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.

Ou Health Partners, Inc (NPI 1528642642)

Key Findings

Field	Value
Entity Type	Organization
Organization	Ou Health Partners, Inc
Address	1200 Childrens Ave Ste 11200
City	Oklahoma City
State	OK
ZIP	73104
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 6, 2021

Payer Source	Total Paid
Medicaid	$118.5M
Medicare	$0

This provider is effectively single‑payer in scale: there is no Medicare billing on file while total Medicaid revenue is $118.5M, indicating Medicaid is the dominant (and nearly exclusive) source of fee‑for‑service revenue reported for this NPI. That concentration means financial performance and utilization trends will be driven almost entirely by Medicaid payment policy and covered volume.

Revenue is highly concentrated in ambulatory evaluation & management visits: the precomputed top three Medicaid codes (99214, 99213, 99232) account for 39.2% of the provider's Medicaid revenue. Specifically, 99214 generated $16.5M from 117.8K claims (18.7% of Medicaid revenue), 99213 generated $12M from 110.1K claims (13.6%), and 99232 generated $6.1M from 56K claims (6.9%), showing a heavy share of clinic and subsequent inpatient E/M activity.

The code mix reflects a large multi‑specialty ambulatory and hospital practice with pronounced primary/established patient throughput: extremely high volumes for office visit codes (99214: 117.8K claims; 99213: 110.1K claims; 99204: 23.6K claims; 99203: 19.2K claims) point to substantial outpatient clinic capacity and routine patient management. At the same time, meaningful revenue and claim counts for inpatient and observation codes (99232, 99233, 99222, 99238) and emergency department codes (99284, 99283, 99282) indicate integrated hospital and ED services rather than a pure ambulatory clinic model.

Maternal-newborn and neonatal critical care services are a visible part of the portfolio: 99472 produced $5.3M (8K claims) and 99469 produced $3.4M (5.2K claims), while obstetric ultrasound codes (76811, 76816, 76819) and delivery anesthesia 01967 also appear in the top revenue list. State ranking labels are mixed for these lines — for example, 99472 ranks #2 of 8 (86th percentile; typical, unremarkable) while 76819 ranks #1 of 17 (100th percentile; notably above typical) — indicating both routine and high‑relative activity in perinatal services.

The provider is a dominant statewide player on many high‑volume E/M and basic imaging codes: multiple codes sit at or near the top of their in‑state distributions (examples include 99214 rank #3 of 1680, 99213 rank #4 of 1746, 99215 rank #1 of 302, and chest radiograph 71045 rank #1 of 143), with many labeled as "extreme outlier" or 100th‑percentile volumes. These ranks signal that, within Oklahoma Medicaid, the entity operates at substantially higher volumes than typical peers across several core service lines.

Hospital/ED critical care capacity is notable by both volume and relative ranking: critical care code 99291 generated $3M from 10K claims and ranks #2 of 55 (98th percentile; extreme outlier), while ED codes such as 99284 ($5M, 26.9K claims) and 99283 ($2.8M, 26.1K claims) reflect substantial emergency throughput. Together these patterns point to sustained high acuity care delivery (ICU/ED/inpatient) alongside ambulatory activity.

Ancillary imaging and procedure services provide meaningful additional Medicaid revenue and breadth: transthoracic echo codes 93303/93306 (combined top‑25 entries yielding $1.7M and $1.4M respectively), CT abdomen/pelvis 74177 ($1.6M), and ultrasound codes (76811 $2M; 76816 $2M) all appear in the top 25, often with above‑typical in‑state rankings. This mix suggests the organization captures both professional and technical components of diagnostics and peri‑partum procedural care rather than only office visits.

The NPI was enumerated on 2021-05-06 (~5 years ago), yet the provider shows very large Medicaid volumes on many codes (for example 117.8K claims for 99214), suggesting rapid scaling of clinical operations within a relatively short enrollment tenure. For analysts, that combination of recent enumeration plus concentrated, high statewide ranks points to a quickly expanded footprint in Oklahoma Medicaid that merits monitoring for network impact and capacity planning.

Medicaid: Complete Services Breakdown

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

371 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…	117,820	$140	$16.5M
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…	110,120	$110	$12M
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…	56,020	$110	$6.1M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	7,970	$660	$5.3M
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.	26,880	$190	$5M
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…	23,570	$210	$4.9M
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…	22,950	$160	$3.6M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	5,210	$640	$3.4M
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…	18,100	$180	$3.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	10,000	$300	$3M

Showing 1–10 of 371

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

Ou Health Partners, Inc — 17 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

371 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	5	10	10,090	$570	$4.9M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	2	10	300	$640	$2.1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	5	10	8,540	$160	$1.5M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	2	10	2,460	$230	$1.3M
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.	17	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,…	33	530	140	$450	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	324	620	6,640	$70	$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.	20	250	1,820	$130	$1.1M
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	3	10	3,080	$240	$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.	79	180	1,030	$200	$1M

Showing 1–10 of 371

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Board Of Regents Of The University Of Oklahoma - Ou Physicians	OK	Multi-Specialty Clinic/Center	$0	$96.6M
Ravi Pandit	OK	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Vinay Shah	OK	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Dean Mcgee Eye Institute	OK	Ophthalmology Physician	$0	$1.6M
Charles Mayron	TX	Retina Specialist (Ophthalmology) Physician	$1.4M	$16.8K
Shonak Patel	OK	Vascular Surgery Physician	$1.1M	$0
Reagan Bradford	OK	Retina Specialist (Ophthalmology) Physician	$840.4K	$0
Ronald Kingsley	OK	Retina Specialist (Ophthalmology) Physician	$831.8K	$0
Taha Khan	OK	Internal Medicine Physician	$449.8K	$0
Jila Noorikolouri	OK	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	$405.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ou Medicine Inc.	OK	General Acute Care Hospital	$0	$63M
Oklahoma Allergy & Asthma Clinic	OK	Specialist	$0	$13.7M
University Of Oklahoma Heal Sci Ctr College Of Medicine Ophthalmology	OK	Ophthalmology Physician	$0	$9.5M
Emergency Physicians Of Midwest City, LLC	OK	Emergency Medicine Physician	$0	$8.1M
Board Of Regents Of The University Of Oklahoma-ou Physicians	OK	Clinic/Center	$0	$5.4M
Mcgee Eye Surgery Center LLC	OK	Ambulatory Surgical Clinic/Center	$2.8M	$2M
Questcare Em Oklahoma LLC	OK	Emergency Medicine Physician	$0	$4M
Dianon Systems Inc	OK	Clinical Medical Laboratory	$2.5M	$1.3M
Board Of Regents Of The University Of Oklahoma-ou Physicians	OK	Clinic/Center	$0	$3.1M
Plw Anesthesia LLC	OK	Certified Registered Nurse Anesthetist	$0	$2.5M

Ou Health Partners, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References