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.

Osu Center For Health Sciences (NPI 1871110148)

Osu Center For Health Sciences is a clinic/center provider located in Oklahoma City, Oklahoma. This profile covers 0 Medicare and 25 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	Osu Center For Health Sciences
Address	9900 Broadway Ext Ste 200
City	Oklahoma City
State	OK
ZIP	73114
Taxonomy	Clinic/Center
NPI Enumerated	July 2, 2020

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	5,870	$240	$1.4M
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…	7,210	$170	$1.2M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	2,070	$440	$914.2K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	3,070	$290	$885.8K
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…	6,720	$110	$738.9K
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…	1,020	$150	$154.2K
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	4,620	$30	$138.7K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	260	$290	$74.2K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	4,700	$10	$65.8K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	190	$350	$64.5K

Showing 1–10 of 25

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

Osu Center For Health Sciences — 6 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	1	50	70	$1,800	$496.5K
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…	167	1,680	820	$90	$307K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	5	70	150	$450	$279K
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…	243	1,750	870	$70	$254.4K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	5	10	150	$120	$191.6K
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…	10	720	120	$150	$94.5K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	3	10	80	$730	$85.5K
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…	97	710	140	$100	$74.6K
92579	The provider performs a battery of tests to evaluate hearing loss in infants and toddlers. He uses sound sources to evaluate the auditory response, with reinforcement by animated toys.	9	30	860	$40	$60.5K
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	2	10	190	$30	$47.8K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diagnostic Laboratory Of Oklahoma LLC	OK	Clinical Medical Laboratory	$12.4M	$69M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$19.3M
Mcbride Clinic Orthopedic Hospital, LLC	OK	General Acute Care Hospital	$0	$9M
Coordinated Care Health Solutions, LLC	OK	Clinical Medical Laboratory	$395.7K	$5.8M
Personal Nursing Care, Inc	OK	Home Health Agency	$0	$5.6M
Lori Craig	OK	Nurse Practitioner	$4.5M	$0
Diagnostic Pathology Services, Inc.	OK	Clinical Medical Laboratory	$460.1K	$2.9M
Integris Ddsi Endoscopy Centers LLC	OK	Ambulatory Surgical Clinic/Center	$1.1M	$1.2M
Todd Mollet	OK	MOHS-Micrographic Surgery Physician	$2.1M	$0
Brandon Rhinehart	OK	MOHS-Micrographic Surgery Physician	$1.5M	$0

Osu Center For Health Sciences — 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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References