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.

Integris South Oklahoma City Hospital Corporation (NPI 1457372625)

Field	Value
Entity Type	Organization
Organization	Integris South Oklahoma City Hospital Corporation
Address	4401 S Western Ave
City	Oklahoma City
State	OK
ZIP	73109
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 22, 2006

Payer Source	Total Paid
Medicaid	$38.7M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and instead has $38.7M in lifetime Medicaid revenue, making it effectively a Medicaid-revenue dominant facility in the available federal payer data. Its NPI was enumerated on 2006-07-22 (~20 years ago), indicating it has been an active billing entity for roughly two decades.

Revenue is highly concentrated in a small set of emergency department E/M codes: the top three Medicaid codes (99283, 99284, 99285) together account for 83.1% of this provider's total Medicaid revenue. Individually these codes generate $17.9M (46.7%), $7.8M (20.4%), and $6.1M (16.0%) respectively, and together they drive the vast majority of the $38.7M Medicaid take.

The code mix and volumes indicate an emergency-department–centric operation. High-volume E/M codes 99283 (109.3K claims), 99284 (33K claims) and 99285 (19.1K claims) align with a facility that handles large numbers of ED visits across low, moderate, and high complexity encounters, and ancillary ED services (IV pushes, injections) such as 96374 (19.6K claims, $2.5M) further support an ED throughput-focused service line.

Several ancillary and diagnostic codes show very large volumes, signaling strong in-house lab and point-of-care diagnostic capacity. Phlebotomy 36415 (35.7K claims), EKG 93005 (16.3K claims), and basic metabolic panel 80048 (10.8K claims) all appear in high ranks by state volume and together imply operational emphasis on rapid diagnostics and specimen processing to support ED throughput.

On statewide competitive standing, the provider is a clear high-volume outlier for some Medicaid codes: 99283 ranks #2 of 254 providers in-state (100th percentile; extreme outlier), while 96374 ranks #4 of 95 providers (97th percentile; extreme outlier) and 36415 ranks #4 of 423 (99th percentile; extreme outlier). By contrast, 99284 (33K claims) is ranked #13 of 230 (95th percentile; notably above typical state volume) and 99285 is ranked #11 of 182 (94th percentile; typical, unremarkable volume for this code), indicating dominance at the lower-complexity ED encounter level and above-typical presence at moderate/high complexity as well.

Multiple codes beyond core E/M services are flagged as extreme or notable outliers in state comparisons — for example 93005 (EKG) is #2 of 92 (99th percentile; extreme outlier), 80048 (BMP) is #2 of 70 (99th percentile; notably above typical), and 81025 (pregnancy test) is #4 of 162 (98th percentile; extreme outlier). These patterns reinforce that the provider’s Medicaid business is concentrated in high-volume, ED-driven diagnostic and point-of-care workflows.

The payer mix — no Medicare billing on file versus $38.7M in Medicaid revenue — implies reliance on Medicaid-covered patients for reported federal-payer volume. This concentration could affect contracting and financial risk profiles relative to peers that have a more mixed Medicare/Medicaid balance, and suggests the provider’s Medicaid footprint is the primary lens for competitive analysis.

Operational implications from this profile include sustained demand for ED staffing, infusion/IV administration capacity (e.g., 96374, 96372, 96375, 96361), and robust laboratory services to support high patient throughput. Non-ED specialty procedures contribute only small shares of Medicaid revenue (for example 96413 chemotherapy: $114.7K, 0.3%), indicating that inpatient or specialty oncology services are not major Medicaid revenue drivers for this provider.

Medicaid: Complete Services Breakdown

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

91 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.	109,280	$160	$17.9M
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.	32,980	$240	$7.8M
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.	19,140	$320	$6.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	19,620	$130	$2.5M
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.	11,680	$90	$1M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	7,430	$60	$438.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	35,680	$10	$392.4K
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…	5,090	$80	$381.8K
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…	17,920	$10	$250.9K
T1016	Case management, each 15 minutes	5,110	$40	$204.2K

Showing 1–10 of 91

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

Integris South Oklahoma City Hospital Corporation — 8 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

91 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	4	10	50	$80	$5.5M
T1016	Case management, each 15 minutes	64	140	3,200	$60	$2.3M
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.	13	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.	2	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.	11	180	1,030	$200	$1M
D9999	N/A	37	40	310	$690	$591.7K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	45	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.	4	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…	8	50	330	$80	$238.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	55	100	630	$50	$197.2K

Showing 1–10 of 91

Nearby Providers

Other providers in the same ZIP code as Integris South Oklahoma City Hospital Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$57M
Positive Changes LLC	OK	Psychiatric Hospital	$0	$44.3M
Osu-center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$16.3M
Okc Dental	OK	General Practice Dentistry	$0	$7.1M
Providence Family Practice, PLLC	OK	Family Nurse Practitioner	$0	$3.7M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$3.2M
Total Care Behavioral Health Services, LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.4M
Hands To Guide You Inc	OK	Community/Behavioral Health Agency	$0	$2.2M
Christiana Williams	OK	Nurse Practitioner	$1.8K	$2.2M
Integris Ddsi Endoscopy Centers LLC	OK	Ambulatory Surgical Clinic/Center	$656.6K	$1.4M

Integris South Oklahoma City Hospital Corporation — Billing Profile & Reimbursement Data

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Integris South Oklahoma City Hospital Corporation — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References