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.

Clinton J Baird Plc (NPI 1912474974)

Clinton J Baird Plc is a neurological surgery physician provider located in Tulsa, Oklahoma. This profile covers 0 Medicare and 22 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	Clinton J Baird Plc
Address	6130 E 81st St
City	Tulsa
State	OK
ZIP	74137
Taxonomy	Neurological Surgery Physician
NPI Enumerated	October 29, 2018

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

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
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…	17,500	$90	$1.5M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	12,950	$50	$699.5K
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…	4,210	$50	$219K
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…	970	$120	$116.4K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	1,700	$10	$22.1K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	500	$10	$4.5K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	370	$10	$4K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	590	$10	$3.6K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	130	$20	$3.2K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	20	$140	$2.8K

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

Clinton J Baird Plc — 1 of 21 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
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…	51	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…	351	1,750	870	$70	$254.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	8	100	630	$50	$197.2K
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…	111	720	120	$150	$94.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	266	300	100	$150	$79.5K
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…	667	710	140	$100	$74.6K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	14	10	230	$40	$29.8K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	6	10	430	$10	$24.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	212	360	120	$30	$15.8K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	7	20	100	$20	$11.4K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Zito	OK	Hematology & Oncology Physician	$2.2M	$0
Benjamin Downie	NM	Medical Oncology Physician	$1.5M	$0
Abigail Owunna	TX	Family Nurse Practitioner	$1.2M	$0
Michael Graves	TX	MOHS-Micrographic Surgery Physician	$645.3K	$0
Daniel Carrasco	TX	Dermatology Physician	$620.2K	$0
Christopher Graham	TX	Urology Physician	$432K	$0
Austin Chang	TX	Ophthalmology Physician	$335.6K	$0
Fotini Chalkias	TX	Cardiovascular Disease Physician	$335.3K	$0
Jacob Manuel	TX	Orthopaedic Surgery Physician	$332.5K	$0
Alif Sarah	AZ	Internal Medicine Physician	$212K	$104.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpha Medical Laboratory LLC	OK	Clinical Medical Laboratory	$6.6M	$1.2M
Thomas Denmark	OK	Family Medicine Physician	$5.3M	$0
Stephen W. Groves Md, PC	OK	Ophthalmology Physician	$0	$3.2M
Matthew Comstock	OK	Interventional Cardiology Physician	$2.8M	$0
Certigen Laboratory, LLC	OK	Clinical Medical Laboratory	$2.1M	$284.3K
Chris King Counseling Services LLC	OK	Professional Counselor	$0	$2.2M
Advanced Orthopedics Of Oklahoma PLLC	OK	Orthopaedic Surgery Physician	$0	$2M
Gilead Counseling Center LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
Birth & Beyond Pediatrics, P.C.	OK	Pediatrics Physician	$0	$1.6M
Brandon Claflin	OK	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$532.7K	$0

Clinton J Baird Plc — Billing Profile & Reimbursement Data

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Clinton J Baird Plc — 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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