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.

Chickasaw Nation Division Of Health (NPI 1649330242)

Field	Value
Entity Type	Organization
Organization	Chickasaw Nation Division Of Health
Address	817 E 6th St
City	Tishomingo
State	OK
ZIP	73460
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicaid	$18M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available data: there is no Medicare billing on file and all recorded federal reimbursements are from Medicaid, totaling $18M. The absence of Medicare activity indicates the provider’s Medicaid footprint drives its federal revenue profile rather than a mixed Medicare/Medicaid practice mix.

Revenue concentration is extreme: the top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, and a single code, 99212, alone represents 99.9% of that $18M. This level of concentration shows the clinic’s financial performance is overwhelmingly tied to one service line.

The code mix points to a primary-care–centric ambulatory operation: 99212 (office/outpatient established patient visit, straightforward decision making, 10+ minutes) accounts for 32.6K claims at $553 avg paid/claim and generates $18M in revenue. That volume and dollar concentration are consistent with a high-throughput clinic model focused on frequent, lower-complexity established patient visits rather than specialty or higher-acuity procedures.

Although the practice bills behavioral-health psychotherapy codes (90834 and 90853), those services are immaterial to revenue: 90834 appears on 18 claims for $7.7K in revenue and 90853 on 17 claims for $7.3K, each listed as 0.0% of total Medicaid revenue. These entries suggest behavioral-health services exist in a limited or ancillary capacity relative to the core E/M workflow.

Competitive standing by code shows a strong statewide position for the principal service: 99212 ranks #10 of 529 in-state (98th percentile; notably above typical state volume for this code), indicating the provider is a major volumetric participant for routine established-patient visits. By contrast, 90834 ranks #45 of 56 (18th percentile) and 90853 ranks #14 of 14 (0th percentile), signaling modest to minimal competitive presence in psychotherapy offerings.

Claim- and unit-level economics are explicit: the dominant code 99212 has 32.6K claims with an average paid per claim of $553, while both psychotherapy codes show an identical avg paid/claim of $427. The disparity in claim counts (tens of thousands vs. teens) underscores that revenue and operational scale are concentrated in ambulatory E/M visits rather than psychotherapy.

The provider has an established billing history, with its NPI enumerated on 2006-12-12 (~20 years ago), indicating long tenure in the market and a sustained Medicaid billing relationship. This longevity supports the interpretation that the current code mix and revenue concentration are persistent characteristics rather than transient spikes.

The heavy reliance on a single outpatient E/M code (99212 at 99.9% of Medicaid revenue within the top-3 set) creates both operational risk and strategic opportunity: any changes in reimbursement policy, coding practices, or patient volume for routine established-patient visits would disproportionately affect total revenue, while modest existing psychotherapy activity suggests a potential, though small, avenue for service-line diversification if resources were redirected.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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,…	32,550	$550	$18M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	20	$430	$7.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	20	$430	$7.3K

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

Chickasaw Nation Division Of Health — 1 of 3 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

3 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,…	10	530	140	$450	$1.2M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	14	10	100	$40	$57.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	45	60	100	$30	$49.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Chickasaw Nation Division Of Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chickasaw Nation Division Of Health	OK	General Acute Care Hospital	$0	$161.8M
Chickasaw Nation Division Of Health	OK	Primary Care Clinic/Center	$0	$30.6M
Chickasaw Nation Division Of Health	OK	Primary Care Clinic/Center	$0	$17.8M
Vinay Shah	OK	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Abdul Khan	TX	Nephrology Physician	$426.5K	$0
Glen Diacon	OK	Specialist	$422.6K	$0
Chickasaw Nation Division Of Health	OK	Ambulatory Surgical Clinic/Center	$312.8K	$0
George Chrysant	OK	Interventional Cardiology Physician	$298.7K	$0
Andres Caero Romero	OK	Nephrology Physician	$294.7K	$0

Nearby Providers

Other providers in the same ZIP code as Chickasaw Nation Division Of Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sisterly Care Health Services LLC.	OK	Home Health Agency	$0	$48.4M
Family Health Center Of Southern Oklahoma Inc	OK	Federally Qualified Health Center (FQHC)	$0	$10.6M
Refuge Behavioral Health PLLC	OK	Clinic/Center	$0	$5M
Mercy Hospital Tishomingo, Inc.	OK	Critical Access Hospital	$0	$3.7M
Victory Home Health, LLC	OK	Home Health Agency	$0	$3.5M
Southern Oklahoma Treatment Services, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.6M
Pennington Creek Lifehouse	OK	Case Management Agency	$0	$2.2M
Southeastern Oklahoma Family Services, Inc	OK	Community/Behavioral Health Agency	$0	$1.8M
Johnston County Emergency Medical Services	OK	Intermediate Emergency Medical Technician	$295.8K	$758.6K
Bobby Priddy	OK	Family Nurse Practitioner	$13.5K	$0

Chickasaw Nation Division Of Health — Billing Profile & Reimbursement Data

Sign up for Chickasaw Nation Division Of Health — Billing Profile & Reimbursement Data policy alerts

Chickasaw Nation Division Of Health — Billing Profile & Reimbursement Data

Sign up for Chickasaw Nation Division Of Health — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References