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.

Western Oklahoma Pain Specialists LLC (NPI 1558885749)

Western Oklahoma Pain Specialists LLC is a interventional pain medicine physician provider located in Elk City, Oklahoma. This profile covers 0 Medicare and 27 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	Western Oklahoma Pain Specialists LLC
Address	1007 N Main St Ste 101
City	Elk City
State	OK
ZIP	73644
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	July 28, 2017

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

27 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…	22,050	$70	$1.6M
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.	12,740	$50	$687.8K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	370	$130	$48.9K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	390	$70	$27.5K
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…	250	$100	$25.3K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	80	$180	$14.3K
01992	The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with…	110	$110	$12.7K
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.	420	$20	$7.1K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	70	$100	$6.4K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	40	$130	$5.2K

Showing 1–10 of 27

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

Western Oklahoma Pain Specialists LLC — 2 of 23 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	39	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…	1,610	1,750	870	$70	$254.4K
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.	9	100	630	$50	$197.2K
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…	271	720	120	$150	$94.5K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	7	10	90	$70	$69.3K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	10	40	130	$110	$47.5K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	22	30	110	$170	$36.5K
62321	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…	12	10	40	$160	$36.1K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	20	40	100	$50	$34.3K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	7	40	50	$150	$31.2K

Showing 1–10 of 27

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jessica Kearney	OK	Primary Care Nurse Practitioner	$665.5K	$0
David Sharrah	OK	Anesthesiology Physician	$256.5K	$0
Brian Blick	OK	Anesthesiology Physician	$201.5K	$0
Terrell Phillips	OK	Specialist	$201.4K	$0
Mariah Harmon	OK	Nurse Practitioner	$195.5K	$0
Jayne Bentley	OK	Family Nurse Practitioner	$189.8K	$0
Tyler Phillips	OK	Pain Medicine Physician	$189.3K	$0
Nathaniel Stetson	OK	Neurological Surgery Physician	$189.2K	$0
Luke Mosel	LA	Anesthesiology Physician	$181.9K	$0
Michael Alvarado	SC	Anesthesiology Physician	$109.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$8.8M
Farmers Union Hospital Association	OK	General Acute Care Hospital	$0	$5.3M
Paul Firth Md PC	OK	Pediatrics Physician	$0	$4.9M
Air Evac Ems Inc	OK	Air Ambulance	$1.4M	$364.1K
Whinery Family Medicine PLLC	OK	Family Medicine Physician	$0	$1.7M
Farmers Union Hospital Association	OK	Rural Health Clinic/Center	$0	$1.7M
Yco Tulsa, Inc	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
City Of Elk City Office Of City Clerk	OK	Land Ambulance	$357.5K	$786.7K
Cole Wootton	OK	Urology Physician	$427.5K	$0
Kelleena Duran	OK	Family Nurse Practitioner	$361.7K	$0

Western Oklahoma Pain Specialists LLC — Billing Profile & Reimbursement Data

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Western Oklahoma Pain Specialists 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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