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.

Board Of Regents Of The University Of Oklahoma - Ou Physicians (NPI 1801869250)

Key Findings

Field	Value
Entity Type	Organization
Organization	Board Of Regents Of The University Of Oklahoma - Ou Physicians
Address	825 Ne 10th St
City	Oklahoma City
State	OK
ZIP	73104
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	February 8, 2006

Payer Source	Total Paid
Medicaid	$96.6M
Medicare	$0

This entity reports no Medicare billing on file and $96.6M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid) operation in the available claims data. The absence of Medicare activity means payer-concentration risk is heavily tied to Medicaid policy and reimbursement changes rather than a mixed Medicare/Medicaid portfolio.

Revenue is highly concentrated in a small set of outpatient and neonatal critical‑care codes: the precomputed top three Medicaid codes (99214, 99472, 99469) account for 36.7% of the provider’s total Medicaid revenue. Those three codes individually appear as $10.3M (13.9%) for 99214, $10.3M (13.8%) for 99472, and $6.7M (9.0%) for 99469, confirming a material dependence on a few high‑volume/high‑value services.

The code mix points to a large neonatal and pediatric critical‑care footprint: 99472 (16.1K claims, $10.3M) and 99469 (11K claims, $6.7M) are among the top revenue drivers, supported by other neonatal/pediatric codes such as 99471 and 99468. This pattern is consistent with substantial NICU and pediatric inpatient services rather than a purely outpatient clinic model.

Simultaneously, the provider shows very high volume across outpatient and emergency/hospital E/M codes, indicating multi‑setting operations: 99214 (85.4K claims, $10.3M), 99213 (51.7K claims, $3.9M), 99232 (33.7K claims, $3.7M), and ED codes like 99284 (26.9K claims, $4.6M) and 99282 (29.4K claims, $1.8M). These volumes suggest integrated ambulatory, ED, and inpatient workflows that generate meaningful Medicaid revenue across care settings.

Statewide competitive standing is dominant for multiple high-revenue codes: 99472 ranks #1 of 8 providers in-state (100th percentile; notably above typical state volume), 99214 ranks #7 of 1680 providers (100th percentile; extreme outlier), and 99213 ranks #17 of 1746 providers (99th percentile; extreme outlier). Several other codes also sit in high percentiles (for example, 99215 is #2 of 302 at the 100th percentile and 99232 is #4 of 279 at the 99th percentile), indicating this provider is a major Medicaid participant across many service lines in Oklahoma.

The procedure and ancillary mix includes significant maternity/obstetric and cardiac imaging and anesthesia services, reinforcing a broad specialty base: obstetric ultrasounds such as 76811 (6.8K claims, $1.8M), 76816 (10.5K claims, $1.7M), and 76819 (8.8K claims, $1.1M) and cardiac studies 93303 (9.6K claims, $1.3M) and 93306 (10.2K claims, $1.2M) appear in the top 25. Neuraxial anesthesia for planned vaginal delivery 01967 (3.2K claims, $1.5M) ranks #1 of 22 providers in-state, underscoring meaningful OB procedural volume tied to the provider’s Medicaid revenue.

Because a small set of codes (top three) capture 36.7% of Medicaid revenue, contract negotiations or rate changes for those specific services could disproportionately affect the provider’s revenue stream. Given the provider’s limited payer diversity (Medicaid only in the dataset), these concentrations present both leverage points for targeted contracting and vulnerabilities if state reimbursement or coverage rules change.

The provider has a long tenure in the NPI registry (enumerated 2006-02-08, ~20 years ago) and demonstrates large operational scale through high absolute claim counts across multiple codes (for example, 85.4K claims for 99214 and 33.7K claims for 99232). This combination of longevity and volume reinforces that the entity is an established, high-volume multi‑specialty clinic/center with deep Medicaid engagement in Oklahoma.

Medicaid: Complete Services Breakdown

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

322 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…	85,400	$120	$10.3M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	16,080	$640	$10.3M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	10,950	$610	$6.7M
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.	26,890	$170	$4.6M
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…	51,700	$80	$3.9M
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…	18,730	$200	$3.8M
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…	33,700	$110	$3.7M
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…	21,150	$130	$2.8M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	13,490	$190	$2.6M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	11,710	$180	$2.1M

Showing 1–10 of 322

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

Board Of Regents Of The University Of Oklahoma - Ou Physicians — 15 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

322 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	1	10	10,090	$570	$4.9M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	1	10	300	$640	$2.1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	2	10	8,540	$160	$1.5M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	3	10	2,460	$230	$1.3M
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.	16	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,…	27	530	140	$450	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	445	620	6,640	$70	$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.	30	250	1,820	$130	$1.1M
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	4	10	3,080	$240	$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.	37	180	1,030	$200	$1M

Showing 1–10 of 322

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ou Health Partners, Inc	OK	Multi-Specialty Clinic/Center	$0	$118.5M
Ravi Pandit	OK	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Vinay Shah	OK	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Dean Mcgee Eye Institute	OK	Ophthalmology Physician	$0	$1.6M
Charles Mayron	TX	Retina Specialist (Ophthalmology) Physician	$1.4M	$16.8K
Shonak Patel	OK	Vascular Surgery Physician	$1.1M	$0
Reagan Bradford	OK	Retina Specialist (Ophthalmology) Physician	$840.4K	$0
Ronald Kingsley	OK	Retina Specialist (Ophthalmology) Physician	$831.8K	$0
Taha Khan	OK	Internal Medicine Physician	$449.8K	$0
Jila Noorikolouri	OK	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	$405.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ou Medicine Inc.	OK	General Acute Care Hospital	$0	$63M
Oklahoma Allergy & Asthma Clinic	OK	Specialist	$0	$13.7M
University Of Oklahoma Heal Sci Ctr College Of Medicine Ophthalmology	OK	Ophthalmology Physician	$0	$9.5M
Emergency Physicians Of Midwest City, LLC	OK	Emergency Medicine Physician	$0	$8.1M
Board Of Regents Of The University Of Oklahoma-ou Physicians	OK	Clinic/Center	$0	$5.4M
Mcgee Eye Surgery Center LLC	OK	Ambulatory Surgical Clinic/Center	$2.8M	$2M
Questcare Em Oklahoma LLC	OK	Emergency Medicine Physician	$0	$4M
Dianon Systems Inc	OK	Clinical Medical Laboratory	$2.5M	$1.3M
Board Of Regents Of The University Of Oklahoma-ou Physicians	OK	Clinic/Center	$0	$3.1M
Plw Anesthesia LLC	OK	Certified Registered Nurse Anesthetist	$0	$2.5M

Board Of Regents Of The University Of Oklahoma - Ou Physicians — 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