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.

Farmers Union Hospital Association (NPI 1184639122)

Farmers Union Hospital Association is a general acute care hospital provider located in Elk City, Oklahoma. This profile covers 0 Medicare and 78 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	Farmers Union Hospital Association
Address	1801 W 3rd St
City	Elk City
State	OK
ZIP	73644
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

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

78 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.	10,230	$210	$2.1M
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.	11,710	$140	$1.6M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	130	$3,640	$454.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2,100	$130	$268.9K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	160	$900	$139.6K
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…	1,130	$70	$75.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	1,000	$70	$68.1K
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…	840	$80	$65K
99203	The provider sees a new 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 provider…	510	$90	$45.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	6,230	$10	$43.6K

Showing 1–10 of 78

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

Farmers Union Hospital Association — 0 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

78 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.	39	230	1,440	$170	$1.2M
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,…	327	530	140	$450	$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.	59	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.	174	180	1,030	$200	$1M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	147	200	1,720	$80	$645.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	129	210	1,850	$70	$560.1K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	24	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…	7	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.	34	100	990	$130	$405.9K
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…	826	1,680	820	$90	$307K

Showing 1–10 of 78

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Farmers Union Hospital Association	OK	Rural Health Clinic/Center	$0	$1.7M
Douglas Beall	OK	Diagnostic Radiology Physician	$763.1K	$0
Kelleena Duran	OK	Family Nurse Practitioner	$361.7K	$0
Steven Winham	OK	Orthopaedic Surgery Physician	$255.1K	$0
Jayne Bentley	OK	Family Nurse Practitioner	$189.8K	$0
Alan Stone	IA	Diagnostic Radiology Physician	$177.1K	$0
Matthew Mckeever	AR	Radiation Oncology Physician	$174.8K	$0
Taylor Scott	OK	Emergency Medicine Physician	$164.9K	$0
Brent Jacobson	CO	Diagnostic Radiology Physician	$144K	$13.4K
Amish Patel	OK	Surgery Physician	$151.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$8.8M
Paul Firth Md PC	OK	Pediatrics Physician	$0	$4.9M
Western Oklahoma Pain Specialists LLC	OK	Interventional Pain Medicine Physician	$0	$2.5M
Air Evac Ems Inc	OK	Air Ambulance	$1.4M	$364.1K
Whinery Family Medicine PLLC	OK	Family Medicine Physician	$0	$1.7M
Yco Tulsa, Inc	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
City Of Elk City Office Of City Clerk	OK	Land Ambulance	$357.5K	$786.7K
Cole Wootton	OK	Urology Physician	$427.5K	$0
Michael Robinson	OK	Family Medicine Physician	$328.1K	$0
Kamran Massoumi	OK	Ophthalmology Physician	$289.6K	$0

Farmers Union Hospital Association — Billing Profile & Reimbursement Data

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Farmers Union Hospital Association — 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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