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.

Stigler Health And Wellness Center Inc (NPI 1891752853)

Field	Value
Entity Type	Organization
Organization	Stigler Health And Wellness Center Inc
Address	1505 E Main St
City	Stigler
State	OK
ZIP	74462
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicaid	$62.5M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused organization: there is no Medicare billing on file and all recorded government revenue is from Medicaid, totaling $62.5M. The absence of Medicare claims on record indicates operations and revenue are concentrated in the Medicaid program rather than split across both payers.

Revenue is extremely concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 96.8% of the provider's total Medicaid revenue, led by T1015 at $58.1M (93.2% of Medicaid revenue), with H0019 at $1.4M (2.3%) and G0467 at $804.8K (1.3%). This concentration signals that a single bundled clinic/encounter payment stream (T1015) dominates the financial profile.

The code mix and the provider taxonomy (Federally Qualified Health Center) indicate an operation built around high-volume, comprehensive clinic encounters and FQHC visit bundles: T1015 (clinic visit/encounter, all-inclusive) and G0467 (FQHC visit, established patient) together drive the core primary care revenue. In addition, H0019 (long-term residential behavioral health, per diem) shows that the organization also bills for residential behavioral health services, suggesting integrated primary care with behavioral health programming.

On statewide competitive standing, the provider is a dominant outlier for its primary visit codes: T1015 ranks #1 of 143 providers in-state (100th percentile; extreme outlier) and G0467 ranks #1 of 84 providers in-state (100th percentile; extreme outlier). By contrast, behavioral residential billing (H0019) ranks #3 of 17 providers in-state (88th percentile) and is characterized as typical/unremarkable relative to its peer set, indicating leadership in FQHC visit volume but a more conventional position among residential behavioral health providers.

Beyond the three revenue drivers, the practice maintains notable ancillary service lines consistent with a comprehensive FQHC model: vision services (V2100: 5.1K claims, $142.4K revenue, rank #13 of 269, 96th percentile — notably above typical) and related codes 92340 and V2020 show elevated volumes, while dental procedure codes (for example D7210, D2392, D0140) appear at modest but material levels. These ancillary lines reinforce a multi-service community health center footprint offering primary care, vision, and dental under the Medicaid benefit.

Behavioral health and care-management services are an active component of billing beyond the residential per diem: high-volume outpatient and care-management codes such as H0004 (8.8K claims, $362.7K), G0511 (6.7K claims, $87.2K, rank #2 of 21, 95th percentile — notably above typical) and H2017/H0031 appear across the code list. This mix suggests the FQHC provides integrated chronic care management and behavioral health counseling in addition to episodic clinic visits.

The provider has long tenure in federal enrollment, with NPI enumerated on 2006-04-26 (~20 years ago), consistent with an established community health center that has built a concentrated Medicaid revenue base over many years. Longevity combined with extreme-state-level concentration in core FQHC visit codes implies entrenched operational scale in Medicaid-funded primary care within the state.

Medicaid: Complete Services Breakdown

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

67 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	289,240	$200	$58.1M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	9,470	$150	$1.4M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	25,960	$30	$804.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	8,850	$40	$362.7K
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…	6,030	$50	$319.4K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	5,090	$30	$142.4K
D9999	N/A	420	$270	$112.3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	910	$120	$111.9K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	3,470	$30	$104.2K
D2392	Post 2 surface resin‑based composite	950	$110	$103K

Showing 1–10 of 67

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

Stigler Health And Wellness Center Inc — 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

67 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	140	7,150	$220	$4.4M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	3	10	4,420	$950	$4M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	3	20	2,680	$680	$3.8M
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,…	191	530	140	$450	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	266	620	6,640	$70	$1.2M
D9999	N/A	19	40	310	$690	$591.7K
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…	647	1,680	820	$90	$307K
H2017	Psychosocial rehabilitation services, per 15 minutes	89	240	1,280	$50	$259.4K
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…	268	1,750	870	$70	$254.4K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	62	180	450	$120	$188.3K

Showing 1–10 of 67

Related Providers

Other providers that share a Tax Identification Number (TIN) with Stigler Health And Wellness Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jenny Singh	OK	Physician Assistant	$284.6K	$0
Jennifer Scoufos	OK	Family Medicine Physician	$12.6K	$0
Rodney Mcdonald	AR	Family Medicine Physician	$5.1K	$0
Emily Harrah	OK	Family Nurse Practitioner	$3.4K	$0
Terry Workman	OK	Family Nurse Practitioner	$3.3K	$0
Jeanne Guinn	OK	Family Nurse Practitioner	$3.3K	$0

Nearby Providers

Other providers in the same ZIP code as Stigler Health And Wellness Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ki Bois Community Action Foundation, Inc.	OK	Community Based Hospice Care Agency	$0	$7.7M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$7M
Hope Home Medical Supplies	OK	Durable Medical Equipment & Medical Supplies	$0	$4.5M
Compassion Home Care, Inc.	OK	Home Health Agency	$7.3K	$2.9M
Faisal Wasi	OK	Infectious Disease Physician	$464.7K	$0
Raymond Walker	OK	Social Worker	$160.4K	$0

Stigler Health And Wellness Center Inc — Billing Profile & Reimbursement Data

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Stigler Health And Wellness Center Inc — 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