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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCreek Nation Hospital & Clinics
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    Creek Nation Hospital & Clinics — Billing Profile & Reimbursement Data

    NPI 1700890530 · Okemah, OK · Critical Access Hospital

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    Creek Nation Hospital & Clinics is a critical access hospital provider located in Okemah, Oklahoma. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCreek Nation Hospital & Clinics
    Address1800 E Coplin St
    CityOkemah
    StateOK
    ZIP74859
    TaxonomyCritical Access Hospital
    NPI EnumeratedJuly 28, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0425Ground mileage, per statute mile5,370$190$1M
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)2,480$190$475.4K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)1,940$160$318.7K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)430$210$91.4K
    99214The 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…150$80$12K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)10$280$3.9K
    99213The 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…10$70$840

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Oklahoma median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)61901,320$240$1.6M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)7780760$210$554.1K
    A0425Ground mileage, per statute mile291102,080$60$501.9K
    99214The 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…1,2761,680820$90$307K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)950370$120$286.5K
    99213The 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…1,7111,750870$70$254.4K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)64090$160$132.4K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Creek Nation Hospital & Clinics, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Vinay ShahOKRetina Specialist (Ophthalmology) Physician$1.7M$0
    Hassan AbouhouliOKPulmonary Disease Physician$1.4M$0
    Ronald KingsleyOKRetina Specialist (Ophthalmology) Physician$831.8K$0
    Robert LeeOKPodiatrist$68.1K$569K
    Daniel LangleyOKOphthalmology Physician$601.6K$0
    Kimberly WinsorAZDiagnostic Radiology Physician$450K$0
    Bradley BrittonOKOphthalmology Physician$417.5K$0
    Sandeep BhatiaOKOphthalmology Physician$202.4K$173.3K
    Igor ShendrikOKAnatomic Pathology & Clinical Pathology Physician$347.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Creek Nation Hospital & Clinics, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Texoma Medical Services IncOKDurable Medical Equipment & Medical Supplies$0$8.9M
    Creoks Mental HealthOKCommunity/Behavioral Health Agency$0$4.8M
    Angela ShandyOKClinical Social Worker$115.9K$0
    Roselynn DeanOKFamily Medicine Physician$112.1K$0
    Judd MillerOKInternal Medicine Physician$24.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. Oklahoma Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Creek Nation Hospital & Clinics — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma