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.

Jane Phillips Memorial Medical Center, Inc. (NPI 1215914254)

Field	Value
Entity Type	Organization
Organization	Jane Phillips Memorial Medical Center, Inc.
Address	3500 E Frank Phillips Blvd
City	Bartlesville
State	OK
ZIP	74006
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 30, 2005

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

66 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	13,630	$150	$2.1M
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.	3,990	$320	$1.3M
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.	5,720	$220	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,670	$120	$780.5K
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.	3,640	$100	$352.7K
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.	8,890	$20	$151.1K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	830	$180	$146.4K
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.	500	$290	$141.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	190	$560	$106K
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…	10,530	$10	$73.7K

Showing 1–10 of 66

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

Jane Phillips Memorial Medical Center, Inc. — 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

66 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.	68	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.	51	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.	43	180	1,030	$200	$1M
D9999	N/A	37	40	310	$690	$591.7K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	47	50	70	$1,800	$496.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14	100	990	$130	$405.9K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	39	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…	22	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…	26	50	550	$60	$235.1K
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.	22	160	410	$80	$166.4K

Showing 1–10 of 66

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jane Phillips Memorial Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. John Physicians, Inc.	OK	Internal Medicine Physician	$0	$17.7M
St John Urgent Care Clinics Inc	OK	Urgent Care Clinic/Center	$0	$5.1M
Anderson Mehrle	OK	Cardiovascular Disease Physician	$486.1K	$0
Vishal Aggarwal	OK	Internal Medicine Physician	$436.6K	$0
Donald Simmons	TX	Family Medicine Physician	$408.6K	$0
Samantha Kipps	OK	Family Nurse Practitioner	$388.4K	$0
Richard Holsopple	OK	Emergency Medicine Physician	$376.4K	$0
Kenneth Reed	OK	Pain Medicine (Anesthesiology) Physician	$371.6K	$0
David Remy	OK	Emergency Medicine Physician	$286.7K	$0
Faisal Latif	OK	Interventional Cardiology Physician	$274.2K	$0

Nearby Providers

Other providers in the same ZIP code as Jane Phillips Memorial Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Therapeutic Strategies, PLLC	OK	Community/Behavioral Health Agency	$0	$3.5M
Washington County Elder Care, Inc	OK	Case Management Agency	$0	$3.3M
Spring Dental Bartlesville	OK	General Practice Dentistry	$0	$2.1M
Nicole Cupp	OK	Foot & Ankle Surgery Podiatrist	$413.9K	$481.9K
Triad Surgery Center LLC	OK	Ambulatory Surgical Clinic/Center	$638.3K	$20.2K
Christopher Manus	OK	Hematology & Oncology Physician	$624.4K	$0
Elizabeth Henley	OK	Physical Therapist	$342.5K	$0
Mark Erhardt	OK	Family Medicine Physician	$289.1K	$0
Scott Cochran	OK	Orthopaedic Surgery Physician	$191.6K	$0
Krystle O'dowd	OK	Nurse Practitioner	$187.4K	$0

Jane Phillips Memorial Medical Center, Inc. — Billing Profile & Reimbursement Data

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Jane Phillips Memorial Medical Center, Inc. — 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