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.

Jackson County Memorial Hospital Authority (NPI 1407230790)

Jackson County Memorial Hospital Authority is a rural health clinic/center provider located in Altus, Oklahoma. This profile covers 0 Medicare and 25 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	Jackson County Memorial Hospital Authority
Address	101 S Park Ln
City	Altus
State	OK
ZIP	73521
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	July 16, 2015

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	13,040	$170	$2.2M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,730	$160	$577.7K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	3,080	$150	$453.3K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	2,640	$170	$451.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,470	$170	$426.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,620	$10	$36.7K
96160	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…	710	$30	$17.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	930	$10	$12K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	880	$10	$6.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	420	$10	$5.9K

Showing 1–10 of 25

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

Jackson County Memorial Hospital Authority — 0 of 13 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	53	530	140	$450	$1.2M
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…	104	1,750	870	$70	$254.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	30	270	600	$90	$159.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	42	280	470	$100	$140.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	61	290	200	$90	$72.1K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	43	240	360	$30	$56.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	48	420	240	$20	$39.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	54	270	90	$100	$35.5K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	8	50	280	$20	$23.8K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	25	160	330	$10	$17.8K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jackson County Schneck Memorial Hospital	IN	General Acute Care Hospital	$0	$17.8M
Jackson County Memorial Hospital Authority	OK	General Acute Care Hospital	$0	$9M
Jackson County Memorial Hospital Authority	OK	Rural Health Clinic/Center	$0	$3M
Jackson County Memorial Hospital Authority	OK	Rural Health Clinic/Center	$0	$2.9M
Yan Xiong	OK	Internal Medicine Physician	$258.1K	$0
Greg Pickett	OK	Orthopaedic Surgery Physician	$238.3K	$0
Burke Hendricks	OK	Emergency Medicine Physician	$120.2K	$0
Donald Weese	ID	Urology Physician	$120K	$0
Richard Katseres	OK	Surgery Physician	$96.7K	$0
Amanda Stevens	OK	Physician Assistant	$93.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Air Evac Ems Inc	OK	Air Ambulance	$1.1M	$456.8K
Jackson County Emergency Medical Service District	OK	Land Ambulance	$455.8K	$1.1M
Abdallah Dawod	OK	Family Medicine Physician	$182.9K	$0
Charles Carter	OK	Family Medicine Physician	$180.8K	$0
Rebecca Sager	OK	Anatomic Pathology Physician	$152.1K	$0
Juan Villazon	OK	Specialist	$92.4K	$0
Michael Geiger	OK	Optometrist	$73.6K	$0
Jentry Mclaughlin	OK	Emergency Medicine Physician	$71.3K	$0
Alisha Miner	OK	Emergency Medicine Physician	$62.2K	$0
James Mcclay	OK	Emergency Medicine Physician	$57.1K	$0

Jackson County Memorial Hospital Authority — Billing Profile & Reimbursement Data

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Jackson County Memorial 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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