dermatologic surgical practice: 17311 (676 claims, $263K), 17312 (340 claims, $103.7K), and 17313 (173 claims, $76.3K) together reflect substantial Mohs procedural activity, while reconstructive and graft codes such as 14041 (95 claims, $55.9K), 13132 (254 claims, $48K), and 15260 (55 claims, $40.4K) indicate routine post-excisional closure and grafting services. This pattern is consistent with a practice that performs tumor extirpation followed by complex repairs and grafts.

    One exceptional competitive signal is Q4159, where the provider ranks #4 of 43 nationally (93th percentile) and is labeled as notably above typical national volume for this code, suggesting unusually high usage of this add-on per-square-centimeter billing relative to peers. By contrast, Mohs codes are high-volume but more broadly distributed: 17311 ranks #254 of 2969 providers nationally (91th percentile; typical, unremarkable volume) and 17312 ranks #344 of 2770 (88th percentile; typical, unremarkable volume), indicating strong but not singular national market dominance for standard Mohs procedures.

    Several reconstructive and repair codes also appear as above-typical outliers: 14041 ranks #45 of 1009 providers (96th percentile; notably above typical national volume) and 13132 ranks #169 of 3088 providers (95th percentile; notably above typical national volume), which reinforces that reconstructive work is a material secondary revenue stream (14041 $55.9K; 13132 $48K). These ranks suggest the provider competes well on larger defect reconstructions compared with national peers.

    Ancillary pathology, biopsy, and office E/M activity exist but represent a small share of revenue, consistent with a procedure-heavy practice model: for example, 88331 (54 claims, $4.1K), 11102 (92 claims, $4K), and 99213 (69 claims, $3.7K) each contribute modest revenue relative to the top procedural codes. The presence of intraoperative pathology (88331) supports the reported Mohs and surgical workflow but does not materially diversify revenue.

    The provider’s NPI was enumerated on 2008-06-11 (~18 years ago), indicating an established tenure in the market; sustained procedural volumes (e.g., 676 claims for 17311) are consistent with ongoing surgical throughput rather than a recent, transient spike. Longevity combined with concentrated procedural revenue implies operational specialization rather than a broad multispecialty billing profile.

    From a monitoring and payer-management perspective, the combination of Medicare-only billing, heavy revenue concentration in three codes (63.3%), and several “notably above typical” national-volume codes (notably Q4159, 14041, 13132) means financial performance for this provider is sensitive to reimbursement or utilization changes affecting those specific procedure and add-on codes. Contracting or audit strategies should prioritize the top revenue-driving codes and the clinical documentation surrounding Mohs plus reconstructive procedures.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4159Affinity, per square centimeter (add-on, list separately in addition to primary procedure)1,130$330$376.5K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…680$390$263K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.340$310$103.7K
    17313Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.170$440$76.3K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…100$590$55.9K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…250$190$48K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.60$740$40.4K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.50$720$37.3K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.150$180$26.8K
    14021The provider repairs lesions in the patient’s scalp, arms, or legs by using the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2.40$650$22.6K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q4159110340$320$181.3K
    17311420310$400$149.2K
    17312320200$290$62.2K
    1731322060$410$31.1K
    1404111040$590$22.5K
    1404091030$490$21.8K
    1406111020$690$18.7K
    992145,1225,560130$70$18.4K
    1406072030$510$17.9K
    1526012020$710$17.2K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ssm Health Care Of Oklahoma, Inc.OKGeneral Acute Care Hospital$0$46.8M
    St Anthony Shawnee Hospital IncOKGeneral Acute Care Hospital$0$23M
    Saints Medical Group, LLCOKInternal Medicine Physician$0$14.5M
    Midwest Regional Medical Center, LLCOKGeneral Acute Care Hospital$0$5.3M
    Ssm Health Care Of Oklahoma, IncOKGeneral Acute Care Hospital$0$4.9M
    Saint Medical Group, LLCOKFamily Medicine Physician$0$4.5M
    Ssm Health Care Of Oklahoma, IncOKPsychiatry Physician$0$1.8M
    Midwest Regional Medical Center, LLCOKAmbulance$0$1.8M
    Ssm Health Care Of Oklahoma, IncOKAmbulance$0$1.6M
    Saints Medical Group, LLCOKFamily Medicine Physician$0$1.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Diagnostic Laboratory Of Oklahoma LLCOKClinical Medical Laboratory$12.4M$69M
    Variety Care, Inc.OKFederally Qualified Health Center (FQHC)$0$19.3M
    Mcbride Clinic Orthopedic Hospital, LLCOKGeneral Acute Care Hospital$0$9M
    Coordinated Care Health Solutions, LLCOKClinical Medical Laboratory$395.7K$5.8M
    Osu Center For Health SciencesOKClinic/Center$0$6M
    Personal Nursing Care, IncOKHome Health Agency$0$5.6M
    Lori CraigOKNurse Practitioner$4.5M$0
    Diagnostic Pathology Services, Inc.OKClinical Medical Laboratory$460.1K$2.9M
    Integris Ddsi Endoscopy Centers LLCOKAmbulatory Surgical Clinic/Center$1.1M$1.2M
    Todd MolletOKMOHS-Micrographic Surgery Physician$2.1M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oklahoma Distribution
    Clifford Henderson — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma