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.

Regenia Hilton (NPI 1912514936)

Field	Value
Entity Type	Individual
Organization	Regenia Hilton
Address	6130 E 81st St
City	Tulsa
State	OK
ZIP	74137
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 24, 2020

Payer Source	Total Paid
Medicare	$86K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	550	$60	$31K
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.	490	$60	$29.6K
G0482	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…	100	$190	$19.6K
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…	40	$80	$3.3K
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.	500	$1	$1.5K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	80	$10	$850

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Regenia Hilton — 0 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. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0482	32	40	310	$190	$108.9K
80307	41	140	230	$60	$26.3K
99214	4,337	5,560	130	$70	$18.4K
99213	298	5,450	80	$50	$8.7K
99406	17	150	20	$10	$540
96127	9	120	40	$1	$490

Related Providers

Other providers that share a Tax Identification Number (TIN) with Regenia Hilton, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Pain Solutions	OK	Pain Medicine Physician	$0	$13.1M
Clinton J Baird Plc	OK	Neurological Surgery Physician	$0	$2.6M
Access Medical Affordable Family Healthcare, LLC	OK	Family Medicine Physician	$0	$2M
Jack Weaver	OK	Interventional Pain Medicine Physician	$177.5K	$911.2K
Daniel Morris	OK	Pain Medicine (Anesthesiology) Physician	$1M	$0
Larry Mckenzie	OK	Interventional Pain Medicine Physician	$657.4K	$0
Frank Hackl	OK	Interventional Pain Medicine Physician	$440.4K	$0
Brad Starkey	OK	Anesthesiology Physician	$423.3K	$0
Samantha Kipps	OK	Family Nurse Practitioner	$388.4K	$0
Patrick O'neill	OK	Family Medicine Physician	$347.3K	$0

Nearby Providers

Other providers in the same ZIP code as Regenia Hilton, ranked by combined Medicare and Medicaid revenue.

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

Regenia Hilton — Billing Profile & Reimbursement Data

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Regenia Hilton — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References