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.

Chickasaw Nation Division Of Health (NPI 1982764395)

Field	Value
Entity Type	Organization
Organization	Chickasaw Nation Division Of Health
Address	1438 Hardcastle Blvd
City	Purcell
State	OK
ZIP	73080
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$17.8M
Medicare	$0

Key Findings

CHICKASAW NATION DIVISION OF HEALTH has no Medicare billing on file and is effectively a single-payer (Medicaid-focused) billing entity based on the available data; total Medicaid revenue is $17.8M and there is no reported Medicare revenue to compare against. The absence of Medicare activity suggests the provider’s operational focus and payer relationships are concentrated within state Medicaid programs rather than the Medicare market.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, indicating that a very small set of service lines drives all reported Medicaid payments. This concentration implies limited code diversification in billing and a reliance on a narrow set of outpatient services for Medicaid revenue.

The single listed Medicaid code, 99212, accounts for 30.6K claims at an average paid amount of $582 per claim, totaling $17.8M in revenue and representing 100.0% of the provider’s Medicaid revenue. This code describes established-patient office/outpatient visits with straightforward decision making or roughly 10 minutes of encounter time, suggesting the provider’s Medicaid activity is dominated by low-complexity primary care visits.

In the state competitive context, CHICKASAW NATION DIVISION OF HEALTH ranks #11 of 529 providers for code 99212 and sits in the 98th percentile, which the data labels as notably above typical state volume for this code. This ranking indicates the provider is a major regional player for routine established-patient outpatient visits and likely captures substantial primary-care visit volume within its service area.

The provider’s NPI was enumerated on 2006-12-08 (~20 years ago), indicating long-standing operational presence; this tenure supports the plausibility of sustained patient relationships and the accumulation of the high volume of established-patient visits reported for Medicaid. A multi-decade enrollment also suggests established administrative processes for Medicaid billing.

Given the code mix and payment profile, operational implications include a clinic-style service delivery model focused on ambulatory primary care visits rather than procedural, specialty, or hospital-based services. The dominance of 99212 revenue implies staffing and workflow optimized for frequent short visits, and revenue vulnerability if state Medicaid policy or reimbursement for evaluation-and-management visits changes.

The statistical descriptor for the provider’s top code — "notably above typical state volume" — aligns with its #11 statewide rank and underlines that this provider is an outlier in volume for routine outpatient established-patient visits. Analysts should interpret this as a concentration of high visit counts relative to peers rather than an indication of atypical billing mix across multiple service codes.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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,…	30,550	$580	$17.8M

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

Chickasaw Nation Division Of Health — 1 of 1 code 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

1 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,…	11	530	140	$450	$1.2M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Chickasaw Nation Division Of Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chickasaw Nation Division Of Health	OK	General Acute Care Hospital	$0	$161.8M
Chickasaw Nation Division Of Health	OK	Primary Care Clinic/Center	$0	$30.6M
Chickasaw Nation Division Of Health	OK	Primary Care Clinic/Center	$0	$18M
Vinay Shah	OK	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Abdul Khan	TX	Nephrology Physician	$426.5K	$0
Glen Diacon	OK	Specialist	$422.6K	$0
Chickasaw Nation Division Of Health	OK	Ambulatory Surgical Clinic/Center	$312.8K	$0
George Chrysant	OK	Interventional Cardiology Physician	$298.7K	$0
Andres Caero Romero	OK	Nephrology Physician	$294.7K	$0

Nearby Providers

Other providers in the same ZIP code as Chickasaw Nation Division Of Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multi-county Counseling, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.9M
Purcell Municipal Hospital	OK	General Acute Care Hospital	$0	$2.8M
Wadley's Ems Inc	OK	Land Ambulance	$449.6K	$1.1M
Ricky Schmidt	OK	Family Medicine Physician	$239.1K	$0
D. Dye	OK	Family Medicine Physician	$185K	$0
Julie Burch	OK	Physical Therapist	$70.8K	$0
Larry Sharp	OK	Family Medicine Physician	$70K	$0
Charlotte Shackelford	OK	Physician Assistant	$59.4K	$0
Wendy Wilbur	OK	Gerontology Nurse Practitioner	$14.2K	$0
Kristina Freeborn	OK	Speech-Language Pathologist	$7.1K	$0

Chickasaw Nation Division Of Health — Billing Profile & Reimbursement Data

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Chickasaw Nation Division Of Health — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References