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.

Oklahoma State University Medical Trust (NPI 1578704938)

Key Findings

Field	Value
Entity Type	Organization
Organization	Oklahoma State University Medical Trust
Address	744 W 9th St
City	Tulsa
State	OK
ZIP	74127
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 16, 2009

Payer Source	Total Paid
Medicaid	$20M
Medicare	$0

This provider reports no Medicare billing on file and $20M in lifetime Medicaid revenue, making its observable payments effectively single-payer Medicaid in the dataset. The absence of Medicare activity implies analyses of payer mix and reimbursement sensitivity should focus on Medicaid rate changes and managed Medicaid contract dynamics rather than Medicare trends.

Revenue is extremely concentrated in three emergency department E/M codes: 99283 ($8.6M, 43.0%), 99284 ($6.2M, 31.3%), and 99285 ($3.2M, 16.0%) — together these top three codes account for 90.3% of the provider's total Medicaid revenue. That concentration indicates the facility's Medicaid topline is heavily dependent on ED visit volumes and the billing mix across acuity levels.

The code mix (dominance of 99283/99284/99285) signals an ED-centric operating profile with high acute-care throughput across low, moderate, and high medical-decision-making encounters. Supporting codes such as 96374 (3K claims, $407.8K revenue), 96372 (2.8K claims, $172.9K revenue), and multiple lab and imaging codes further corroborate on-site emergency and acute treatment activity (IV administration, basic labs, chest x-rays, and EKGs).

Competitive standing for the largest code is strong: 99283 ranks #9 of 254 providers in-state at the 97th percentile and is described as notably above typical state volume, indicating this provider is a leading statewide performer for lower-level ED visits. By contrast, 99284 (rank #19 of 230, 92th percentile) and 99285 (rank #26 of 182, 86th percentile) are high-volume but characterized as typical or unremarkable relative to peers, suggesting the provider is a substantial but not dominant player for moderate and high-acuity ED care.

Several ancillary codes show elevated relative volume and reinforce the ED/acute-care profile: 96372 is at the 97th percentile and labeled notably above typical state volume (2.8K claims, $172.9K revenue), 93005 is at the 92th percentile and labeled notably above typical state volume (8.7K claims, $52.3K revenue), and 81025 is at the 96th percentile and labeled notably above typical state volume (6.2K claims, $43.2K revenue). These high-percentile ancillary services—procedural injections, EKGs, and pregnancy testing—support steady ED throughput beyond the top E/M codes.

Beyond the top three codes, individual services each make only modest contributions to overall Medicaid revenue (examples include 96374 $407.8K / 2.0%, 87636 $250.3K / 1.3%, and 99282 $265.6K / 1.3%), underscoring that the provider's revenue base outside ED E/M encounters is limited in scale. Analysts should therefore treat these ancillary lines as complementary to the ED volume rather than as independent revenue drivers.

The provider's NPI was enumerated on 2009-03-16 (~17 years ago), indicating an established presence in the market; the longevity combined with high ED volumes suggests entrenched patient flows into its emergency services. This tenure supports interpretations that current billing patterns reflect steady operational focus rather than a transient reporting artifact.

Given the combination of an effectively single-payer Medicaid revenue base ($20M) and a 90.3% revenue concentration in ED E/M codes, the provider's topline is sensitive to changes in Medicaid reimbursement, ED coding guidance, or shifts in ED utilization. Payers and network managers evaluating contracting or utilization-management interventions should prioritize ED reimbursement policies and acute-care utilization metrics when engaging with this provider.

Medicaid: Complete Services Breakdown

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

66 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.	51,320	$170	$8.6M
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.	24,540	$250	$6.2M
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.	9,780	$330	$3.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2,980	$140	$407.8K
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.	2,660	$100	$265.6K
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…	1,850	$140	$250.3K
99281	The provider sees a patient for the lowest level emergency department visit.	3,500	$60	$206.6K
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…	2,790	$60	$172.9K
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…	9,700	$20	$145.5K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	540	$150	$78.7K

Showing 1–10 of 66

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

Oklahoma State University Medical Trust — 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

66 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.	19	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.	9	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.	26	180	1,030	$200	$1M
D9999	N/A	32	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.	26	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…	1,655	1,750	870	$70	$254.4K
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.	93	100	630	$50	$197.2K
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.	26	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.	65	80	200	$100	$164.5K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	29	50	170	$30	$163.4K

Showing 1–10 of 66

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$13.7M
Family & Children's Services, Inc	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.2M
Oklahoma State University	OK	Medical Specialty Clinic/Center	$0	$4.8M
Timothy Mccay	OK	Diagnostic Radiology Physician	$146.9K	$0
Stephen Back	OK	Diagnostic Radiology Physician	$125.1K	$0
Tucker Harrison	OK	Interventional Cardiology Physician	$104.4K	$0
Kyle Summers	OK	Diagnostic Radiology Physician	$103.2K	$0
Steve Kim	OK	Cardiovascular Disease Physician	$96.8K	$0
Adam Foster	OK	Diagnostic Radiology Physician	$93.2K	$0
William Woods	OK	Internal Medicine Physician	$85.2K	$0

Oklahoma State University Medical Trust — 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