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.

Mercy Hospital Ardmore, Inc. (NPI 1386741635)

Key Findings

Field	Value
Entity Type	Organization
Organization	Mercy Hospital Ardmore, Inc.
Address	1011 14th Ave Nw
City	Ardmore
State	OK
ZIP	73401
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$18.1M
Medicare	$0

This provider is effectively single‑payer in the available data: there is no Medicare billing on file while Medicaid revenue totals $18.1M. The NPI was enumerated on 2006-09-20 (~20 years ago), indicating long tenure and an established presence in Ardmore, OK.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the precomputed top three Medicaid codes (99285, 99283, 99284) account for 80.6% of the provider's total Medicaid revenue. Individually those codes generate $6.4M (36.2%), $4.3M (24.5%), and $3.5M (20.0%) respectively, underscoring that a small set of ED services drives the majority of billings.

The overall code mix and dollar concentrations point to a high-volume emergency department and hospital-based acute care operation: 99285 (19.8K claims, $324 avg paid/claim), 99283 (26.3K claims, $165 avg paid/claim), and 99284 (14.5K claims, $244 avg paid/claim) dominate activity. Support services consistent with hospital ED throughput — intravenous administrations (96374, 96375), basic labs (85025, 80053), and imaging (74177, 70450) — also appear throughout the top codes, indicating integrated acute-care and diagnostic capacity.

Competitive standing within Oklahoma for the ED codes is relatively strong by percentile and rank but labeled as “typical, unremarkable” volume in the underlying dataset: 99285 ranks #10 of 182 (95th percentile; typical, unremarkable volume), 99283 ranks #19 of 254 (93th percentile; typical, unremarkable volume), and 99284 ranks #31 of 230 (87th percentile; typical, unremarkable volume). Those ranks imply the hospital is among higher-volume state providers for ED services, even if the dataset characterizes the volumes as common for comparable facilities.

Several ancillary and procedural lines support the ED-driven revenue profile. Infusion/IV push administration codes are meaningful: 96374 accounts for $1.2M (8.8K claims, $130 avg paid/claim) and 96375 accounts for $228.8K (5.4K claims, $42 avg paid/claim); chemotherapy code 96413 contributes $136.1K (1K claims, $136 avg paid/claim), indicating on-site medication administration beyond simple triage.

Diagnostic testing and point-of-care volumes include both routine and high-throughput items with some notably above-typical state volumes: 87636 (SARS–CoV‑2/influenza multiplex) yields $427.3K (3.2K claims) and ranks #3 of 32 (94th percentile; notably above typical state volume), 36415 (blood draw) is 17.8K claims and $53.3K revenue and ranks #9 of 423 (98th percentile; notably above typical state volume), and 93005 (ECG recording) is 8.2K claims and $49.1K revenue and ranks #9 of 92 (91th percentile; notably above typical state volume). These entries point to heavy throughput for specimen collection, cardiac screening, and respiratory pathogen testing.

Beyond the top three ED codes, Medicaid revenue is distributed across many hospital services and diagnostics, creating a long tail of smaller but operationally important codes. Examples include imaging (74177 at $320.8K, 1.9K claims), lab panels (80053 at $140.7K, 15.6K claims), and targeted labs such as troponin 84484 ($35.6K, 2.2K claims, rank #4 of 74, 96th percentile; notably above typical), demonstrating that inpatient/outpatient diagnostics and monitoring contribute meaningfully to the non‑ED portion of revenue.

The combination of a long-standing NPI (2006-09-20, ~20 years) and a Medicaid-dominated revenue base suggests this facility functions as an established community acute care hospital with a high-volume emergency department, significant diagnostic and lab throughput, and on-site infusion/medication administration. For payer/provider analysts, the primary operational levers and competitive comparisons should focus on ED utilization, infection/respiratory testing capacity, and high-throughput diagnostic services when benchmarking against in-state peers.

Medicaid: Complete Services Breakdown

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

114 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	19,810	$320	$6.4M
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.	26,310	$170	$4.3M
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.	14,520	$240	$3.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8,850	$130	$1.2M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	3,170	$140	$427.3K
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.	1,880	$170	$320.8K
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…	5,450	$40	$228.8K
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…	12,060	$10	$144.8K
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.	15,640	$10	$140.7K
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…	1,000	$140	$136.1K

Showing 1–10 of 114

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

Mercy Hospital Ardmore, Inc. — 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

114 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.	31	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.	19	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.	10	180	1,030	$200	$1M
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	5	10	170	$70	$447.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11	100	990	$130	$405.9K
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…	731	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…	17	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…	48	50	550	$60	$235.1K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	15	20	360	$120	$199.8K
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.	85	160	410	$80	$166.4K

Showing 1–10 of 114

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Horstman	OK	Interventional Cardiology Physician	$279.5K	$0
Mark Anderson	OK	Cardiovascular Disease Physician	$242.1K	$0
Laishang Zhang	MO	Psychiatry Physician	$221.3K	$6.5K
Ruben Sunga	OK	Cardiovascular Disease Physician	$186.2K	$0
Chance Cruson	OK	Diagnostic Radiology Physician	$163.9K	$0
David Rhodes	OK	Orthopaedic Surgery Physician	$153.4K	$0
Derek Howard	OK	Diagnostic Radiology Physician	$142.9K	$0
Robert Brown	AR	Dermatology Physician	$142.9K	$0
Zane Uhland	OK	Orthopaedic Surgery Physician	$120.9K	$0
Brian Shockey	OK	Internal Medicine Physician	$83.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chickasaw Nation Division Of Health	OK	Primary Care Clinic/Center	$0	$30.6M
Lighthouse Behavioral Wellness Centers	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.3M
Lighthouse Behavioral Wellness Centers	OK	Community/Behavioral Health Agency	$0	$7.6M
Good Shepherd Community Clinic, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$6M
Southern Oklahoma Ambulance Service, Inc.	OK	Land Ambulance	$1.1M	$3.5M
Lynch Family Services LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Scott Cooper	OK	Medical Physician Assistant	$4.4M	$0
Lighthouse Behavioral Wellness Centers	OK	Community/Behavioral Health Agency	$0	$4.2M
Family Practice Associates	OK	Family Medicine Physician	$0	$4.2M
Mental Health Services Of Southern Oklahoma	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M

Mercy Hospital Ardmore, Inc. — Billing Profile & Reimbursement Data

Sign up for Mercy Hospital Ardmore, Inc. — Billing Profile & Reimbursement Data policy alerts

Mercy Hospital Ardmore, Inc. — Billing Profile & Reimbursement Data

Sign up for Mercy Hospital Ardmore, 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