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.

Ahs Claremore Regional Hospital, LLC (NPI 1316579642)

Field	Value
Entity Type	Organization
Organization	Ahs Claremore Regional Hospital, LLC
Address	1501 N Florence Ave Ste 101, 201, 250 & 300
City	Claremore
State	OK
ZIP	74017
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	February 5, 2020

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,860	$220	$829K
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…	3,880	$200	$787.2K
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…	1,850	$270	$503.2K
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…	650	$280	$180.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	110	$250	$28.1K
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,…	90	$290	$27K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,760	$10	$24.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	1,060	$20	$20.1K
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…	70	$220	$14.6K
99381	The provider performs a well–baby visit for a child under the age of one.	40	$220	$9.3K

Showing 1–10 of 30

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

Ahs Claremore Regional Hospital, LLC — 0 of 17 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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,…	308	530	140	$450	$1.2M
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…	308	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…	382	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…	54	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…	123	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…	635	720	120	$150	$94.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	145	300	100	$150	$79.5K
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…	433	710	140	$100	$74.6K
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.	174	210	350	$40	$73.2K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	260	290	260	$40	$69.7K

Showing 1–10 of 30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ahs Claremore Regional Hospital, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahs Oklahoma Physician Group LLC	OK	Family Medicine Physician	$0	$17.4M
Ahs Claremore Regional Hospital, LLC.	OK	General Acute Care Hospital	$0	$4.8M
Joseph Womack	TX	Urology Physician	$463.6K	$0
David Sandler	OK	Clinical Cardiac Electrophysiology Physician	$397.7K	$0
Siva Kumar Soma	KS	Clinical Cardiac Electrophysiology Physician	$220.9K	$0
Joseph Gard	OK	Clinical Cardiac Electrophysiology Physician	$212.8K	$0
Aelayna Meyer	OK	Internal Medicine Physician	$186.6K	$0
Anthony Haney	OK	Cardiovascular Disease Physician	$165.7K	$0
Melanie Ketchandji	OK	Urology Physician	$132.2K	$0
Tyler Ellington	OK	Cardiovascular Disease Physician	$91.7K	$0

Nearby Providers

Other providers in the same ZIP code as Ahs Claremore Regional Hospital, LLC, 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	$47.2M
Alliance Mental Health, LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.2M
Elevate Pediatric Therapies PC	OK	Physical Therapist	$0	$6.5M
Generations Family Medical Clinic, LLC	OK	Health Service Clinic/Center	$0	$5.6M
Claremore Indian Hospital	OK	General Acute Care Hospital	$0	$3.9M
Patricia A Farmer, Aprn-cnp, PLLC	OK	Primary Care Clinic/Center	$0	$2.3M
Melinda Steelmon	OK	Obstetrics & Gynecology Physician	$0	$1.9M
Robert Parker	OK	Ophthalmology Physician	$237.9K	$0
Steven Hardage	OK	Sports Medicine (Family Medicine) Physician	$236.5K	$0
Christopher Martin	OK	Physical Therapist	$212.7K	$0

Ahs Claremore Regional Hospital, LLC — Billing Profile & Reimbursement Data

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Ahs Claremore Regional Hospital, LLC — 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