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.

Integris Grove Hospital (NPI 1134720592)

Integris Grove Hospital is a rural health clinic/center provider located in Grove, Oklahoma. This profile covers 0 Medicare and 38 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	Integris Grove Hospital
Address	601 E 13th St
City	Grove
State	OK
ZIP	74344
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	November 3, 2020

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	15,540	$110	$1.6M
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…	7,860	$100	$801.6K
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…	3,850	$110	$415.7K
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…	2,530	$110	$273.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,220	$100	$125.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	2,880	$30	$92K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	300	$100	$29.8K
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…	70	$130	$9K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	40	$90	$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…	30	$70	$1.9K

Showing 1–10 of 38

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

Integris Grove Hospital — 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	62	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…	203	1,750	870	$70	$254.4K
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…	27	270	600	$90	$159.1K
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…	44	280	470	$100	$140.8K
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…	436	720	120	$150	$94.5K
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…	125	160	130	$90	$84.6K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	40	210	350	$40	$73.2K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	57	90	100	$120	$73K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	52	290	200	$90	$72.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	267	420	240	$20	$39.7K

Showing 1–10 of 38

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integris Ambulatory Care Corporation	OK	Family Medicine Physician	$0	$27.5M
Integris Miami Hospital	OK	General Acute Care Hospital	$0	$7.3M
Integris Bass Baptist Health Center	OK	General Acute Care Hospital	$0	$6.4M
Integris Grove Hospital	OK	General Acute Care Hospital	$0	$5.8M
Integris Miami Hospital	OK	Rural Health Clinic/Center	$0	$4.3M
Michael Hood	OK	Retina Specialist (Ophthalmology) Physician	$3.5M	$0
Integris Grove Hospital	OK	Rural Health Clinic/Center	$0	$2M
Edwin Herd	HI	Pediatrics Physician	$0	$640.5K
Sean Whalen	NY	Nuclear Medicine Physician	$555.5K	$0
Kenan Kirkendall	OK	Family Medicine Physician	$541.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.8M
Yco, Inc	OK	Professional Counselor	$0	$1.8M
Lakehaven Dental P.C	OK	General Practice Dentistry	$0	$1.7M
Air Evac Ems, Inc.	OK	Air Ambulance	$625.9K	$519.8K
Triad Surgery Center, LLC	OK	Ambulatory Surgical Clinic/Center	$423K	$159.7K
Renee Russell	OK	Family Medicine Physician	$409.3K	$0
Bryan Sheehan	OK	Podiatrist	$174.2K	$97K
James Chapman	OK	Interventional Cardiology Physician	$229.1K	$0
Kevin Yunt	OK	Diagnostic Radiology Physician	$221K	$0
Jacob Hostetler	OK	Family Medicine Physician	$204.8K	$0

Integris Grove Hospital — Billing Profile & Reimbursement Data

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Integris Grove Hospital — 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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