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.

Oklahoma Arthritis Center, P.C. (NPI 1528036019)

Field	Value
Entity Type	Organization
Organization	Oklahoma Arthritis Center, P.C.
Address	1701 Renaissance Blvd
City	Edmond
State	OK
ZIP	73013
Taxonomy	Rheumatology Physician
NPI Enumerated	March 9, 2006

Payer Source	Total Paid
Medicaid	$10.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

65 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0490	Injection, belimumab, 10 mg	1,240	$2,880	$3.6M
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…	21,540	$90	$1.9M
J0491	Injection, anifrolumab-fnia, 1 mg	290	$4,250	$1.2M
J1602	Injection, golimumab, 1 mg, for intravenous use	820	$1,240	$1M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	6,440	$80	$482.6K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	660	$500	$326.5K
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…	1,980	$120	$243.8K
86235	The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,…	1,270	$150	$194.2K
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…	2,260	$60	$133.4K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	50	$2,030	$109.3K

Showing 1–10 of 65

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

Oklahoma Arthritis Center, P.C. — 9 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

65 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0490	Injection, belimumab, 10 mg	1	10	760	$2,570	$2M
J0491	Injection, anifrolumab-fnia, 1 mg	1	10	290	$4,250	$1.2M
J1602	Injection, golimumab, 1 mg, for intravenous use	1	10	820	$1,240	$1M
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…	41	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…	560	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…	21	40	440	$30	$230.3K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1	10	70	$710	$180.6K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	1	30	590	$130	$153K
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.	93	190	80	$200	$128K
86235	The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,…	5	10	1,300	$60	$107.9K

Showing 1–10 of 65

Related Providers

Other providers that share a Tax Identification Number (TIN) with Oklahoma Arthritis Center, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Craig Carson	OK	Rheumatology Physician	$9.7M	$0
Ana Kumar	OK	Rheumatology Physician	$4.1M	$0
Keshav Panday	OK	Specialist	$3.3M	$0
Graciela Gallardo	OK	Family Medicine Physician	$710K	$0
Spencer Wopart	OK	Nurse Practitioner	$379.2K	$0
Sterling Riggs	OK	Interventional Pain Medicine Physician	$184.5K	$0
Kelsey Landon	OK	Physician Assistant	$122.4K	$0
Cindy Hagan	OK	Medical Physician Assistant	$105K	$0
Latosha Redd	OK	Family Nurse Practitioner	$104K	$0
Candice Breeden	OK	Physician Assistant	$95.5K	$0

Nearby Providers

Other providers in the same ZIP code as Oklahoma Arthritis Center, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Specialty Care Pediatrics, Inc.	OK	Home Health Agency	$0	$44.8M
Medical Resource Management, LLC	OK	Urgent Care Clinic/Center	$0	$14.9M
Sand Lily Healthcare, Inc.	OK	In Home Supportive Care Agency	$0	$8.9M
Christopher Fisher	OK	Internal Medicine Physician	$7.6M	$0
Summit Medical Center	OK	General Acute Care Hospital	$0	$7.1M
Brian Phelps	OK	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Sandeep Shah	OK	Retina Specialist (Ophthalmology) Physician	$3.9M	$0
Ryan Ridges	OK	Retina Specialist (Ophthalmology) Physician	$3.6M	$0
Michael Hood	OK	Retina Specialist (Ophthalmology) Physician	$3.5M	$0
Pathways Professional Counseling LLC	OK	Community/Behavioral Health Agency	$0	$3.4M

Oklahoma Arthritis Center, P.C. — Billing Profile & Reimbursement Data

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Oklahoma Arthritis Center, P.C. — 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