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.

Integris Ambulatory Care Corporation (NPI 1750333936)

Key Findings

Field	Value
Entity Type	Organization
Organization	Integris Ambulatory Care Corporation
Address	3001 Quail Springs Pkwy
City	Oklahoma City
State	OK
ZIP	73134
Taxonomy	Family Medicine Physician
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$27.5M
Medicare	$0

This entity is effectively a Medicaid-centric operation: total Medicaid revenue on file is $27.5M while there is no Medicare billing on file, making Medicaid the sole reported payer in the dataset and indicating the provider operates as a single‑payer (Medicaid) billing profile in the available records. Analysts should treat comparisons and network impact through the lens of Medicaid activity rather than mixed Medicare/Medicaid behavior.

Revenue for this provider is highly concentrated in a small set of office/outpatient E/M codes: the precomputed top three Medicaid codes (99214, 99213, 99204) together account for 61.5% of the provider’s total Medicaid revenue. Individually those top three generate $7.7M (29.9%) for 99214, $6.7M (25.7%) for 99213, and $1.5M (5.8%) for 99204, signaling that routine and moderate‑complexity ambulatory visits are the primary revenue drivers.

The code mix points to a high‑volume primary care and family medicine practice with broad preventive and pediatric services: high revenues in 99214 and 99213 (established patient E/M) combined with notable revenue in preventive medicine codes 99391 ($1.1M, 4.2%) and 99392 ($957.3K, 3.7%) indicate routine well‑visits and chronic care management form a large part of clinical activity. Additionally, 90460 ($1.3M, 5.1%) being a top code shows substantial vaccine administration to patients up to 18 years of age, reinforcing a pediatric/preventive service line emphasis.

The provider is a dominant, high‑volume Medicaid participant for several key ambulatory codes: 99214 and 99213 each rank #5 statewide (100th percentile) and are labeled as “extreme outlier” volumes relative to peers, while 99204 ranks #6 (99th percentile, extreme outlier). These rankings indicate the practice is among the largest in the state for both established and new patient office visits and substantially above typical state volumes for these services.

Beyond ambulatory office care, the billing profile shows meaningful inpatient/observation and acute care activity: hospital E/M codes such as 99232 ($947.9K, 3.7%, rank #11 of 279, 96th percentile), 99233 ($880K, 3.4%, rank #10 of 185, 95th percentile), and initial hospital care 99223 ($408.5K, 1.6%, rank #12 of 200, 94th percentile) are present. The presence of critical care 99291 ($404.5K, 1.6%) and discharge management 99238 ($372.6K, 1.4%) suggests the organization also delivers hospital‑based continuity of care and handles higher acuity inpatient encounters.

The provider shows specialized service lines within its Medicaid activity: obstetric delivery codes are billed (59400 $305.8K, 1.2%; 59514 $186.1K, 0.7% with rank #1 of 6 at 100th percentile), indicating the practice includes maternity/delivery services in its scope, while point‑of‑care diagnostic codes such as 87804 ($183.5K, 0.7%) and 87880 ($103.3K, 0.4%) demonstrate routine on‑site testing for influenza and strep. These items illustrate a breadth of services from preventive and pediatric care to maternity and acute diagnostics under the same billing entity.

The provider’s role as an immunization and pediatric preventive leader is especially notable: 90460 ranks #1 of 207 in‑state (100th percentile, extreme outlier) and 99391/99392 ranks are high (99391 rank #5 of 273, 99th percentile; 99392 rank #7 of 283, 98th percentile), which together indicate unusually large volumes for childhood immunizations and well‑visit preventive medicine compared with in‑state peers. For payers and network planners, this suggests the provider is a key access point for pediatric preventive services in its market.

The practice has long tenure in the NPI registry, enumerated on 2006-05-16 (~20 years ago), reflecting sustained presence in the market. Coupled with the high statewide ranks and concentrated Medicaid revenue base, the data portray a well‑established, Medicaid‑focused family medicine operation with high volumes in ambulatory E/M, preventive pediatrics, vaccine delivery, and notable hospital and obstetric service lines.

Medicaid: Complete Services Breakdown

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

157 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	94,350	$80	$7.7M
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…	107,470	$60	$6.7M
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…	11,890	$130	$1.5M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	32,220	$40	$1.3M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12,440	$90	$1.1M
99215	The provider sees an established 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…	7,950	$120	$962.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	10,290	$90	$957.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	16,930	$60	$947.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	11,730	$80	$880K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,690	$90	$426.4K

Showing 1–10 of 157

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

Integris Ambulatory Care Corporation — 18 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

157 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	129	230	1,440	$170	$1.2M
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,…	35	530	140	$450	$1.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	98	250	1,820	$130	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	111	180	1,030	$200	$1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	25	50	70	$1,800	$496.5K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	13	40	60	$2,350	$476.3K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	43	70	290	$290	$376.1K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	2	10	510	$370	$362.5K
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…	5	1,680	820	$90	$307K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	43	70	150	$450	$279K

Showing 1–10 of 157

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Hood	OK	Retina Specialist (Ophthalmology) Physician	$3.5M	$0
Integris Grove Hospital	OK	Rural Health Clinic/Center	$0	$3.4M
Edwin Herd	HI	Pediatrics Physician	$0	$640.5K
Sean Whalen	NY	Nuclear Medicine Physician	$555.5K	$0
Kenan Kirkendall	OK	Family Medicine Physician	$541.5K	$0
Jami Benton	OK	Family Medicine Physician	$445.3K	$0
Darwin Jeyaraj	MO	Interventional Cardiology Physician	$437.9K	$0
Roy Bryan	CA	Diagnostic Radiology Physician	$417.1K	$90
Muzaffar Hussain	OK	Orthopaedic Surgery Physician	$405.1K	$0
John Schrader	OK	Cardiovascular Disease Physician	$397.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amerita, Inc.	OK	Home Infusion Therapy Pharmacy	$0	$12.2M
The Physicians Group LLC	OK	General Practice Physician	$0	$6.8M
Dental Depot Of 145th & N. Penn	OK	Dentist	$0	$3.1M
Advanced Surgical & Research Solutions LLC	OK	Ambulatory Surgical Clinic/Center	$2.9M	$0
Oklahoma Outpatient Surgery Limited Partnership	OK	Ambulatory Surgical Clinic/Center	$2.2M	$209.6K
Marcus Smith	OK	Interventional Cardiology Physician	$1.6M	$0
Blake Christensen	OK	Interventional Pain Medicine Physician	$1.4M	$0
Garrett Wright	OK	Anesthesiology Physician	$1M	$0
Blake Parsons	OK	Vascular & Interventional Radiology Physician	$932.8K	$0
Whitney Simmons	OK	Gerontology Nurse Practitioner	$705.6K	$0

Integris Ambulatory Care Corporation — 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