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.

Tulsa Spine & Specialty Hospital (NPI 1033185293)

Field	Value
Entity Type	Organization
Organization	Tulsa Spine & Specialty Hospital
Address	6901 S Olympia Ave
City	Tulsa
State	OK
ZIP	74132
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 27, 2006

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	4,050	$630	$2.5M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	650	$3,800	$2.5M
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	190	$1,080	$209.1K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	380	$330	$126.8K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	150	$370	$54.5K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	50	$330	$17.7K
U0004	2019-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…	150	$100	$14.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	10	$620	$7.4K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	10	$190	$2.3K
J0665	Injection, bupivicaine, not otherwise specified, 0.5 mg	180	$0	$0

Showing 1–10 of 16

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

Tulsa Spine & Specialty Hospital — 1 of 9 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	7	50	70	$1,800	$496.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1	70	150	$450	$279K
U0004	2019-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…	12	30	120	$60	$243.6K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	10	20	140	$170	$113K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	5	10	80	$730	$85.5K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	66	70	190	$200	$78.8K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	6	20	240	$190	$62.3K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	14	30	50	$140	$21.4K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	3	10	10	$130	$3.8K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	28	80	150	$1	$2.7K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Tulsa Spine & Specialty Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dental Depot Southern Hills 71st & Jackson	OK	Dental Clinic/Center	$0	$4.3M
Medical Motion, L.L.C.	OK	Durable Medical Equipment & Medical Supplies	$0	$2.6M
Vanguard Laboratory Innovations	OK	Clinical Medical Laboratory	$2.4M	$62.5K
John Saurino	OK	Ophthalmology Physician	$2.2M	$0
Olympia Anesthesia, Plc	OK	Anesthesiology Physician	$0	$1.8M
Williams Medical Group Practice, LLC	OK	Rural Health Clinic/Center	$0	$1.8M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$1.7M
Alison Fischer	OK	Dermatology Physician	$490.5K	$25.2K
Hayley Sewell	OK	Physician Assistant	$310.7K	$0
Kristin King	OK	Neurology Physician	$261.1K	$0

Tulsa Spine & Specialty Hospital — Billing Profile & Reimbursement Data

Sign up for Tulsa Spine & Specialty Hospital — Billing Profile & Reimbursement Data policy alerts

Tulsa Spine & Specialty Hospital — Billing Profile & Reimbursement Data

Sign up for Tulsa Spine & Specialty Hospital — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References