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 1720022379)

Key Findings

Field	Value
Entity Type	Organization
Organization	Comanche County Hospital Authority
Address	3401 West Gore Blvd
City	Lawton
State	OK
ZIP	73502
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicaid	$17.8M
Medicare	$0

This provider appears effectively single-payer in the available data: Medicare revenue is none (no Medicare billing on file) while Medicaid revenue totals $17.8M, indicating the hospital’s observable billed activity in these datasets is concentrated entirely in Medicaid. That asymmetric payer mix implies Medicaid reimbursement trends and policy changes will have outsized impact on this facility’s revenue.

Revenue is highly concentrated in emergency department evaluation-and-management services: the precomputed top three Medicaid codes (99283, 99284, 99285) together account for 73.8% of this provider’s total Medicaid revenue. Those three codes individually are 99283 $6.6M (38.7%), 99284 $3.4M (20.2%), and 99285 $2.5M (14.8%), which signals that a small set of ED E/M codes drives the majority of Medicaid receipts.

The volume data underline an ED-centric operating model: 99283 shows 40K claims, 99284 has 13.9K claims, and 99285 has 6.6K claims, consistent with a high-throughput emergency department that handles a large number of low- to high-acuity encounters. Ancillary procedure and lab codes (for example 36415 with 23.4K claims and 81003 with 19.1K claims) further support an operational profile of frequent blood draws and point-of-care urinalysis tied to ED throughput.

Competitive standing for core ED services is strong at the low-acuity level: 99283 ranks #12 of 254 providers in-state (96th percentile; notably above typical state volume for this code), indicating the hospital is a major provider of low-level ED visits regionally. For higher-acuity ED codes the hospital remains a meaningful participant but not dominant—99284 ranks #33 of 230 (86th percentile; typical, unremarkable volume) and 99285 ranks #33 of 182 (82th percentile; typical, unremarkable volume), showing solid but less exceptional positioning for moderate- and high-acuity ED care.

Laboratory and specimen collection volumes are pronounced outliers versus peers and align with heavy ED and outpatient testing demand: 36415 (blood draw) is 23.4K claims and ranks #7 of 423 providers in-state (99th percentile; extreme outlier), while 81003 (urinalysis dipstick) is 19.1K claims and ranks #2 of 115 (99th percentile; extreme outlier). Those extreme outlier labels imply the provider handles far more basic specimen collection and rapid testing than typical peers, consistent with a high-volume ED and associated lab throughput.

Respiratory and multiplex testing also appear centralized at this facility: 87637 (SARS–CoV–2/influenza A/B/RSV multiplex) shows 3.8K claims, $525.1K revenue, and ranks #2 of 26 in-state (96th percentile; notably above typical state volume). High relative rank for this code suggests the hospital serves as an important local access point for combined respiratory testing in the Medicaid population.

Routine laboratory panels are high-volume and support the ED-driven revenue mix: 80053 (CMP) shows 28.9K claims and 85025 (CBC) shows 30.1K claims, both in high percentiles (e.g., 80053 ranks #8 of 154, 85025 ranks #11 of 190, each listed as 95th percentile or similar). These volumes reinforce the interpretation that front-line diagnostic workup is a consistent revenue driver and operational focus for this facility.

The NPI tenure indicates operational stability in the marketplace: the provider was enumerated 2006-06-15 (~20 years ago). Coupled with the concentrated Medicaid revenue base and the predominance of ED services (top three codes = 73.8%), this long tenure suggests an established regional hospital whose financial performance is closely tied to Medicaid ED utilization and associated lab services, creating both operational strengths in access and concentration-driven revenue risk.

Medicaid: Complete Services Breakdown

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

128 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.	39,950	$170	$6.6M
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.	13,870	$250	$3.4M
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.	6,590	$380	$2.5M
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.	9,370	$90	$862.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5,880	$130	$788.5K
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)…	3,830	$140	$525.1K
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.	2,420	$150	$350.5K
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.	28,940	$10	$289.4K
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…	30,120	$10	$241K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	830	$200	$165.2K

Showing 1–10 of 128

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 — 5 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

128 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.	33	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.	12	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.	33	180	1,030	$200	$1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	16	100	990	$130	$405.9K
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…	1,628	1,680	820	$90	$307K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	60	70	150	$450	$279K
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…	1,683	1,750	870	$70	$254.4K
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
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	7	10	990	$20	$232K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	14	20	360	$120	$199.8K

Showing 1–10 of 128

Comanche County Hospital Authority — Billing Profile & Reimbursement Data

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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

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$18.3M
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