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.

Norman Regional Providers Specialty Care (NPI 1548513773)

Norman Regional Providers Specialty Care is a surgery physician provider located in Norman, Oklahoma. This profile covers 0 Medicare and 48 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	Norman Regional Providers Specialty Care
Address	3500 Healthplex Pkwy Ste 200
City	Norman
State	OK
ZIP	73072
Taxonomy	Surgery Physician
NPI Enumerated	October 25, 2012

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

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

48 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…	9,270	$80	$704.8K
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…	2,410	$80	$192.7K
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…	2,890	$50	$155.8K
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…	2,380	$50	$119.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	790	$130	$103.6K
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…	760	$120	$88.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	14,700	$10	$88.2K
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…	640	$100	$65K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	820	$60	$47K
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…	520	$90	$46.2K

Showing 1–10 of 48

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

Norman Regional Providers Specialty Care — 0 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

48 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,…	508	530	140	$450	$1.2M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	150	200	1,720	$80	$645.7K
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…	122	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…	473	1,750	870	$70	$254.4K
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…	43	190	480	$70	$218.8K
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…	80	280	840	$50	$179.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	26	80	190	$80	$148.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	44	200	110	$140	$105.8K
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…	133	720	120	$150	$94.5K
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…	26	120	90	$130	$92.8K

Showing 1–10 of 48

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norman Regional Hospital Authority	OK	General Acute Care Hospital	$0	$37.8M
Norman Regional Hospital Authority	OK	Emergency Medicine Physician	$0	$5.5M
Norman Regional Hospital Authority	OK	Ambulatory Surgical Clinic/Center	$443.4K	$516.9K
Muhammad Anwar	OK	Specialist	$614.1K	$0
Asim Chohan	OK	Cardiovascular Disease Physician	$564.9K	$0
Harpaul Gill	TX	Neurology Physician	$418.9K	$0
NPI 1255361648	—	—	$405K	$0
Archana Gautam	OK	Cardiovascular Disease Physician	$392.9K	$0
Mudassir Nawaz	OK	Internal Medicine Physician	$260.5K	$18.7K
Muhammad Salim	OK	Cardiovascular Disease Physician	$251.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norman Regional Hospital Emsstat	OK	Land Ambulance	$0	$7.2M
Millennium Community Services LLC	OK	Mental Health Counselor	$0	$5.8M
Behrmann Orthodontics PLLC	OK	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.7M
Millennium Medical Services, L.L.C.	OK	Psychiatry Physician	$0	$3.8M
Oklahoma Mental Health Consulting LLC	OK	Community/Behavioral Health Agency	$0	$2.9M
Cody Commander Psyd PLLC	OK	Clinical Psychologist	$0	$2.4M
Millennium Community Services, LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
Dental Depot Of 36th & Tecumseh, PLLC	OK	Dentist	$0	$1.6M
Oklahoma Families First Inc.	OK	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$1.6M
James Stephens	OK	Pain Medicine Physician	$570.9K	$0

Norman Regional Providers Specialty Care — Billing Profile & Reimbursement Data

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Norman Regional Providers Specialty Care — 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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