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.

Ssm Health Care Of Oklahoma, Inc. (NPI 1366545311)

Field	Value
Entity Type	Organization
Organization	Ssm Health Care Of Oklahoma, Inc.
Address	1000 N Lee Ave
City	Oklahoma City
State	OK
ZIP	73102
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 6, 2006

Payer Source	Total Paid
Medicaid	$46.8M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available dataset: there is no Medicare billing on file while lifetime Medicaid revenue is listed as $46.8M. Analysts should treat Medicaid as the primary and nearly exclusive source of fee-for-service revenue when modeling this entity's financial exposure and payer mix.

Revenue is highly concentrated in a small set of emergency department E/M codes: the top three Medicaid codes (99283, 99284, 99282) together account for 68.5% of the provider's total Medicaid revenue. Those codes individually are 99283 at $15.2M (34.1% of Medicaid revenue), 99284 at $11.1M (25.0%), and 99282 at $4.2M (9.4%), indicating a narrow set of services drive the majority of billed Medicaid dollars.

The code mix points to a high-volume emergency department and associated acute-care throughput rather than outpatient clinic predominance. The prominence of 99282–99285 E/M codes, together with high utilization of rapid IV medication administration codes such as 96374 (23.8K claims, $3.3M) and ongoing IV/infusion codes like 96375 and 96361, suggests the facility manages large numbers of ED visits that require parenteral therapies and short-duration infusions.

Competitively, this hospital is a statewide volume leader for several ED-related codes: 99282 ranks #1 of 159 providers in-state (100th percentile, extreme outlier), 99283 ranks #4 of 254 (99th percentile, extreme outlier), and 99284 ranks #9 of 230 (97th percentile, notably above typical). These ranks indicate the provider is a dominant in-state player for low-to-moderate complexity ED visits and captures materially more Medicaid ED activity than most peers.

The provider also reports outsized state-level activity in diagnostics, drugs, and high-throughput testing that support acute care: J3490 has 25.4K claims and $1.1M revenue (rank #1 of 19, 100th percentile), 87637 has 7.9K claims and $1.1M revenue (rank #1 of 26, 100th percentile), and common labs and draws such as 85025 (57.7K claims, $346.3K) and 36415 (28.9K claims, $289.2K) show very high claim counts. This pattern is consistent with a busy ED and on-site laboratory capacity processing large patient volumes and high drug-administration throughput.

Given the concentration in a few ED codes and the Medicaid-only billing profile in the dataset, the provider's revenue is operationally sensitive to changes in Medicaid ED reimbursement, utilization management, and state policy shifts. Analysts should flag scenario risk around Medicaid rate changes or utilization policy as these would disproportionately affect the provider's top revenue drivers.

The provider has an established operational footprint: its NPI was enumerated on 2006-09-06 (~20 years ago) and its taxonomy is General Acute Care Hospital. That tenure combined with the acute-focused code mix reinforces that these billing patterns reflect an ongoing, institution-level emergency and inpatient-capable service line rather than a recent or specialty clinic shift.

Medicaid: Complete Services Breakdown

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

182 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.	94,850	$160	$15.2M
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.	45,960	$240	$11.1M
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.	45,520	$90	$4.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	23,830	$140	$3.3M
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.	8,880	$360	$3.2M
J3490	Unclassified drugs	25,420	$40	$1.1M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	7,910	$130	$1.1M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	4,990	$160	$798.9K
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…	11,710	$50	$562.2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	5,410	$80	$411.3K

Showing 1–10 of 182

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

Ssm Health Care Of Oklahoma, Inc. — 13 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

182 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	3	10	47,680	$150	$14.9M
J0490	Injection, belimumab, 10 mg	2	10	760	$2,570	$2M
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.	9	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.	4	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.	29	180	1,030	$200	$1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	43	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.	3	100	990	$130	$405.9K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	50	70	150	$450	$279K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	7	50	330	$80	$238.7K
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…	22	50	550	$60	$235.1K

Showing 1–10 of 182

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ssm Health Care Of Oklahoma, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Anthony Shawnee Hospital Inc	OK	General Acute Care Hospital	$0	$23M
Midwest Regional Medical Center, LLC	OK	General Acute Care Hospital	$0	$5.3M
Ssm Health Care Of Oklahoma, Inc	OK	General Acute Care Hospital	$0	$4.9M
Ssm Health Care Of Oklahoma, Inc	OK	Psychiatry Physician	$0	$1.8M
Midwest Regional Medical Center, LLC	OK	Ambulance	$0	$1.8M
Ssm Health Care Of Oklahoma, Inc	OK	Ambulance	$0	$1.6M
Don Wynn	TX	Pulmonary Disease Physician	$1.4M	$0
Clifford Henderson	OK	Dermatology Physician	$1.2M	$0
Tiffani Lowell	OK	Family Nurse Practitioner	$1.1M	$0
Jessica Graves	OK	Medical Physician Assistant	$859.2K	$0

Nearby Providers

Other providers in the same ZIP code as Ssm Health Care Of Oklahoma, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Of Mid-america, P.C.	OK	Emergency Medicine Physician	$0	$29.2M
Shelby Healthcare Ok LLC	OK	Home Health Agency	$0	$11.1M
Oklahoma State Department Of Health	OK	Clinic/Center	$0	$7.8M
State Of Oklahoma	OK	Clinic/Center	$0	$6.9M
Wound Management Of Oklahoma, Inc.	OK	Durable Medical Equipment & Medical Supplies	$0	$6.2M
Oklahoma State Department Of Health	OK	Clinical Medical Laboratory	$0	$5.1M
Oklahoma State Department Of Health	OK	Public Health or Welfare Agency	$0	$3.8M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$1.9M
State Of Oklahoma	OK	Public Health or Welfare Agency	$546.3K	$162.5K
Syed Ahmed	OK	Family Medicine Physician	$439.4K	$0

Ssm Health Care Of Oklahoma, Inc. — Billing Profile & Reimbursement Data

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Ssm Health Care Of Oklahoma, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References