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.

Comanche County Hospital Authority (NPI 1588832869)

Field	Value
Entity Type	Organization
Organization	Comanche County Hospital Authority
Address	5404 Sw Lee Blvd
City	Lawton
State	OK
ZIP	73505
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 20, 2008

Payer Source	Total Paid
Medicaid	$18.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer at the claim level: Medicare billing is recorded as none on file while total Medicaid revenue is $18.3M, so Medicaid accounts for the entirety of observed government payer activity. Analysts should treat Medicaid as the dominant and only source of reported public payer revenue when modeling this entity’s payer mix.

Revenue is extremely concentrated in a single procedure line: T1015 (Clinic visit/encounter, all‑inclusive) accounts for $17.4M and 95.0% of the provider’s Medicaid revenue, and the precomputed top‑3 codes together account for 97.1% of Medicaid revenue. This degree of concentration indicates that overall Medicaid financial performance is highly dependent on the volume and payment stability of that bundled clinic encounter.

The combination of the FQHC taxonomy and the highest‑revenue codes (T1015 and G0467) signals an FQHC operating model that invoices bundled, per‑encounter clinic visits rather than fee‑for‑service specialty work. G0467 is present as well ($217.6K, 1.2% of Medicaid revenue) and ranks #3 of 84 in‑state (98th percentile; notably above typical state volume), reinforcing that federally qualified health center visit billing is a core operational focus.

Perinatal and newborn care appear as a meaningful secondary service line: 99460 (normal newborn initial hospital evaluation) produced $168.3K (0.9% of Medicaid revenue) and ranks #7 of 88 in‑state (93th percentile). Additional newborn/infant codes (99462, 54150 circumcision) also appear in the top codes, indicating the facility supports birthing and immediate postnatal services alongside primary care.

High visit volumes with low per‑claim payments characterize much of the remaining activity: for example, 99213 shows 38.7K claims at $2 avg paid/claim for $77.4K (0.4% of Medicaid revenue), while 99214 has 13.1K claims at $9 avg paid/claim for $117.7K (0.6%). These patterns are consistent with large numbers of low‑reimbursement ambulatory encounters typical of Medicaid‑focused primary care.

On statewide competitive standing for core FQHC work, the provider ranks at or near the top: T1015 ranks #5 of 143 (97th percentile; notably above typical state volume) and G0467 ranks #3 of 84 (98th percentile; notably above typical state volume). Those ranks indicate the provider is a major in‑state performer for bundled FQHC clinic visits.

Several individual codes are statistical outliers in state comparisons: 99213 is designated an extreme outlier (24 of 1746 providers, 99th percentile), and 99443 is the top reporter in‑state (#1 of 52, 100th percentile, extreme outlier). These high relative volumes for specific codes suggest local practice patterns or service demand that diverge markedly from peers and warrant closer operational review.

The provider has an established presence: the NPI was enumerated 2008-02-20 (~18 years ago). That tenure, combined with a concentrated Medicaid revenue base and strong in‑state rankings on FQHC visit codes, points to a mature community‑health center operation whose financial sensitivity is tied to Medicaid encounter volume and reimbursement for bundled clinic visits.

Medicaid: Complete Services Breakdown

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

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	95,190	$180	$17.4M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	7,250	$30	$217.6K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	1,870	$90	$168.3K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2,130	$70	$147.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	13,080	$10	$117.7K
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…	38,710	$1	$77.4K
99443	N/A	790	$80	$61.6K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	370	$90	$32.3K
99442	N/A	600	$50	$31.3K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	540	$40	$21.5K

Showing 1–10 of 48

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

Comanche County Hospital Authority — 6 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

48 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	5	140	7,150	$220	$4.4M
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,…	95	530	140	$450	$1.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	76	1,680	820	$90	$307K
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…	24	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…	40	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…	43	280	470	$100	$140.8K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	19	160	130	$90	$84.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	85	300	100	$150	$79.5K
99203	The provider sees a new 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 provider…	234	710	140	$100	$74.6K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	7	90	100	$120	$73K

Showing 1–10 of 48

Related Providers

Other providers that share a Tax Identification Number (TIN) with Comanche County Hospital Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comanche County Hospital Authority	OK	General Acute Care Hospital	$0	$17.8M
Southwestern Medical Center, LLC	OK	General Acute Care Hospital	$0	$9.4M
Compass Health, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$8.4M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$7.1M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$4.5M
Comanche County Hospital Authority	OK	Land Ambulance	$837.1K	$3.4M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$4M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$2.4M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$2.4M
Memorial Medical Group Emergency Physicians LLC	OK	Emergency Medicine Physician	$0	$2.1M

Nearby Providers

Other providers in the same ZIP code as Comanche County Hospital Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Williams Medical Group Practice, LLC	OK	Family Medicine Physician	$0	$27.6M
Chris Larrow PLLC	OK	General Practice Dentistry	$0	$16.6M
State Of Oklahoma	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.1M
Health Watch Health Care Of Sw Oklahoma, LLC	OK	Home Health Agency	$0	$9.1M
Ocean Dental, PC	OK	General Practice Dentistry	$0	$5.5M
Our House Mhsa Inc	OK	Mental Health Counselor	$0	$5.1M
Wavel L. Wells, Dds, Inc	OK	General Practice Dentistry	$0	$4.5M
Truepartners Comanche Emergency Specialists PLLC	OK	Emergency Medicine Physician	$0	$3.8M
Medexpress Urgent Care, PC - Oklahoma	OK	Urgent Care Clinic/Center	$0	$3.5M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$2.6M

Comanche County Hospital Authority — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References