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.

William Rupert (NPI 1568462281)

Field	Value
Entity Type	Individual
Organization	William Rupert
Address	11 Sheraton Dr
City	Ardmore
State	OK
ZIP	73401
Taxonomy	Internist Chiropractor
NPI Enumerated	July 22, 2005

Payer Source	Total Paid
Medicare	$33K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98942	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in five spinal regions.	640	$40	$23K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	360	$30	$9.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

William Rupert — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98941	204	340	470	$30	$16.5K
98942	6	20	300	$30	$14.2K

Nearby Providers

Other providers in the same ZIP code as William Rupert, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chickasaw Nation Division Of Health	OK	Primary Care Clinic/Center	$0	$30.6M
Mercy Hospital Ardmore, Inc.	OK	General Acute Care Hospital	$0	$18.1M
Lighthouse Behavioral Wellness Centers	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.3M
Lighthouse Behavioral Wellness Centers	OK	Community/Behavioral Health Agency	$0	$7.6M
Good Shepherd Community Clinic, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$6M
Southern Oklahoma Ambulance Service, Inc.	OK	Land Ambulance	$1.1M	$3.5M
Lynch Family Services LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Scott Cooper	OK	Medical Physician Assistant	$4.4M	$0
Lighthouse Behavioral Wellness Centers	OK	Community/Behavioral Health Agency	$0	$4.2M
Family Practice Associates	OK	Family Medicine Physician	$0	$4.2M

William Rupert — Billing Profile & Reimbursement Data

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William Rupert — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References