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.

The Physicians Group LLC (NPI 1487620381)

The Physicians Group LLC is a general practice physician provider located in Oklahoma City, Oklahoma. This profile covers 0 Medicare and 73 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	The Physicians Group LLC
Address	14024 Quail Pointe Dr
City	Oklahoma City
State	OK
ZIP	73134
Taxonomy	General Practice Physician
NPI Enumerated	February 28, 2006

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

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

73 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	31,100	$90	$2.8M
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	12,770	$110	$1.4M
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…	22,450	$60	$1.3M
99203	The provider sees a new 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 provider…	3,460	$90	$300.8K
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…	3,890	$40	$171K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	2,780	$40	$108.6K
99204	The provider sees a new 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 provider…	800	$130	$105.6K
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…	450	$140	$63.9K
99205	The provider sees a new 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 provider…	330	$170	$57.8K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	930	$50	$49.1K

Showing 1–10 of 73

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

The Physicians Group LLC — 4 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

73 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,…	167	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…	26	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…	50	1,750	870	$70	$254.4K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	17	40	440	$30	$230.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	89	100	630	$50	$197.2K
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…	61	280	840	$50	$179.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	263	270	600	$90	$159.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	183	280	470	$100	$140.8K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	3	10	760	$60	$130.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	89	190	80	$200	$128K

Showing 1–10 of 73

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Latisha Heinlen	OK	Rheumatology Physician	$3.6M	$0
Paul Jacob	OK	Adult Reconstructive Orthopaedic Surgery Physician	$542.4K	$0
Randi Jones	OK	Family Nurse Practitioner	$440.3K	$0
Christine Hauck	OK	Family Nurse Practitioner	$377.1K	$0
Lance Smith	OK	Orthopaedic Surgery Physician	$361.4K	$0
John Goetzinger	OK	Rheumatology Physician	$308.4K	$0
Dustin Brooks	OK	Medical Physician Assistant	$288.9K	$0
Brett Braly	OK	Orthopaedic Surgery of the Spine Physician	$279.9K	$0
Curtis Brown	OK	Family Medicine Physician	$274.2K	$0
Steven Brown	OK	Internal Medicine Physician	$256.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integris Ambulatory Care Corporation	OK	Family Medicine Physician	$0	$27.5M
Amerita, Inc.	OK	Home Infusion Therapy Pharmacy	$0	$12.2M
Dental Depot Of 145th & N. Penn	OK	Dentist	$0	$3.1M
Advanced Surgical & Research Solutions LLC	OK	Ambulatory Surgical Clinic/Center	$2.9M	$0
Oklahoma Outpatient Surgery Limited Partnership	OK	Ambulatory Surgical Clinic/Center	$2.2M	$209.6K
Marcus Smith	OK	Interventional Cardiology Physician	$1.6M	$0
Blake Christensen	OK	Interventional Pain Medicine Physician	$1.4M	$0
Garrett Wright	OK	Anesthesiology Physician	$1M	$0
Blake Parsons	OK	Vascular & Interventional Radiology Physician	$932.8K	$0
Whitney Simmons	OK	Gerontology Nurse Practitioner	$705.6K	$0

The Physicians Group LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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