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.

Stillwater Medical Center Authority (NPI 1164494027)

Field	Value
Entity Type	Organization
Organization	Stillwater Medical Center Authority
Address	1323 W 6th Ave
City	Stillwater
State	OK
ZIP	74074
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 6, 2006

Payer Source	Total Paid
Medicaid	$15.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

101 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	17,420	$240	$4.1M
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.	10,980	$300	$3.3M
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.	14,310	$160	$2.3M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	2,600	$690	$1.8M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	390	$3,460	$1.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	9,190	$120	$1.1M
96375	Following 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…	6,420	$40	$256.9K
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.	2,410	$90	$226.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	10,430	$10	$93.9K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	2,460	$40	$88.7K

Showing 1–10 of 101

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

Stillwater Medical Center Authority — 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

101 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.	27	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.	45	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.	23	180	1,030	$200	$1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	15	50	70	$1,800	$496.5K
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	3	10	170	$70	$447.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	10	100	990	$130	$405.9K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	7	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…	6	30	120	$60	$243.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	42	50	550	$60	$235.1K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	15	40	440	$30	$230.3K

Showing 1–10 of 101

Related Providers

Other providers that share a Tax Identification Number (TIN) with Stillwater Medical Center Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stillwater Medical Center Authority	OK	Family Medicine Physician	$0	$13.2M
Stillwater Medical Center Authority	OK	Rural Acute Care Hospital	$0	$3.3M
Scott Cole	OK	Hematology & Oncology Physician	$2.3M	$0
Mark Jennings	TX	Internal Medicine Physician	$2.1M	$0
Kevin Weibel	OK	Hematology & Oncology Physician	$1.7M	$0
Matthew Flood	OK	Ophthalmology Physician	$1.1M	$0
Eric Thomas	OK	Obstetrics & Gynecology Physician	$536.3K	$0
Steven Cummings	OK	Internal Medicine Physician	$359.5K	$0
Andrea Fraley	OK	Sports Medicine (Physical Medicine & Rehabilitation) Physician	$355.9K	$0
Jeffrey Miller	OK	Pain Medicine (Anesthesiology) Physician	$317.3K	$0

Nearby Providers

Other providers in the same ZIP code as Stillwater Medical Center Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$22.5M
South Central Emergency Services PC	OK	Emergency Medicine Physician	$0	$12.6M
Dysphagia Specialists, PLLC	OK	Speech-Language Pathologist	$0	$5.1M
Knight Medical Supply L.L.C.	OK	Durable Medical Equipment & Medical Supplies	$0	$4.3M
Stewart & Schuessler Orthodontics, PC	OK	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.2M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$2.9M
Ocean Dental, PC	OK	General Practice Dentistry	$0	$2.1M
Cockrell Eyecare Center PLLC	OK	Optometrist	$0	$1.9M
Thomas Hall	OK	Dermatology Physician	$424.4K	$0
Kristyna Iyer	OK	Dermatology Physician	$375.9K	$0

Stillwater Medical Center Authority — Billing Profile & Reimbursement Data

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Stillwater Medical Center Authority — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References