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.

Grady Memorial Hospital (NPI 1538169198)

Grady Memorial Hospital is a general acute care hospital provider located in Chickasha, Oklahoma. This profile covers 0 Medicare and 50 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	Grady Memorial Hospital
Address	2220 W Iowa Ave
City	Chickasha
State	OK
ZIP	73018
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 26, 2005

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

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

50 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.	18,890	$160	$2.9M
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.	5,220	$100	$511.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2,980	$130	$390.5K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	1,610	$140	$219.4K
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.	960	$210	$196.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,950	$50	$93.5K
87430	The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.	6,090	$20	$91.4K
87400	The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.	3,500	$20	$84K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	8,160	$10	$73.5K
87070	The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.…	5,630	$10	$39.4K

Showing 1–10 of 50

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

Grady Memorial Hospital — 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

50 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.	130	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.	32	250	1,820	$130	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	25	100	990	$130	$405.9K
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
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.	91	100	630	$50	$197.2K
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,…	14	10	200	$120	$190.9K
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.	13	160	410	$80	$166.4K
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.	77	80	200	$100	$164.5K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	4	30	410	$130	$127.9K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	75	90	220	$40	$81.6K

Showing 1–10 of 50

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Grady Memorial Hospital	OK	Rural Health Clinic/Center	$0	$4.4M
Blake Christensen	OK	Interventional Pain Medicine Physician	$1.4M	$0
James Stephens	OK	Pain Medicine Physician	$570.9K	$0
Thomas Griggs	OK	Diagnostic Radiology Physician	$278.3K	$0
Christopher Nelson	OK	Diagnostic Radiology Physician	$193.8K	$0
Dustin Tedesco	OK	Internal Medicine Physician	$178.3K	$2.8K
Amish Patel	OK	Surgery Physician	$151.7K	$0
Richard Costello	OK	Diagnostic Radiology Physician	$143.1K	$0
Joshua Jansen	OK	Diagnostic Radiology Physician	$141K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$9.1M
City Of Chickasha	OK	Land Ambulance	$387.4K	$1M
Stephen Mcray	OK	Optometrist	$61.8K	$303.6K
Danny Giles	OK	Orthopaedic Surgery Physician	$253.6K	$0
Monte Denton	OK	Optometrist	$89.6K	$92.8K
Katie Dudley	OK	Family Medicine Physician	$170.5K	$0
Lacey Seay	OK	Family Nurse Practitioner	$127.9K	$0
Drake Morris	OK	Physical Therapist	$115.8K	$0
Andrea Roberts	OK	Physician Assistant	$89.5K	$0
Jennifer Logsdon	OK	Chiropractor	$63.8K	$0

Grady Memorial Hospital — Billing Profile & Reimbursement Data

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Grady Memorial Hospital — 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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