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.

Mercy Oklahoma Ambulatory Services LLC (NPI 1922509173)

Mercy Oklahoma Ambulatory Services LLC is a urgent care clinic/center provider located in Moore, Oklahoma. This profile covers 0 Medicare and 11 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	Mercy Oklahoma Ambulatory Services LLC
Address	705 Sw 19th St
City	Moore
State	OK
ZIP	73160
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	February 23, 2018

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

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

11 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…	17,740	$80	$1.3M
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…	8,230	$100	$781.9K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	6,430	$40	$250.7K
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…	1,610	$110	$175.1K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	2,570	$50	$128.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	2,350	$30	$63.6K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	3,910	$20	$58.7K
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…	340	$150	$50.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	410	$60	$25.9K
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,…	220	$50	$10.8K

Showing 1–10 of 11

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

Mercy Oklahoma Ambulatory Services LLC — 3 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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,…	219	530	140	$450	$1.2M
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…	602	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…	72	1,750	870	$70	$254.4K
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…	221	720	120	$150	$94.5K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	41	50	280	$50	$81.5K
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…	14	710	140	$100	$74.6K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	6	110	170	$40	$50.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	13	210	200	$50	$35.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	68	550	220	$30	$31.9K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	54	540	270	$10	$23.4K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nazanin Hesami	OK	Family Medicine Physician	$128.3K	$0
Orson Rodriguez	TX	Family Medicine Physician	$104K	$0
Larry Sharp	OK	Family Medicine Physician	$70K	$0
Jonathan Robinson	OK	Family Medicine Physician	$67.2K	$0
Dawn Womack	OK	Nurse Practitioner	$56.7K	$0
Jeffrey Lhommedieu	OK	Family Medicine Physician	$48.6K	$0
Melinda Kruger	OK	Family Nurse Practitioner	$48K	$0
Alex Medgaarden	OK	Physician Assistant	$43.3K	$0
Elizabeth Haak	OK	Physician Assistant	$40.1K	$0
Kayla Rice	OK	Family Nurse Practitioner	$33.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aky Md, LLC	OK	Pediatrics Physician	$0	$42.2M
Innovative Medical Supply, LLC	OK	Durable Medical Equipment & Medical Supplies	$0	$13.6M
Integrated Therapy Solutions Of Oklahoma, LLC	OK	Community/Behavioral Health Agency	$0	$4.6M
Physicians Surgical Center LLC	OK	Ambulatory Surgical Clinic/Center	$1.9M	$2.7M
David Roberts Consulting, LLC	OK	Secured Medical Transport (VAN)	$0	$4.3M
Pkl Orthodontics, PC	OK	Dental Clinic/Center	$0	$3.7M
Today's Therapy Solutions	OK	Speech-Language Pathologist	$0	$3.7M
Quick Urgent Care LLC	OK	Urgent Care Clinic/Center	$0	$3.5M
Moore Family Therapy	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Moore Autism Center, P.C.	OK	Clinical Child & Adolescent Psychologist	$0	$2.8M

Mercy Oklahoma Ambulatory Services LLC — Billing Profile & Reimbursement Data

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Mercy Oklahoma Ambulatory Services LLC — 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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