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.

Express Family Care LLC (NPI 1861873085)

Field	Value
Entity Type	Organization
Organization	Express Family Care LLC
Address	7117 W. Wilshire Blvd
City	Oklahoma City
State	OK
ZIP	73132
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	June 12, 2015

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	16,580	$70	$1.2M
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	2,440	$60	$153.5K
99442	N/A	1,790	$80	$139.5K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	2,000	$30	$58K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	520	$100	$53.3K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	1,380	$40	$52.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,770	$20	$49.8K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	490	$90	$41.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	440	$90	$40.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	1,100	$30	$37.5K

Showing 1–10 of 36

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

Express Family Care LLC — 3 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

36 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…	1,454	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…	79	1,750	870	$70	$254.4K
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…	160	280	470	$100	$140.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	99	290	200	$90	$72.1K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	26	110	160	$80	$69.9K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	75	240	360	$30	$56.9K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	12	110	170	$40	$50.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	66	420	240	$20	$39.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	41	270	90	$100	$35.5K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	76	550	220	$30	$31.9K

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with Express Family Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Craig Phelps	OK	Family Medicine Physician	$69.8K	$0

Nearby Providers

Other providers in the same ZIP code as Express Family Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthcare Innovations Private Services	OK	Home Health Agency	$0	$49.1M
Pediatric Dental Partners PLLC	OK	Pediatric Dentistry	$0	$39.4M
Quick Test Lab Diagnostics LLC	OK	Clinical Medical Laboratory	$3.8M	$248.5K
Red Dirt Orthodontics PLLC	OK	Dental Clinic/Center	$0	$3.9M
Miracles Counseling Services, LLC	OK	Community/Behavioral Health Agency	$0	$1.7M
Perigon Imaging LLC	OK	Radiology Clinic/Center	$478.8K	$0
Travis Gittins	OK	Optometrist	$35.4K	$294.2K
Sams East Inc	OK	Community/Retail Pharmacy	$100.5K	$0
Jerry Mullen	OK	Optometrist	$20.3K	$0
Jenny Mikes	OK	Registered Dietitian	$2.4K	$0

Express Family Care LLC — Billing Profile & Reimbursement Data

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Express Family Care 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

Related Providers

Nearby Providers

Frequently Asked Questions

References