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.

Long Term Care Specialists, Inc (NPI 1497761159)

Long Term Care Specialists, Inc is a geriatric medicine (family medicine) physician provider located in Oklahoma City, Oklahoma. This profile covers 0 Medicare and 23 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	Long Term Care Specialists, Inc
Address	5721 Nw 132nd St
City	Oklahoma City
State	OK
ZIP	73142
Taxonomy	Geriatric Medicine (Family Medicine) Physician
NPI Enumerated	August 1, 2006

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	106,520	$20	$2.3M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	30,410	$20	$577.7K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	2,160	$60	$118.7K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	3,360	$30	$84.1K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1,390	$40	$49.9K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	4,600	$10	$46K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	3,630	$10	$18.1K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	200	$40	$8.5K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	1,360	$10	$6.8K
G3002	Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation,…	860	$10	$6K

Showing 1–10 of 23

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

Long Term Care Specialists, Inc — 8 of 22 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	130	330	$20	$67.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	3	170	470	$20	$54.2K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	4	30	120	$50	$48K
99336	N/A	4	10	210	$50	$34.8K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	10	30	420	$30	$31.6K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	25	110	260	$20	$25.7K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	9	20	170	$30	$21.2K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	24	40	160	$30	$14.2K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	13	20	100	$20	$11.4K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	80	120	100	$20	$8.9K

Showing 1–10 of 23

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexander Frank	OK	Family Medicine Physician	$4M	$0
Alex Dwuma	OK	Internal Medicine Physician	$820.6K	$0
Terry Hermance	OK	Family Medicine Physician	$768.1K	$0
James Krablin	OK	Internal Medicine Physician	$754K	$0
Angela Mcguire	OK	General Practice Physician	$738.3K	$0
Tamara Altstatt	OK	Adult Health Nurse Practitioner	$436.8K	$0
Ronald Cable	OK	Family Medicine Physician	$403.2K	$0
Corey Finch	OK	Family Medicine Physician	$382.1K	$0
Justin Henson	OK	Family Nurse Practitioner	$233.9K	$0
Ashley Ford	OK	Internal Medicine Physician	$227.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Mclaughlin	OK	Radiation Oncology Physician	$2M	$0
Speech Pathway LLC	OK	Speech-Language Pathologist	$0	$1.8M
Leslie Yonemoto	OK	Radiation Oncology Physician	$1.4M	$0
Mark Storey	OK	Radiation Oncology Physician	$1.1M	$0
Graciela Gallardo	OK	Family Medicine Physician	$710K	$0
David Neumann	OK	Gastroenterology Physician	$392.2K	$0
Robert Gaston	OK	Radiation Oncology Physician	$368.1K	$0
Kiran Prabhu	OK	Radiation Oncology Physician	$362.3K	$0
Mark Dawkins	OK	Dermatology Physician	$271.2K	$0
Henry Vaughan	OK	Family Medicine Physician	$223.8K	$0

Long Term Care Specialists, Inc — Billing Profile & Reimbursement Data

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Long Term Care Specialists, Inc — 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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