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.

Saint Francis Hospital South LLC (NPI 1376561944)

Saint Francis Hospital South LLC is a general acute care hospital provider located in Tulsa, Oklahoma. This profile covers 0 Medicare and 57 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	Saint Francis Hospital South LLC
Address	10501 E 91st St
City	Tulsa
State	OK
ZIP	74133
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$11.1M
Medicare	$0

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

57 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.	18,970	$250	$4.8M
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.	15,660	$170	$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.	3,630	$380	$1.4M
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	4,780	$130	$597.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	4,550	$130	$591.1K
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.	16,880	$10	$236.3K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	3,800	$50	$182.5K
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…	2,960	$50	$139.2K
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…	18,280	$10	$128K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	490	$170	$80.7K

Showing 1–10 of 57

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

Saint Francis Hospital South LLC — 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

57 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.	25	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.	39	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.	47	180	1,030	$200	$1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	20	100	990	$130	$405.9K
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…	35	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…	39	50	550	$60	$235.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	52	60	130	$210	$193.9K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	2	10	200	$120	$190.9K
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.	145	160	410	$80	$166.4K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	27	80	200	$100	$164.5K

Showing 1–10 of 57

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Comstock	OK	Interventional Cardiology Physician	$2.8M	$0
Sanjeev Trehan	UT	Interventional Cardiology Physician	$456.5K	$0
Christopher Higgins	OK	Cardiovascular Disease Physician	$406.7K	$0
Mohamad Mahayni	OK	Cardiovascular Disease Physician	$384.9K	$0
James Higgins	OK	Interventional Cardiology Physician	$237.2K	$0
James Coman	OK	Clinical Cardiac Electrophysiology Physician	$235.7K	$0
Satish Kohli	OK	Cardiovascular Disease Physician	$209.8K	$0
Venkatesh Ravi	OK	Clinical Cardiac Electrophysiology Physician	$174.7K	$0
Stephen Dixon	OK	Interventional Cardiology Physician	$163.2K	$0
David Okada	OK	Clinical Cardiac Electrophysiology Physician	$160.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Therapy Works Inc	OK	Speech-Language Pathologist	$0	$10.4M
Pediatric Dental Group Ii, LLC	OK	Pediatric Dentistry	$0	$8.5M
Children's Dental Health Center, P.l.c.	OK	General Practice Dentistry	$0	$8.2M
Jenni Burkitt D.d.s. PLLC	OK	Dentist	$0	$5.9M
Wellness Health Group, LLC	OK	Clinical Medical Laboratory	$5.2M	$727K
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$5.8M
Advanced Pain Of Tulsa PLLC	OK	Pain Medicine (Anesthesiology) Physician	$0	$5.8M
Wayne N. Wyatt, Dds, Ms, PC	OK	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.7M
Memorial Surgery Center, LLC	OK	Ambulatory Surgical Clinic/Center	$904.1K	$3.2M
Blake Henry	OK	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.9M

Saint Francis Hospital South LLC — Billing Profile & Reimbursement Data

Sign up for Saint Francis Hospital South LLC — Billing Profile & Reimbursement Data policy alerts

Saint Francis Hospital South LLC — Billing Profile & Reimbursement Data

Sign up for Saint Francis Hospital South LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References