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 State Department Of Health (NPI 1629195722)

Field	Value
Entity Type	Organization
Organization	Oklahoma State Department Of Health
Address	123 Robert S Kerr Ave Ste 1702
City	Oklahoma City
State	OK
ZIP	73102
Taxonomy	Clinic/Center
NPI Enumerated	March 23, 2007

Payer Source	Total Paid
Medicaid	$7.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	40,770	$70	$3M
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.	15,530	$100	$1.5M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	13,600	$70	$979.4K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	4,600	$190	$873.8K
T1027	Family training and counseling for child development, per 15 minutes	17,980	$40	$719.1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	6,490	$30	$175.2K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	1,930	$90	$165.6K
T1002	Rn services, up to 15 minutes	4,620	$20	$97.1K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	1,110	$90	$96.3K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	840	$80	$67.6K

Showing 1–10 of 15

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 State Department Of Health — 6 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	504	620	6,640	$70	$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.	26	200	1,720	$80	$645.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	15	210	1,850	$70	$560.1K
T1001	Nursing assessment / evaluation	6	20	310	$60	$415K
T1002	Rn services, up to 15 minutes	7	50	1,690	$80	$367.6K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	20	50	1,640	$90	$212.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	4	100	500	$40	$72K
T1027	Family training and counseling for child development, per 15 minutes	1	60	220	$30	$39.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	1	70	40	$190	$32.5K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	27	50	280	$20	$23.8K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Oklahoma State Department Of Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ssm Health Care Of Oklahoma, Inc.	OK	General Acute Care Hospital	$0	$46.8M
Emergency Physicians Of Mid-america, P.C.	OK	Emergency Medicine Physician	$0	$29.2M
Shelby Healthcare Ok LLC	OK	Home Health Agency	$0	$11.1M
State Of Oklahoma	OK	Clinic/Center	$0	$6.9M
Wound Management Of Oklahoma, Inc.	OK	Durable Medical Equipment & Medical Supplies	$0	$6.2M
Oklahoma State Department Of Health	OK	Clinical Medical Laboratory	$0	$5.1M
Oklahoma State Department Of Health	OK	Public Health or Welfare Agency	$0	$3.8M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$1.9M
State Of Oklahoma	OK	Public Health or Welfare Agency	$546.3K	$162.5K
Syed Ahmed	OK	Family Medicine Physician	$439.4K	$0

Oklahoma State Department Of Health — Billing Profile & Reimbursement Data

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Oklahoma State Department Of Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References