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.

Southwest Orthopaedic Specialists, P.L.L.C. (NPI 1669559720)

Field	Value
Entity Type	Organization
Organization	Southwest Orthopaedic Specialists, P.L.L.C.
Address	8100 S Walker Ave Bldg A
City	Oklahoma City
State	OK
ZIP	73139
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 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…	18,730	$60	$1M
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…	4,340	$80	$360.2K
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…	2,540	$130	$330.6K
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…	3,680	$90	$324.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	2,310	$40	$89.9K
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.	2,510	$30	$77.7K
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.	2,620	$30	$68.2K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	1,820	$20	$40K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	1,400	$30	$37.8K
73560	In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	1,130	$30	$30.5K

Showing 1–10 of 29

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

Southwest Orthopaedic Specialists, P.L.L.C. — 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

29 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,…	163	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…	320	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…	67	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…	32	720	120	$150	$94.5K
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…	26	710	140	$100	$74.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	132	150	60	$210	$50.3K
73590	In this procedure, the provider takes two X–ray views of the tibia and fibula bones to check for any fracture, swelling, or reason for pain in the lower leg area.	13	10	60	$20	$21.7K
73100	In this procedure, the provider takes two X–ray images of a patient’s wrist to check for any fracture, swelling, or reason of pain in the wrist area.	8	10	140	$30	$18.6K
73070	X–rays of the extremities are performed to assess injury, fracture, arthritis, bone spurs, tumors, or congenital abnormalities. Extremity X–rays include the hand, wrist, arm, foot, ankle, hip, leg,…	8	10	140	$20	$12.1K
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.	37	90	260	$20	$12K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southwest Orthopaedic Specialists, P.L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bradley Reddick	OK	Orthopaedic Surgery Physician	$454.4K	$0
Jayme Royston-locke	OK	Physician Assistant	$266.3K	$0
Kristopher Avant	OK	Orthopaedic Hand Surgery Physician	$150.5K	$0
Brian Levings	OK	Orthopaedic Surgery Physician	$142.8K	$0
Blair Terry	OK	Physician Assistant	$142.3K	$0
Derek West	OK	Orthopaedic Surgery Physician	$129.5K	$0
Steven Sands	OK	Orthopaedic Trauma Physician	$125.7K	$0
Richard Langerman	OK	Orthopaedic Surgery Physician	$100.8K	$0
Nicole Carroll	OK	Physician Assistant	$100.5K	$0
Kyle Hollingsworth	OK	Physician Assistant	$88K	$0

Nearby Providers

Other providers in the same ZIP code as Southwest Orthopaedic Specialists, P.L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$53.3M
Ace Hts, Inc	OK	Developmentally Disabled Services Day Training Agency	$0	$29.9M
Hope Community Services, Inc.	OK	Community/Behavioral Health Agency	$0	$16.1M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$5M
New Life Youth's & Family Counseling Services, Inc	OK	Community/Behavioral Health Agency	$0	$3.5M
Dental Depot 62nd & South Western PLLC	OK	General Practice Dentistry	$0	$3.5M
Dental Depot South	OK	General Practice Dentistry	$0	$3.4M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$3.1M
Oklahoma Center For Orthopaedic & Multi-specialty Surgery, LLC	OK	General Acute Care Hospital	$0	$2.8M
Empowerment Community Services	OK	Community/Behavioral Health Agency	$0	$2.6M

Southwest Orthopaedic Specialists, P.L.L.C. — Billing Profile & Reimbursement Data

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Southwest Orthopaedic Specialists, P.L.L.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References