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.

Wagoner Hospital Authority (NPI 1386611580)

Wagoner Hospital Authority is a general acute care hospital provider located in Wagoner, Oklahoma. This profile covers 0 Medicare and 65 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	Wagoner Hospital Authority
Address	1200 W Cherokee St
City	Wagoner
State	OK
ZIP	74467
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 7, 2006

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

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

65 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.	14,990	$120	$1.8M
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.	6,060	$210	$1.3M
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…	13,070	$60	$718.9K
D9999	N/A	560	$890	$495.2K
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.	9,320	$50	$465.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	10,330	$50	$465K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,140	$110	$338.7K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	3,570	$80	$267.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	3,490	$60	$199K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	5,290	$40	$185.2K

Showing 1–10 of 65

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

Wagoner Hospital Authority — 3 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

65 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.	65	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.	40	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.	110	180	1,030	$200	$1M
D9999	N/A	12	40	310	$690	$591.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	57	100	990	$130	$405.9K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	14	20	60	$60	$404.2K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	46	70	290	$290	$376.1K
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…	649	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…	103	1,750	870	$70	$254.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	93	190	480	$70	$218.8K

Showing 1–10 of 65

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Fisher	OK	Internal Medicine Physician	$7.6M	$0
David Good	OK	Family Medicine Physician	$144.6K	$0
Jeffrey Evans	OK	Orthopaedic Surgery Physician	$137K	$0
Srinivas Mahesh Katta	OK	Nephrology Physician	$116.4K	$0
Kelly Davis	OK	Internal Medicine Physician	$67.5K	$0
Robert Anderson	OK	Certified Registered Nurse Anesthetist	$58.6K	$0
Genevieve Dulan	OK	Family Medicine Physician	$42.9K	$0
Michael Scott	OK	Pulmonary Disease Physician	$31.2K	$0
Jameca Price	OK	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$20.5K	$0
Paula Guinnip	OK	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$17.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Creoks Mental Health Services, Inc	OK	Community/Behavioral Health Agency	$0	$13M
City Of Wagoner	OK	Land Ambulance	$200.2K	$1M
Chelsea Mcgee	OK	Cardiovascular Disease Physician	$166.9K	$0
Hazel Reel	OK	Family Nurse Practitioner	$32.3K	$0
John Belk	OK	Family Medicine Physician	$29.7K	$0
Bryan Hanna	OK	Family Medicine Physician	$15.6K	$0

Wagoner Hospital Authority — Billing Profile & Reimbursement Data

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Wagoner Hospital 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

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