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.

Mcalester Regional Health Center Authority (NPI 1316940034)

Field	Value
Entity Type	Organization
Organization	Mcalester Regional Health Center Authority
Address	1 E Clark Bass Blvd
City	Mcalester
State	OK
ZIP	74501
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	May 27, 2005

Payer Source	Total Paid
Medicaid	$10.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

151 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.	22,700	$130	$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.	14,420	$180	$2.6M
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.	3,970	$250	$1M
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.	11,540	$80	$876.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	4,860	$120	$583.6K
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.	1,540	$130	$197K
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…	3,030	$40	$133.4K
D9999	N/A	130	$990	$125.3K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	8,030	$10	$96.4K
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…	13,620	$10	$95.3K

Showing 1–10 of 151

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

Mcalester Regional Health Center Authority — 2 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

151 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.	32	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.	23	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.	44	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.	116	200	1,720	$80	$645.7K
D9999	N/A	27	40	310	$690	$591.7K
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…	137	210	1,850	$70	$560.1K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	23	40	60	$2,350	$476.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	19	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…	596	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…	1,479	1,750	870	$70	$254.4K

Showing 1–10 of 151

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcalester Medical Services, LLC	OK	Internal Medicine Physician	$0	$2.9M
Sean Doyle	OK	Urology Physician	$359.4K	$0
Jinok Chung	OK	Interventional Cardiology Physician	$282.5K	$0
Patrick Gannon	OK	Orthopaedic Surgery Physician	$267.9K	$0
Chad Crawley	OK	Orthopaedic Surgery Physician	$262.9K	$0
Derek Norman	OK	Interventional Cardiology Physician	$241.5K	$0
Muhammad Ishaq	OK	Pulmonary Disease Physician	$241.2K	$0
Shaun Grewal	OK	Urology Physician	$235.6K	$0
Venkatram Rajaram	OK	Cardiovascular Disease Physician	$233.7K	$0
Shujahat Shah	OK	Interventional Cardiology Physician	$231.9K	$0

Nearby Providers

Other providers in the same ZIP code as Mcalester Regional Health Center Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$38M
State Of Oklahoma	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.2M
Caring Hands Healthcare Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$10.9M
Southern Oklahoma Treatment Services, Inc.	OK	Community/Behavioral Health Agency	$0	$5M
Completecare Private Services, LLC	OK	Home Health Agency	$0	$4.5M
Ergonomic Consultants, LLC	OK	Multi-Specialty Clinic/Center	$0	$3.7M
Mcalester Children's Dental Clinic	OK	Dental Clinic/Center	$0	$3.3M
Kennedy Eyecare LLC	OK	Optometrist	$0	$2.6M
Kathleen Ward	OK	Clinical Psychologist	$0	$2.6M
Creoks Mental Health Services	OK	Community/Behavioral Health Agency	$0	$2.5M

Mcalester Regional Health Center Authority — Billing Profile & Reimbursement Data

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Mcalester Regional Health 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