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NPI 1972698553 · Tulsa, OK · Emergency Medicine Physician
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Green Country Emergency Physicians Group Of Tulsa PLLC is a emergency medicine physician provider located in Tulsa, Oklahoma. This profile covers 0 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Green Country Emergency Physicians Group Of Tulsa PLLC |
| Address | 1120 S Utica Ave |
| City | Tulsa |
| State | OK |
| ZIP | 74104 |
| Taxonomy | Emergency Medicine Physician |
| NPI Enumerated | October 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $18.9M |
| Medicare | $0 |
GREEN COUNTRY EMERGENCY PHYSICIANS GROUP OF TULSA PLLC bills exclusively to Medicaid in the available data and is classified in the Emergency Medicine Physician taxonomy, indicating its operations are focused on emergency department evaluation and management (E/M) services rather than inpatient or longitudinal care. The dominant codes are ED E/M visit levels, which aligns with a practice model that delivers high volumes of acute care encounters in the ED setting.
This provider reports Total Medicaid revenue of $18.9M, with the precomputed top three Medicaid codes accounting for 99.2% of that total. The top three revenue drivers are 99285 ($9.8M, 51.8% of Medicaid revenue), 99284 ($7.8M, 41.0% of Medicaid revenue), and 99283 ($1.2M, 6.4% of Medicaid revenue), showing an extremely concentrated revenue profile centered on ED E/M services.
There is no Medicare billing on file for this provider, so its billed revenue is effectively single-payer within the available data set. Analysts should interpret performance and contracting leverage primarily through the Medicaid lens rather than a mixed Medicare/Medicaid payer mix.
For high-acuity ED services the group is a statewide outlier: 99285 is reported at 80.3K claims generating $122 avg paid/claim and $9.8M revenue, ranking #2 of 182 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). Similarly, 99284 shows 80K claims, $97 avg paid/claim and $7.8M revenue, ranking #3 of 230 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). These positions indicate the group is a dominant regional provider for moderate- to high-acuity ED visits.
Lower-acuity ED code 99283 is present but less dominant: 23.3K claims, $52 avg paid/claim and $1.2M revenue, ranking #22 of 254 providers in-state (92th percentile; typical, unremarkable volume for this code). Critical care code 99291 appears at much smaller volume (891 claims, $155 avg paid/claim, $138.1K revenue, 0.7% of Medicaid revenue) and ranks #11 of 55 providers in-state (81th percentile; typical, unremarkable volume for this code), suggesting the practice’s service mix emphasizes ED evaluation/management over billed critical care time.
Claim counts and average paid per claim show a clear acuity-to-payment gradient: 99285 at 80.3K claims with $122 avg paid/claim, 99284 at 80K claims with $97 avg paid/claim, and 99283 at 23.3K claims with $52 avg paid/claim. This pattern reinforces that most revenue derives from high-volume, higher-acuity ED encounters rather than a broad set of ancillary procedures or inpatient E/M services.
The provider’s NPI was enumerated on 2006-10-03 (~20 years ago), indicating a long-tenured presence in the Tulsa market. That tenure, combined with the very high statewide ranks for 99285 and 99284, suggests established referral patterns or contract relationships within Oklahoma Medicaid facilitating sustained high ED volumes.
Because 99.2% of Medicaid revenue is concentrated in the top three ED E/M codes, the provider’s financial performance is highly sensitive to changes in Medicaid ED utilization patterns, coding policy, or fee schedule adjustments for these codes. Ancillary codes generate negligible revenue by comparison (for example 93010 $918 revenue and 99053 $45 revenue), underscoring a narrow operational and revenue footprint focused on ED visits.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 80,280 | $120 | $9.8M |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 79,980 | $100 | $7.8M |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 23,300 | $50 | $1.2M |
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 890 | $160 | $138.1K |
| 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… | 30 | $150 | $4K |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 80 | $30 | $2.6K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 150 | $10 | $920 |
| 99053 | The provider renders overnight services at a 24 hour facility. | 50 | $1 | $50 |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 3 | 230 | 1,440 | $170 | $1.2M |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 22 | 250 | 1,820 | $130 | $1.1M |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 2 | 180 | 1,030 | $200 | $1M |
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 11 | 60 | 130 | $210 | $193.9K |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 120 | 160 | 410 | $80 | $166.4K |
| 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… | 157 | 200 | 110 | $140 | $105.8K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 57 | 80 | 590 | $10 | $33.3K |
| 99053 | The provider renders overnight services at a 24 hour facility. | 2 | 10 | 20 | $1 | $50 |
Other providers in the same ZIP code as Green Country Emergency Physicians Group Of Tulsa PLLC, ranked by combined Medicare and Medicaid revenue.
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