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.

Ahs Oklahoma Physician Group, LLC (NPI 1922683051)

Ahs Oklahoma Physician Group, LLC is a rural health clinic/center provider located in Cushing, Oklahoma. This profile covers 0 Medicare and 14 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	Ahs Oklahoma Physician Group, LLC
Address	1025 E 2nd St
City	Cushing
State	OK
ZIP	74023
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	March 10, 2021

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

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

14 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…	8,880	$120	$1.1M
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…	7,540	$110	$813.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	610	$140	$82.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	590	$140	$79.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	170	$140	$23.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	70	$140	$9.5K
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…	70	$110	$7.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	370	$0	$0
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,…	180	$0	$0
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	120	$0	$0

Showing 1–10 of 14

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

Ahs Oklahoma Physician Group, LLC — 0 of 7 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

14 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…	156	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…	184	1,750	870	$70	$254.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	140	270	600	$90	$159.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	130	280	470	$100	$140.8K
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…	448	720	120	$150	$94.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	154	290	200	$90	$72.1K
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,…	161	290	260	$40	$69.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	147	270	90	$100	$35.5K
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.	245	550	220	$30	$31.9K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	85	130	200	$30	$27.3K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahs Oklahoma Physician Group LLC	OK	Family Medicine Physician	$0	$17.4M
Tyler Woods	OK	Family Nurse Practitioner	$878.4K	$0
Khalid Aly	OK	Internal Medicine Physician	$718.2K	$0
Joseph Womack	TX	Urology Physician	$463.6K	$0
Jaclyn Duvall	OK	Neurology Physician	$354.7K	$0
Isaiah Wilson	OK	Physical Medicine & Rehabilitation Physician	$301.5K	$0
Andreas Revelis	OK	Pain Medicine (Anesthesiology) Physician	$285K	$0
Chad Crawley	OK	Orthopaedic Surgery Physician	$262.9K	$0
Kristin King	OK	Neurology Physician	$261.1K	$0
Lisa Bull	OK	Dermatology Physician	$247.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahs Cushing Hospital LLC	OK	General Acute Care Hospital	$0	$3.6M
City Of Cushing	OK	Land Ambulance	$269.3K	$754.9K
Robert Hightower	OK	Internal Medicine Physician	$251.8K	$0
Randy Grellner	OK	Family Medicine Physician	$203.4K	$0
Colm Mccauley	OK	Family Medicine Physician	$183.1K	$0
Azhar Shakeel	OK	Family Medicine Physician	$105.9K	$0
Cushing Family Pharmacy Inc	OK	Community/Retail Pharmacy	$55.9K	$0
King Morris	OK	Urology Physician	$27.2K	$0

Ahs Oklahoma Physician Group, LLC — Billing Profile & Reimbursement Data

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Ahs Oklahoma Physician Group, 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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