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.

Orthopaedic Center, PC (NPI 1639115116)

Orthopaedic Center, PC is a orthopaedic surgery physician provider located in Tulsa, Oklahoma. This profile covers 0 Medicare and 37 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	Orthopaedic Center, PC
Address	2431 E 61st St Ste 500
City	Tulsa
State	OK
ZIP	74136
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	17,330	$50	$831.6K
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…	8,650	$70	$597.1K
99203	The provider sees a new 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 provider…	4,510	$80	$378.4K
73130	In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.	3,760	$30	$105.2K
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	3,350	$30	$103.9K
73110	The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.	2,610	$30	$81K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	1,040	$40	$41.7K
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…	320	$130	$39.9K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	1,520	$20	$36.4K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	950	$20	$19.9K

Showing 1–10 of 37

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

Orthopaedic Center, PC — 6 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

37 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,…	246	530	140	$450	$1.2M
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…	130	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…	75	1,750	870	$70	$254.4K
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…	227	720	120	$150	$94.5K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	15	60	410	$70	$75.1K
99203	The provider sees a new 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 provider…	25	710	140	$100	$74.6K
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…	41	100	500	$40	$72K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	26	40	100	$100	$51.9K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	21	30	170	$90	$35.8K
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)…	40	40	50	$150	$31.2K

Showing 1–10 of 37

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yogesh Mittal	OK	Orthopaedic Surgery Physician	$836.4K	$0
Brian Chalkin	OK	Orthopaedic Surgery Physician	$427.2K	$0
Vernon Barrow	MS	Diagnostic Radiology Physician	$269.6K	$0
Emad Almusa	NJ	Diagnostic Radiology Physician	$268.5K	$0
Gregory Holt	OK	Orthopaedic Surgery Physician	$249.2K	$0
Michael Murphy	OK	Diagnostic Radiology Physician	$201.8K	$2.2K
Maissa Mitwalli	OK	Physician Assistant	$100.5K	$0
Patrick Branagan	OK	Primary Podiatric Medicine Podiatrist	$94.3K	$0
Lisa Mogelnicki	OK	Podiatrist	$82.4K	$0
James Bischoff	OK	Orthopaedic Hand Surgery Physician	$66.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Hospital, Inc.	OK	General Acute Care Hospital	$0	$43.2M
Warren Clinic Inc	OK	General Practice Physician	$0	$40.2M
Specialized Home Nursing, Inc.	OK	Home Health Agency	$0	$21.5M
Saint Francis Outreach Services LLC	OK	Clinical Medical Laboratory	$5.4M	$15.7M
Improving Lives Counseling Services, Inc.	OK	Community/Behavioral Health Agency	$0	$21.1M
Preferred Family Health Care, Inc.	OK	Community/Behavioral Health Agency	$0	$19.4M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$18.9M
Emergency Medicine Physicians Of Tulsa County, LLC	OK	Emergency Medicine Physician	$0	$18M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$14.1M
Home Therapy Resources, Inc.	OK	Pediatric Physical Therapist	$0	$9.4M

Orthopaedic Center, PC — Billing Profile & Reimbursement Data

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Orthopaedic Center, PC — 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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