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.

Midwest City Hma Physician Management, LLC (NPI 1952469439)

Midwest City Hma Physician Management, LLC is a obstetrics & gynecology physician provider located in Midwest City, Oklahoma. This profile covers 0 Medicare and 45 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	Midwest City Hma Physician Management, LLC
Address	2801 Parklawn Dr
City	Midwest City
State	OK
ZIP	73110
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

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

45 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…	19,370	$50	$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…	7,640	$70	$527.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	6,480	$40	$272.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	990	$80	$80.8K
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…	820	$80	$68.2K
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.	3,390	$10	$47.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,230	$40	$46.9K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	30	$1,680	$45.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	780	$50	$41.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,250	$20	$40.4K

Showing 1–10 of 45

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

Midwest City Hma Physician Management, LLC — 1 of 25 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

45 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,…	395	530	140	$450	$1.2M
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	22	40	60	$2,350	$476.3K
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…	152	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…	66	1,750	870	$70	$254.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	35	280	840	$50	$179.5K
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…	192	270	600	$90	$159.1K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	20	80	190	$80	$148.9K
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…	194	280	470	$100	$140.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	129	200	110	$140	$105.8K
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…	301	720	120	$150	$94.5K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Durant Hma LLC	OK	General Acute Care Hospital	$0	$13M
Durant Hma Physician Management, LLC	OK	Internal Medicine Physician	$0	$6.9M
Keshav Panday	OK	Specialist	$3.3M	$0
Asim Chohan	OK	Cardiovascular Disease Physician	$564.9K	$0
Hayden Henry	OK	Urology Physician	$460.7K	$0
Bolaji Sofola	OK	Urology Physician	$432.4K	$0
Mcdonald Arnot	TX	Otolaryngology Physician	$137.7K	$241.9K
Patrick O'neill	OK	Family Medicine Physician	$347.3K	$0
Muzaffar Saleemi	OK	Family Medicine Physician	$277.7K	$0
Chadi Dib	TX	Interventional Cardiology Physician	$249.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Regional Medical Center, LLC	OK	General Acute Care Hospital	$0	$5.3M
Ssm Health Care Of Oklahoma, Inc	OK	General Acute Care Hospital	$0	$4.9M
Pediatric Dental Group Ii, LLC	OK	Dental Clinic/Center	$0	$4.8M
Shepherd's Recovery And Counseling Services	OK	Community/Behavioral Health Agency	$0	$4M
Dental Depot Mid West City	OK	General Practice Dentistry	$0	$3.9M
Hero Vision Of Midwest City PLLC	OK	Optometrist	$0	$2M
Midwest Regional Medical Center, LLC	OK	Ambulance	$0	$1.8M
All About Caring Home Health Care, LLC	OK	Home Health Agency	$0	$1.6M
Ssm Health Care Of Oklahoma, Inc	OK	Ambulance	$0	$1.6M
Jessi Runyan	OK	Family Nurse Practitioner	$573.8K	$0

Midwest City Hma Physician Management, LLC — Billing Profile & Reimbursement Data

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Midwest City Hma Physician Management, 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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