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 1730249186)

Field	Value
Entity Type	Organization
Organization	Chickasaw Nation Division Of Health
Address	2510 Chickasaw Blvd
City	Ardmore
State	OK
ZIP	73401
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$30.6M
Medicare	$0

Key Findings

CHICKASAW NATION DIVISION OF HEALTH is effectively a single‑payer Medicaid provider: it has no Medicare billing on file and reports lifetime Medicaid revenue of $30.6M, indicating its patient mix and reimbursement footprint are concentrated in Medicaid rather than Medicare. The absence of Medicare activity suggests the clinic’s operational focus is on populations covered by Medicaid and likely tribal or community programs in Oklahoma.

Medicaid revenue is extremely concentrated in a single CPT code: 99212 accounts for $30.5M and 99.9% of the provider’s total Medicaid revenue, per the precomputed top‑3 share. This dominance implies that routine, straightforward established‑patient office visits are the primary service and revenue driver for the clinic rather than specialty procedures or high‑complexity visits.

The provider’s activity profile reads like a high‑volume, low‑complexity primary care clinic: 99212 (straightforward E/M visits, ~10+ minutes) dominates revenue, with only minimal Medicaid receipts from higher‑level E/M codes such as 99213 and 99214 and a small number of lab and clinic encounter codes. This mix suggests day‑to‑day operations center on brief established‑patient visits rather than extended evaluations or intensive procedures.

CHICKASAW NATION DIVISION OF HEALTH is a major statewide outlier for the dominant code: it ranks #7 of 529 providers in Oklahoma for 99212 and sits in the 99th percentile, described as an extreme outlier and far above typical state volume for this code. That ranking indicates a competitive standing as one of the largest Medicaid providers in the state for routine established‑patient office visits, likely reflecting either high local demand, broad access, or organizational emphasis on primary care throughput.

Other Medicaid codes are negligible in revenue contribution: 99213 ($17.8K, 0.1% of Medicaid revenue), 99214 ($13.9K, 0.0%), 87635, T1015, and 99211 each contribute only small fractions of total Medicaid revenue. These small contributions confirm the provider’s service mix is narrowly concentrated and that higher‑complexity visits and ancillary services are not significant revenue streams for this entity.

The provider has long tenure in the NPI registry, enumerated around 2006‑12‑08 (~20 years ago), which suggests established operations and a sustained presence in the community. This longevity, combined with the Medicaid revenue concentration and high in‑state rank for 99212, points to a stable, primary‑care focused clinic with a consistent payer orientation toward Medicaid.

Medicaid: Complete Services Breakdown

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

6 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,…	54,410	$560	$30.5M
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…	70	$260	$17.8K
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…	60	$240	$13.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	60	$100	$5.8K
T1015	Clinic visit/encounter, all-inclusive	10	$360	$5.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	20	$90	$1.7K

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 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	143	140	7,150	$220	$4.4M
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,…	7	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…	1,430	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…	1,438	1,750	870	$70	$254.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	157	190	80	$200	$128K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	159	210	200	$50	$35.4K

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	$18M
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
Mercy Hospital Ardmore, Inc.	OK	General Acute Care Hospital	$0	$18.1M
Lighthouse Behavioral Wellness Centers	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.3M
Lighthouse Behavioral Wellness Centers	OK	Community/Behavioral Health Agency	$0	$7.6M
Good Shepherd Community Clinic, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$6M
Southern Oklahoma Ambulance Service, Inc.	OK	Land Ambulance	$1.1M	$3.5M
Lynch Family Services LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Scott Cooper	OK	Medical Physician Assistant	$4.4M	$0
Lighthouse Behavioral Wellness Centers	OK	Community/Behavioral Health Agency	$0	$4.2M
Family Practice Associates	OK	Family Medicine Physician	$0	$4.2M
Mental Health Services Of Southern Oklahoma	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M

Chickasaw Nation Division Of Health — Billing Profile & Reimbursement Data

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Chickasaw Nation Division Of Health — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References