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.

Norman Regional Hospital Authority (NPI 1700882578)

Key Findings

Field	Value
Entity Type	Organization
Organization	Norman Regional Hospital Authority
Address	3300 Healthplex Pkwy
City	Norman
State	OK
ZIP	73072
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 24, 2005

Payer Source	Total Paid
Medicaid	$37.8M
Medicare	$0

This provider has no Medicare billing on file and reports $37.8M in lifetime Medicaid revenue, making its public claims footprint effectively Medicaid‑centric rather than dual‑payer. The absence of Medicare activity limits direct national Medicare peer comparisons and means Medicaid reimbursement dynamics will dominate its revenue and contracting posture.

Revenue is highly concentrated in emergency department evaluation-and-management services: the three ED codes 99284 ($10.5M revenue, 28.2%), 99283 ($10.2M revenue, 27.4%), and 99285 ($9.2M revenue, 24.7%) together account for 80.3% of the provider's total Medicaid revenue. That concentration indicates the hospital’s financial performance is strongly dependent on ED visit volume and acuity mix.

The code mix and top payers imply an ED‑centric operating model: 99284, 99283, and 99285 are the largest revenue drivers and reflect high volumes of moderate‑ to high‑acuity emergency visits. Supporting services billed at scale — including IV medication administration codes such as 96374 ($3.5M revenue) and 96375 ($391.5K revenue), plus initial infusion 96365 ($221.4K revenue) — further suggest frequent acute, infusion‑level care delivered at or through the ED.

State competitive standing for core ED services is strong. The provider ranks #8–#10 in Oklahoma for the top three ED codes (99284 rank #10 of 230, 96th percentile; 99283 rank #8 of 254, 97th percentile; 99285 rank #8 of 182, 96th percentile), signaling it is a major in‑state destination for Medicaid emergency visits and sits well above typical state volumes for these codes.

Several ancillary service codes are extreme outliers in the state, which underscores both high throughput and extensive ED support operations: 96374 is an extreme outlier (rank #2 of 95, 99th percentile), 36415 is an extreme outlier (rank #2 of 423, 100th percentile), and 93005 is an extreme outlier (rank #1 of 92, 100th percentile). These rankings indicate unusually large volumes of IV administrations, phlebotomy, and 12‑lead ECGs relative to in‑state peers.

Reimbursement per visit for core ED codes is meaningful: average paid per claim is $243 for 99284, $164 for 99283, and $323 for 99285, which together produce multi‑million dollar revenues for each code. The combination of relatively high per‑claim payments on higher‑acuity visits and very high visit counts is a primary driver of the provider’s Medicaid revenue profile.

Beyond the top revenue drivers, the hospital reports high in‑state ranks for routine diagnostic testing consistent with ED throughput — for example, urinalysis 81001 (36.3K claims, $145.3K revenue; rank #3 of 104, 98th percentile) and CBC 85025 (40.2K claims, $241.2K revenue; rank #7 of 190, 97th percentile). These volumes suggest the facility performs a large number of basic labs and diagnostics to support its emergency caseload.

The provider has been enumerated since 2005-06-24 (~21 years ago), indicating long tenure in the market. That longevity, combined with top‑tier state rankings on ED and ancillary codes, supports its profile as an established, Medicaid‑heavy acute care hospital in Oklahoma.

Medicaid: Complete Services Breakdown

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

140 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	43,170	$240	$10.5M
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.	62,120	$160	$10.2M
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.	28,480	$320	$9.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	24,870	$140	$3.5M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	54,180	$10	$487.6K
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…	6,540	$70	$470.6K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	8,900	$40	$391.5K
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.	4,040	$90	$367.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	33,670	$10	$336.7K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	40,200	$10	$241.2K

Showing 1–10 of 140

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

Norman Regional Hospital Authority — 12 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

140 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	21	90	1,320	$240	$1.6M
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.	10	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.	8	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.	8	180	1,030	$200	$1M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	28	80	760	$210	$554.1K
A0425	Ground mileage, per statute mile	24	110	2,080	$60	$501.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2	100	990	$130	$405.9K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	15	50	370	$120	$286.5K
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	50	330	$80	$238.7K
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…	21	50	550	$60	$235.1K

Showing 1–10 of 140

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norman Regional Hospital Authority	OK	Emergency Medicine Physician	$0	$5.5M
Norman Regional Providers Specialty Care	OK	Surgery Physician	$0	$1.9M
Norman Regional Hospital Authority	OK	Ambulatory Surgical Clinic/Center	$443.4K	$516.9K
Muhammad Anwar	OK	Specialist	$614.1K	$0
Asim Chohan	OK	Cardiovascular Disease Physician	$564.9K	$0
NPI 1255361648	—	—	$405K	$0
Archana Gautam	OK	Cardiovascular Disease Physician	$392.9K	$0
Mudassir Nawaz	OK	Internal Medicine Physician	$260.5K	$18.7K
Muhammad Salim	OK	Cardiovascular Disease Physician	$251.9K	$0
Thomas Merrill	OK	Internal Medicine Physician	$221.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norman Regional Hospital Emsstat	OK	Land Ambulance	$0	$7.2M
Millennium Community Services LLC	OK	Mental Health Counselor	$0	$5.8M
Behrmann Orthodontics PLLC	OK	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.7M
Millennium Medical Services, L.L.C.	OK	Psychiatry Physician	$0	$3.8M
Oklahoma Mental Health Consulting LLC	OK	Community/Behavioral Health Agency	$0	$2.9M
Cody Commander Psyd PLLC	OK	Clinical Psychologist	$0	$2.4M
Millennium Community Services, LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
Dental Depot Of 36th & Tecumseh, PLLC	OK	Dentist	$0	$1.6M
Oklahoma Families First Inc.	OK	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$1.6M
James Stephens	OK	Pain Medicine Physician	$570.9K	$0

Norman Regional Hospital Authority — Billing Profile & Reimbursement Data

Sign up for Norman Regional Hospital Authority — Billing Profile & Reimbursement Data policy alerts

Norman Regional Hospital Authority — Billing Profile & Reimbursement Data

Sign up for Norman Regional Hospital Authority — Billing Profile & Reimbursement Data policy alerts

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