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    OpenPayerNPI Medicare & MedicaidDurant Hma LLC
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    Durant Hma LLC — Billing Profile & Reimbursement Data

    NPI 1770522906 · Durant, OK · General Acute Care Hospital

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    Durant Hma LLC is a general acute care hospital provider located in Durant, Oklahoma. This profile covers 0 Medicare and 100 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
    OrganizationDurant Hma LLC
    Address1800 W University Blvd
    CityDurant
    StateOK
    ZIP74701
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJune 5, 2006

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

    Payer SourceTotal Paid
    Medicaid$13M
    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.

    100 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The 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.26,730$160$4.3M
    99284The 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.13,810$230$3.2M
    99285The 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.2,200$300$655.6K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.5,100$130$638K
    11042The 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 cm2.3,040$160$484K
    U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc8,500$50$399.6K
    99281The provider sees a patient for the lowest level emergency department visit.7,340$50$389.1K
    80053The 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.16,060$20$385.5K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…1,000$280$282.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…3,400$70$241K

    Showing 1–10 of 100

    • More pages

    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

    100 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.342301,440$170$1.2M
    99283The 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.172501,820$130$1.1M
    99285The 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.601801,030$200$1M
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.315070$1,800$496.5K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.17100990$130$405.9K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.2970150$450$279K
    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…1,1621,750870$70$254.4K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.49100630$50$197.2K
    99282The 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.28160410$80$166.4K
    74177The 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.3280200$100$164.5K

    Showing 1–10 of 100

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Durant Hma LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Durant Hma Physician Management, LLCOKInternal Medicine Physician$0$6.9M
    Midwest City Hma Physician Management, LLCOKObstetrics & Gynecology Physician$0$2.4M
    Hayden HenryOKUrology Physician$460.7K$0
    Bolaji SofolaOKUrology Physician$432.4K$0
    Mcdonald ArnotTXOtolaryngology Physician$137.7K$241.9K
    Chadi DibTXInterventional Cardiology Physician$249.9K$0
    Julie CurtisOKPhysician Assistant$212.9K$0
    Satish BagdureTXInternal Medicine Physician$205.6K$0
    Jodi RobinsonOKFamily Nurse Practitioner$130.9K$0
    Christopher LeslieOKOrthopaedic Surgery Physician$105.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Durant Hma LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    People First Industries Of Bryan County IncOKDurable Medical Equipment & Medical Supplies$0$49.3M
    Choctaw Nation Of OklahomaOKPrimary Care Clinic/Center$0$40.3M
    Center For Psychological Development, Inc.OKMental Health Counselor$0$12.7M
    Lighthouse Behavioral Wellness CentersOKMental Health Clinic/Center (Including Community Mental Health Center)$0$11.8M
    Osu Center For Health SciencesOKClinic/Center$0$7.8M
    Riverbend Counseling Services, LLCOKCommunity/Behavioral Health Agency$0$6.8M
    Family Care Center Of Durant PCOKFamily Nurse Practitioner$0$4.1M
    Heart And Medical Center IncOKInternal Medicine Physician$0$4M
    Marshall County Hma LLCOKRural Health Clinic/Center$0$3.8M
    Janee Standifer Slp, LLCOKSpeech-Language Pathologist$0$3.4M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Oklahoma Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Durant Hma LLC — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma