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.

Osu-center For Health Sciences (NPI 1629370937)

Field	Value
Entity Type	Organization
Organization	Osu-center For Health Sciences
Address	4401 S Western Ave
City	Oklahoma City
State	OK
ZIP	73109
Taxonomy	Medical Specialty Clinic/Center
NPI Enumerated	November 19, 2010

Payer Source	Total Paid
Medicaid	$16.3M
Medicare	$0

Key Findings

OSU-CENTER FOR HEALTH SCIENCES reports no Medicare billing on file and is effectively a single-payer Medicaid billing entity, with Total Medicaid revenue: $16.3M concentrated entirely in state Medicaid claims. The absence of Medicare activity suggests the organization’s billed caseload and revenue are driven almost exclusively by Medicaid-covered patients rather than by dual Medicare/Medicaid mixes common at many hospitals and clinics.

Revenue is extremely concentrated in emergency department evaluation-and-management codes: 99284, 99285, and 99283 together account for 99.1% of this provider’s total Medicaid revenue. Individually, 99284 generated $7.4M (38K claims at $195 avg paid/claim), 99285 generated $5.1M (17.8K claims at $285 avg paid/claim), and 99283 generated $3.6M (34.7K claims at $105 avg paid/claim), indicating the facility’s financial performance depends heavily on ED visit volume and acuity mix.

The code mix and dominant revenue sources indicate this provider operates primarily as an emergency care hub: the top three codes are all ED E/M services spanning low to high levels of medical decision making. This pattern suggests operational emphasis on throughput and acute episodic care rather than outpatient specialty procedures or longitudinal primary care services.

Competitive standing within the state is strong for high-acuity ED billing: 99284 ranks #11 of 230 providers in-state (96th percentile) and 99283 ranks #13 of 254 (95th percentile), both described as notably above typical state volume; 99285 ranks #14 of 182 (93th percentile) and is labeled typical, unremarkable volume. These ranks position the provider as a major state-level participant for ED services, particularly for moderate- and low-level ED E/M visits, while its high-acuity 99285 activity is respectable but not an outlier.

Critical care billing (99291) is present but limited relative to ED E/M: 427 claims generated $146.9K (0.9% of total Medicaid revenue) and the provider ranks #15 of 55 in-state (74th percentile) with a characterization of typical, unremarkable volume. This indicates some ability to deliver short-duration critical care services, but CC services are a small contributor to overall revenue and not a dominant service line.

Other ancillary services are negligible in revenue contribution: 93010 (ECG interpretation) produced $3.1K and 12011 (simple facial/ear wound repair) produced $924, both representing 0.0% of total Medicaid revenue. The billing footprint is therefore highly focused on ED encounters rather than on diagnostic interpretation or minor procedural billing streams.

The payer concentration and code-level concentration create operational and reimbursement risk if ED volumes or state Medicaid policies change, since the top three codes (99284, 99285, 99283) generate nearly all Medicaid revenue. Analysts should treat this provider as a Medicaid-dependent emergency-service operator rather than a diversified clinical enterprise when modeling sensitivity to utilization shifts or rate changes.

OSU-CENTER FOR HEALTH SCIENCES has been NPI-enumerated since 2010-11-19 (~16 years ago), indicating an established presence in the market; combined with its high percentile ranks on key ED codes, this tenure supports the interpretation that the facility is a stable, established emergency-care provider within Oklahoma’s Medicaid network.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	37,950	$200	$7.4M
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.	17,840	$290	$5.1M
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.	34,730	$110	$3.6M
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…	430	$340	$146.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	240	$10	$3.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	30	$70	$1.8K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	10	$80	$920

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

Osu-center For Health Sciences — 2 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	11	230	1,440	$170	$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.	13	250	1,820	$130	$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.	14	180	1,030	$200	$1M
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…	15	60	130	$210	$193.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	145	160	410	$80	$166.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	51	80	590	$10	$33.3K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	2	10	10	$100	$10.1K

Nearby Providers

Other providers in the same ZIP code as Osu-center For Health Sciences, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$57M
Positive Changes LLC	OK	Psychiatric Hospital	$0	$44.3M
Integris South Oklahoma City Hospital Corporation	OK	General Acute Care Hospital	$0	$38.7M
Okc Dental	OK	General Practice Dentistry	$0	$7.1M
Providence Family Practice, PLLC	OK	Family Nurse Practitioner	$0	$3.7M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$3.2M
Total Care Behavioral Health Services, LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.4M
Hands To Guide You Inc	OK	Community/Behavioral Health Agency	$0	$2.2M
Christiana Williams	OK	Nurse Practitioner	$1.8K	$2.2M
Integris Ddsi Endoscopy Centers LLC	OK	Ambulatory Surgical Clinic/Center	$656.6K	$1.4M

Osu-center For Health Sciences — Billing Profile & Reimbursement Data

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Osu-center For Health Sciences — 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

Nearby Providers

Frequently Asked Questions

References