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    OpenPayerNPI Medicare & MedicaidAhs Claremore Regional Hospital, LLC.
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    Ahs Claremore Regional Hospital, LLC. — Billing Profile & Reimbursement Data

    NPI 1023398807 · Claremore, OK · General Acute Care Hospital

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    Ahs Claremore Regional Hospital, LLC. is a general acute care hospital provider located in Claremore, Oklahoma. This profile covers 0 Medicare and 48 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAhs Claremore Regional Hospital, LLC.
    Address1202 N Muskogee Pl
    CityClaremore
    StateOK
    ZIP74017
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedAugust 24, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.6,430$240$1.5M
    99285The 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.4,180$320$1.3M
    99283The 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.6,310$160$1M
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.380$670$250.8K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.1,720$130$218.7K
    76805In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…1,240$80$103.9K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…1,080$50$52K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.20$3,090$46.3K
    87804The 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.1,800$20$41.4K
    87428The 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…1,220$30$34.1K

    Showing 1–10 of 48

    Medicaid: Competitive Analysis & Benchmarks

    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

    48 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.602301,440$170$1.2M
    99283The 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.852501,820$130$1.1M
    99285The 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.411801,030$200$1M
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.435070$1,800$496.5K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.39100990$130$405.9K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.2670150$450$279K
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…2330120$60$243.6K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.93100630$50$197.2K
    99282The 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.143160410$80$166.4K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.7180200$100$164.5K

    Showing 1–10 of 48

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ahs Claremore Regional Hospital, LLC., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ahs Oklahoma Physician Group LLCOKFamily Medicine Physician$0$17.4M
    Ahs Claremore Regional Hospital, LLCOKRural Health Clinic/Center$0$2.4M
    Joseph WomackTXUrology Physician$463.6K$0
    David SandlerOKClinical Cardiac Electrophysiology Physician$397.7K$0
    Siva Kumar SomaKSClinical Cardiac Electrophysiology Physician$220.9K$0
    Joseph GardOKClinical Cardiac Electrophysiology Physician$212.8K$0
    Aelayna MeyerOKInternal Medicine Physician$186.6K$0
    Anthony HaneyOKCardiovascular Disease Physician$165.7K$0
    Melanie KetchandjiOKUrology Physician$132.2K$0
    Tyler EllingtonOKCardiovascular Disease Physician$91.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Ahs Claremore Regional Hospital, LLC., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grand Lake Mental Health Center, Inc.OKMental Health Clinic/Center (Including Community Mental Health Center)$0$47.2M
    Alliance Mental Health, LLCOKMental Health Clinic/Center (Including Community Mental Health Center)$0$8.2M
    Elevate Pediatric Therapies PCOKPhysical Therapist$0$6.5M
    Generations Family Medical Clinic, LLCOKHealth Service Clinic/Center$0$5.6M
    Claremore Indian HospitalOKGeneral Acute Care Hospital$0$3.9M
    Patricia A Farmer, Aprn-cnp, PLLCOKPrimary Care Clinic/Center$0$2.3M
    Melinda SteelmonOKObstetrics & Gynecology Physician$0$1.9M
    Robert ParkerOKOphthalmology Physician$237.9K$0
    Steven HardageOKSports Medicine (Family Medicine) Physician$236.5K$0
    Christopher MartinOKPhysical Therapist$212.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Oklahoma Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Ahs Claremore Regional Hospital, LLC. — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma