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.

Anadarko Indian Health Center (NPI 1881637403)

Field	Value
Entity Type	Organization
Organization	Anadarko Indian Health Center
Address	201 E Parker Mckenzie Drive
City	Anadarko
State	OK
ZIP	73005
Taxonomy	Federal Public Health Clinic/Center
NPI Enumerated	June 13, 2006

Payer Source	Total Paid
Medicaid	$20.4M
Medicare	$0

Key Findings

ANADARKO INDIAN HEALTH CENTER shows no Medicare billing on file and $20.4M in lifetime Medicaid revenue, making Medicaid effectively the sole payer represented in the available claims dataset. This pattern indicates the provider operates as a predominantly Medicaid-serving entity rather than a balanced Medicare/Medicaid practice.

Revenue is highly concentrated in a very small set of procedure codes: the precomputed top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with 99211 alone representing $19.8M (97.4% of Medicaid revenue). The next two codes are 96127 ($487.8K, 2.4%) and 99213 ($44.6K, 0.2%), confirming an extreme concentration of billing activity.

The service mix implied by the top codes points to a high-volume, low-complexity outpatient model: 99211 (34.2K claims; $579 avg paid/claim) is a brief established patient visit that may not require a physician, and its dominance suggests reliance on many short, routine encounters and non-physician clinicians. The presence of 96127 (1.6K claims; $298 avg paid/claim) indicates routine use of brief emotional/behavioral screening tools, so behavioral health screening is embedded in the clinic’s workflow rather than being a major revenue driver.

Competitive standing within the state is bifurcated by code: for 99211 this provider ranks #1 of 193 in-state and is described as an "extreme outlier, far above typical state volume for this code," signaling clear dominance in that service line. By contrast, 96127 ranks #48 of 243 (81th percentile; typical, unremarkable volume for this code) and 99213 ranks #1455 of 1746 (16th percentile; typical, unremarkable volume), indicating the provider is not similarly dominant across other office-visit or screening codes.

The reimbursement profile shows that average paid amounts differ across the top codes (99211: $579 avg paid/claim; 96127: $298 avg paid/claim; 99213: $719 avg paid/claim), and despite 99213 having a higher avg payment, its very low claim count (62 claims) means it contributes minimally to total Medicaid revenue compared with the high-volume 99211. This mix highlights that overall revenue performance is driven by volume of a low-complexity code rather than higher-paid, less frequent visits.

The extreme concentration of Medicaid revenue in 99211 creates operational and financial sensitivity to changes in billing rules, payer policy, or utilization management for that specific service; any reimbursement adjustment or audit focus on brief visits could materially affect reported Medicaid revenue. Diversification of service mix or documentation practices that support higher-complexity visits could reduce single-code risk, based on the current distribution.

ANADARKO INDIAN HEALTH CENTER has a long-tenured NPI (enumerated 2006-06-13, ~20 years ago), indicating an established presence in the community and suggesting the observed billing pattern is not a short-term anomaly but a sustained operational profile. Longevity combined with a highly concentrated code mix gives payers and partners a clear historical baseline for benchmarking future utilization or policy-change impact.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	34,230	$580	$19.8M
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	1,640	$300	$487.8K
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…	60	$720	$44.6K
99442	N/A	40	$40	$1.4K
99443	N/A	10	$80	$1.1K
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…	10	$20	$180

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

Anadarko Indian Health Center — 1 of 6 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

6 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…	1,654	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…	1,455	1,750	870	$70	$254.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	1	190	80	$200	$128K
99442	N/A	50	90	50	$60	$11.9K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	48	240	190	$10	$9.6K
99443	N/A	46	50	50	$80	$7.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Anadarko Indian Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeremy Fullingim	OK	Diagnostic Radiology Physician	$220.1K	$0
Jayesh Thakrar	IN	Diagnostic Radiology Physician	$192.3K	$4.8K
Ralph Noah	OK	Diagnostic Radiology Physician	$156.5K	$0
John Walton	OK	Diagnostic Radiology Physician	$155K	$0
Brooke White	OK	Diagnostic Radiology Physician	$150.4K	$0
Timothy Mccay	OK	Diagnostic Radiology Physician	$146.9K	$0
Pius Yoon	OK	Diagnostic Radiology Physician	$136.8K	$0
Eugenio Erquiaga	OK	Diagnostic Radiology Physician	$133.2K	$0
Myeong Yoon	OK	Diagnostic Radiology Physician	$132.3K	$0
Julia Knarreborg	OK	Diagnostic Radiology Physician	$131.5K	$0

Nearby Providers

Other providers in the same ZIP code as Anadarko Indian Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jay Belt	OK	Family Medicine Physician	$178.2K	$0
Baolien Tu	OK	Specialist	$97.2K	$0
Wendy Brown	OK	Primary Care Nurse Practitioner	$33K	$0
Kelly Nesdahl	OK	Family Nurse Practitioner	$30K	$0

Anadarko Indian Health Center — Billing Profile & Reimbursement Data

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Anadarko Indian Health Center — 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