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.

University Of Ok College Of Nursing, Case Mgmt (NPI 1699932871)

Field	Value
Entity Type	Organization
Organization	University Of Ok College Of Nursing, Case Mgmt
Address	2220 N Classen Blvd
City	Oklahoma City
State	OK
ZIP	73106
Taxonomy	Case Management Agency
NPI Enumerated	May 16, 2008

Payer Source	Total Paid
Medicaid	$25M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-only biller: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $25M, indicating the provider’s operational and revenue focus is concentrated entirely within Medicaid programs. The absence of Medicare activity means analyses of Medicare payer dynamics are not applicable for this profile and strategic interpretation should center on Medicaid relationships.

Revenue is extremely concentrated in a single procedure line: T1016 (Case management, each 15 minutes) accounts for $25M revenue and is reported as 100.0% of this provider's total Medicaid revenue. The precomputed top-3 share being 100.0% confirms there is little-to-no revenue diversification across other Medicaid codes, making overall financial performance highly dependent on continued billing and reimbursement for T1016.

Operational scale for the billed service is large: the file shows 379.1K claims for T1016 with a $66 avg paid/claim, which implies sustained, high-volume delivery of case management units rather than infrequent episodic services. This claim volume and per-claim payment level suggest the provider operates a labor- or time-intensity model typical of agencies focused on frequent, short-interval case management interventions.

Competitive standing in-state is very strong on the core service: T1016 revenue ranks #3 of 137 providers in-state and sits in the 99th percentile, labeled an extreme outlier and far above typical state volume for this code. In plain terms, this provider is a major regional player for Medicaid case-management billing and is among the highest-volume suppliers of that specific service in the state.

Risk profile: the combination of single-code concentration and single-payer dependence creates elevated revenue risk if Medicaid coverage, reimbursement policy, or utilization review for T1016 changes. Because $25M (100.0% of Medicaid revenue) derives from one code, any audit, policy shift, or contract change affecting T1016 would have outsized impact on the provider’s financials.

Business/service-line implication: the taxonomy and code mix confirm this is a dedicated case management agency delivering frequent, time-based case management services rather than fee-for-service clinical procedures. The consistent use of T1016 across many claims indicates organizational processes, staffing, and billing workflows are optimized for routine, short-interval case-management encounters.

Tenure and market presence: the provider’s NPI was enumerated on 2008-05-16 (~18 years ago), indicating a long-standing presence in the market that aligns with the scale observed for T1016 billing. This longevity combined with top-tier in-state ranking suggests established referral channels or contract relationships within Medicaid-managed care or state programs.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	379,090	$70	$25M

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

University Of Ok College Of Nursing, Case Mgmt — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	3	140	3,200	$60	$2.3M

Nearby Providers

Other providers in the same ZIP code as University Of Ok College Of Nursing, Case Mgmt, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Pediatric Therapy	OK	Pediatric Occupational Therapist	$0	$8.2M
Trc The Recovery Center	OK	Community/Behavioral Health Agency	$0	$5.5M
Focis Counseling Services, Inc.	OK	Community/Behavioral Health Agency	$0	$5.3M
Counseling Solutions & Interventions, LLC	OK	Community/Behavioral Health Agency	$0	$4.9M
Mission Treatment Centers, Inc.	OK	Methadone Clinic	$117.8K	$1.6M
Michael Hahn	OK	Neurological Surgery Physician	$264.9K	$0
Sailesh Arulkumar	OK	Pain Medicine (Anesthesiology) Physician	$174.8K	$0
Jerome Mctague	OK	Emergency Medicine Physician	$147.2K	$0
Patrick Prevo	OK	Interventional Pain Medicine Physician	$132.9K	$0
Brent Hisey	OK	Specialist	$129K	$0

University Of Ok College Of Nursing, Case Mgmt — Billing Profile & Reimbursement Data

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University Of Ok College Of Nursing, Case Mgmt — 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