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 Muskogee Inc (NPI 1386188837)

Field	Value
Entity Type	Organization
Organization	Saint Francis Hospital Muskogee Inc
Address	300 Rockefeller Dr
City	Muskogee
State	OK
ZIP	74401
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 16, 2016

Payer Source	Total Paid
Medicaid	$16.8M
Medicare	$0

Key Findings

This provider effectively operates on a single-payer Medicaid footprint: there is no Medicare billing on file and lifetime Medicaid revenue is $16.8M, indicating Medicaid is the principal source of reported fee-for-service activity for this hospital. The absence of Medicare claims should be treated as a material feature of its payer mix rather than a minor omission.

Medicaid revenue is highly concentrated: the precomputed top-3 codes account for 62.0% of this provider's total Medicaid revenue, with 99284 generating $4.8M (29.2%), 99285 generating $3M (18.4%), and 99283 generating $2.4M (14.5%). This concentration shows a narrow set of high-yield services driving the majority of billed Medicaid dollars.

The code mix and top revenue drivers identify emergency department services as the dominant service line for this hospital: the three highest-revenue Medicaid codes are 99284, 99285, and 99283 (moderate, high, and low complexity ED E/M visits), which together produce the bulk of revenue and claim volume. The presence of 99291 (critical care) and substantial E/M claim counts further supports an ED-centric operational profile with episodic higher-acuity care.

Beyond emergency care, the provider shows meaningful pediatric ENT surgical activity: 42820 (tonsil and adenoid removal in children <12) accounts for $1.4M (8.7%) and 69436 (tympanostomy with tube) accounts for $677.7K (4.2%). These procedure-level revenues indicate an active operating room schedule for common pediatric otolaryngology cases rather than purely outpatient minor procedures.

Infusion and oncology-related services are a visible secondary revenue stream: 96413 (chemotherapy infusion) contributes $464.3K (2.8%), while IV administration codes 96374, 96375, and 96361 together represent material volumes. Notably, 96375 ranks in the 94th percentile and 96361 ranks in the 97th percentile for in-state peers (both labeled "notably above typical" state volume), which signals above-typical utilization of IV administration services relative to other Oklahoma providers.

Laboratory and imaging are high-volume but lower-dollar contributors: 85025 (CBC) and 80053 (CMP) show large claim counts (24.2K and 21.3K claims respectively) with combined revenue that is a small share of the $16.8M total, while multiplex respiratory testing 87631 brings $494.3K (3.0%) and ranks #3 of 14 in-state at the 85th percentile. These patterns are consistent with a general acute care hospital that supports high-throughput ED and inpatient diagnostic workflows.

Competitive standing across core Medicaid codes is generally regional and consistent rather than dominant: 99284 ranks in the 90th percentile, 99285 in the 85th percentile, and 99283 in the 84th percentile (described as "typical, unremarkable volume" despite high percentile placement), indicating solid ED volume relative to state peers but not clear market dominance. A few niche items stand out—J0897 (denosumab injection) is ranked #1 of 2 providers at the 100th percentile (listed as "typical, unremarkable volume"), which suggests local specialization in that drug administration but the sample of reporting peers is very small.

The provider has been enumerated on the NPI registry since 2016-12-16 (~10 years ago), giving it nearly a decade of recorded activity under this identifier; that tenure supports interpretation of the current code mix as an established operational profile rather than a short-term reporting artifact.

Medicaid: Complete Services Breakdown

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

94 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.	20,180	$240	$4.8M
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.	9,050	$330	$3M
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.	14,780	$160	$2.4M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	400	$3,570	$1.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	7,280	$120	$866.3K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	940	$720	$677.7K
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,…	3,920	$130	$494.3K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	2,730	$170	$464.3K
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…	7,720	$40	$339.8K
D9999	N/A	340	$850	$290.4K

Showing 1–10 of 94

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 Muskogee Inc — 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

94 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.	24	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.	41	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.	28	180	1,030	$200	$1M
D9999	N/A	21	40	310	$690	$591.7K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	14	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.	13	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…	872	1,680	820	$90	$307K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	17	70	150	$450	$279K
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…	1,448	1,750	870	$70	$254.4K
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…	16	50	330	$80	$238.7K

Showing 1–10 of 94

Related Providers

Other providers that share a Tax Identification Number (TIN) with Saint Francis Hospital Muskogee Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Comstock	OK	Interventional Cardiology Physician	$2.8M	$0
Han-chih Chang	TN	Radiation Oncology Physician	$2.6M	$0
Mark Mclaughlin	OK	Radiation Oncology Physician	$2M	$0
Van Woo	OK	Radiation Oncology Physician	$630.4K	$0
Edward Abraham	AR	Radiation Oncology Physician	$474.1K	$0
Ravikumar Vasireddy	OK	Hematology & Oncology Physician	$436.5K	$0
Walter Watts	OK	Radiation Oncology Physician	$422.3K	$0
Christopher Higgins	OK	Cardiovascular Disease Physician	$406.7K	$0
James Coman	OK	Clinical Cardiac Electrophysiology Physician	$235.7K	$0
Nikhil Mukhi	OK	Hematology & Oncology Physician	$223K	$0

Nearby Providers

Other providers in the same ZIP code as Saint Francis Hospital Muskogee Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Green Country Behavioral Health Services, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$21.8M
Gaddy Discount Drug Inc	OK	Community/Retail Pharmacy	$3.1K	$13.9M
Alternacare, Inc	OK	Oxygen Equipment & Supplies (DME)	$0	$10.5M
Monarch, Inc	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.2M
Mobility Plus LLC	OK	Oxygen Equipment & Supplies (DME)	$0	$6M
Counseling Works Inc.	OK	Community/Behavioral Health Agency	$0	$5.2M
Integrity Pathways Inc	OK	Community/Behavioral Health Agency	$0	$4.5M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$4.4M
Urgent Care Of Muskogee PLLC	OK	Medical Specialty Clinic/Center	$0	$4.4M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$4M

Saint Francis Hospital Muskogee Inc — Billing Profile & Reimbursement Data

Sign up for Saint Francis Hospital Muskogee Inc — Billing Profile & Reimbursement Data policy alerts

Saint Francis Hospital Muskogee Inc — Billing Profile & Reimbursement Data

Sign up for Saint Francis Hospital Muskogee Inc — Billing Profile & Reimbursement Data policy alerts

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