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.

Ahs Oklahoma Heart LLC (NPI 1780857540)

Ahs Oklahoma Heart LLC is a specialist provider located in Tulsa, Oklahoma. This profile covers 0 Medicare and 37 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Ahs Oklahoma Heart LLC
Address	9228 S Mingo Rd
City	Tulsa
State	OK
ZIP	74133
Taxonomy	Specialist
NPI Enumerated	April 11, 2008

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	23,520	$40	$1M
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…	15,560	$60	$856K
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…	3,540	$100	$367.6K
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…	4,440	$40	$182K
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…	4,280	$40	$154K
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…	1,570	$70	$106.9K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	2,250	$40	$99K
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…	4,240	$20	$63.6K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	830	$70	$60.8K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	1,780	$30	$60.6K

Showing 1–10 of 37

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

Ahs Oklahoma Heart LLC — 12 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	61	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…	343	1,750	870	$70	$254.4K
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…	56	190	480	$70	$218.8K
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…	54	280	840	$50	$179.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1	80	190	$80	$148.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	191	200	110	$140	$105.8K
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…	20	720	120	$150	$94.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	66	120	90	$130	$92.8K
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…	104	300	100	$150	$79.5K
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…	301	710	140	$100	$74.6K

Showing 1–10 of 37

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Sandler	OK	Clinical Cardiac Electrophysiology Physician	$397.7K	$0
Elie Abed	OK	Endocrinology, Diabetes & Metabolism Physician	$283.4K	$0
Craig Cameron	OK	Clinical Cardiac Electrophysiology Physician	$261.6K	$0
John Tulloch	OK	Cardiovascular Disease Physician	$231.3K	$0
James Chapman	OK	Interventional Cardiology Physician	$229.1K	$0
Siva Kumar Soma	KS	Clinical Cardiac Electrophysiology Physician	$220.9K	$0
Joseph Gard	OK	Clinical Cardiac Electrophysiology Physician	$212.8K	$0
Mathew Good	OK	Cardiovascular Disease Physician	$204.8K	$0
Cole Tunnell	TX	Interventional Cardiology Physician	$201.2K	$0
Adel Ghuloom	MA	Critical Care Medicine (Internal Medicine) Physician	$198.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Hospital South LLC	OK	General Acute Care Hospital	$0	$11.1M
Therapy Works Inc	OK	Speech-Language Pathologist	$0	$10.4M
Pediatric Dental Group Ii, LLC	OK	Pediatric Dentistry	$0	$8.5M
Children's Dental Health Center, P.l.c.	OK	General Practice Dentistry	$0	$8.2M
Jenni Burkitt D.d.s. PLLC	OK	Dentist	$0	$5.9M
Wellness Health Group, LLC	OK	Clinical Medical Laboratory	$5.2M	$727K
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$5.8M
Advanced Pain Of Tulsa PLLC	OK	Pain Medicine (Anesthesiology) Physician	$0	$5.8M
Wayne N. Wyatt, Dds, Ms, PC	OK	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.7M
Memorial Surgery Center, LLC	OK	Ambulatory Surgical Clinic/Center	$904.1K	$3.2M

Ahs Oklahoma Heart LLC — Billing Profile & Reimbursement Data

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Ahs Oklahoma Heart LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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