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.

Ahs Southcrest Hospital, LLC (NPI 1750661534)

Field	Value
Entity Type	Organization
Organization	Ahs Southcrest Hospital, LLC
Address	8801 S 101st East Ave
City	Tulsa
State	OK
ZIP	74133
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 24, 2011

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	4,940	$330	$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.	4,320	$240	$1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2,150	$120	$261.9K
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.	1,660	$160	$260.6K
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.	890	$110	$95.3K
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…	1,290	$50	$60.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	120	$470	$54.9K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	10	$4,330	$51.9K
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.	4,480	$10	$40.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	6,450	$10	$38.7K

Showing 1–10 of 52

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

Ahs Southcrest Hospital, LLC — 0 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

52 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.	81	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.	132	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.	36	180	1,030	$200	$1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	47	50	70	$1,800	$496.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	33	100	990	$130	$405.9K
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	4	10	100	$360	$283.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	43	70	150	$450	$279K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	16	30	120	$60	$243.6K
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	3	10	150	$120	$195.4K
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.	47	80	200	$100	$164.5K

Showing 1–10 of 52

Nearby Providers

Other providers in the same ZIP code as Ahs Southcrest Hospital, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Hospital South LLC	OK	General Acute Care Hospital	$0	$11.1M
Therapy Works Inc	OK	Speech-Language Pathologist	$0	$10.4M
Pediatric Dental Group Ii, LLC	OK	Pediatric Dentistry	$0	$8.5M
Children's Dental Health Center, P.l.c.	OK	General Practice Dentistry	$0	$8.2M
Jenni Burkitt D.d.s. PLLC	OK	Dentist	$0	$5.9M
Wellness Health Group, LLC	OK	Clinical Medical Laboratory	$5.2M	$727K
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$5.8M
Advanced Pain Of Tulsa PLLC	OK	Pain Medicine (Anesthesiology) Physician	$0	$5.8M
Wayne N. Wyatt, Dds, Ms, PC	OK	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.7M
Memorial Surgery Center, LLC	OK	Ambulatory Surgical Clinic/Center	$904.1K	$3.2M

Ahs Southcrest Hospital, LLC — Billing Profile & Reimbursement Data

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Ahs Southcrest Hospital, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References