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.

Pushmataha Family Medical Center, Inc (NPI 1891882676)

Field	Value
Entity Type	Organization
Organization	Pushmataha Family Medical Center, Inc
Address	109 Stanley Road
City	Clayton
State	OK
ZIP	74536
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 5, 2006

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	18,120	$190	$3.5M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,110	$70	$141.4K
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…	1,390	$30	$41.6K
D0140	Limited oral evaluation – problem focused	720	$30	$21.7K
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…	3,120	$10	$15.6K
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…	2,100	$10	$10.5K
D0220	Intraoral - periapical first radiographic image	200	$20	$3.1K
99441	N/A	120	$20	$2.5K
D2391	Resin‑based composite – one surface, posterior	20	$60	$890
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	60	$1	$60

Showing 1–10 of 22

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

Pushmataha Family Medical Center, Inc — 0 of 10 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	40	140	7,150	$220	$4.4M
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…	524	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…	450	1,750	870	$70	$254.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	38	240	280	$70	$91.8K
D1120	Prophylaxis–child	385	470	730	$30	$77.5K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	229	290	260	$40	$69.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	145	150	1,280	$10	$67.8K
D0120	Periodic oral evaluation - established patient	461	540	910	$20	$61.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	335	480	530	$40	$57.4K
D0330	N/A	209	420	360	$50	$49.5K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pushmataha Family Medical Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rebecca Smith	OK	Family Nurse Practitioner	$3.1K	$0

Pushmataha Family Medical Center, Inc — Billing Profile & Reimbursement Data

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Pushmataha Family Medical Center, Inc — 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

Frequently Asked Questions

References