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    OpenPayerNPI Medicare & MedicaidIntegris Baptist Medical Center Inc
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    Integris Baptist Medical Center Inc — Billing Profile & Reimbursement Data

    NPI 1831103654 · Oklahoma City, OK · General Acute Care Hospital

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    Integris Baptist Medical Center Inc is a general acute care hospital provider located in Oklahoma City, Oklahoma. This profile covers 0 Medicare and 121 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
    OrganizationIntegris Baptist Medical Center Inc
    Address3300 Nw Expressway St
    CityOklahoma City
    StateOK
    ZIP73112
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJuly 28, 2006

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

    Payer SourceTotal Paid
    Medicaid$30.7M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer in the available claims data: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $30.7M. The absence of Medicare billing on file prevents national Medicare comparisons and means Medicaid activity drives the observed financial and operational profile.

    Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 codes by revenue account for 70.3% of this provider's total Medicaid revenue. Those top drivers are 99283 ($10.8M, 36.0%), 99284 ($5.3M, 17.7%), and D9999 ($5M, 16.6%), indicating that a large share of Medicaid dollars are tied to a narrow set of services.

    Clinical mix and service line implications point to a high-volume emergency department and related acute-care throughput: the top three codes are ED E/M codes (99283, 99284) plus D9999 (no description available) and claim counts show large ED volumes (99283: 66K claims; 99284: 22.9K claims; 99285: 10.7K claims). This combination of high ED E/M counts and frequent ancillary injections/infusions (e.g., 96374 with 12.4K claims) suggests the hospital operates a busy ED with substantial same‑day medical treatment and IV administration.

    Competitive standing within Oklahoma is mixed but shows clear dominance on specific codes: 99283 ranks #7 of 254 providers in-state (98th percentile; extreme outlier, far above typical state volume for this code), indicating far higher-than-typical volumes of that ED visit level. D9999 ranks #2 of 42 providers in-state (98th percentile; notably above typical state volume for this code), so although the descriptor is missing, its high rank and $905 avg paid/claim make it a major revenue driver relative to peers.

    A range of high-volume ancillary services supports the ED-focused pattern: venipuncture 36415 has 41.7K claims and $291.7K revenue and ranks #3 of 423 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), while CBC 85025 has 36.9K claims and $258.5K revenue (96th percentile). These large test and specimen volumes are consistent with substantial ED throughput and inpatient workups tied to emergency presentations.

    Medication administration and IV-related codes are also prominent, reinforcing an acute‑care treatment profile: 96374 (12.4K claims, $1.6M revenue) ranks #7 of 95 providers in-state (94th percentile; notably above typical state volume for this code), and related infusion codes 96375 and 96361 appear in the top 25 list as well. The presence of multiple IV administration codes at notable percentile ranks suggests frequent on‑site medication delivery accompanying ED visits.

    COVID and respiratory testing activity is present but not dominant: U0003 shows 4.3K claims and $327.8K revenue (rank #9 of 52 in-state, 84th percentile) and multiplex respiratory test 87637 shows 1.1K claims and $146.9K (rank #7 of 26, 76th percentile). These patterns indicate the facility performs a nontrivial volume of infectious-disease testing alongside its core ED and lab services, without those tests driving the overall Medicaid revenue.

    Operational and financial sensitivity is concentrated: with 70.3% of Medicaid revenue tied to the three top codes, and D9999 carrying a high avg paid/claim ($905) plus a top‑state rank, changes in Medicaid payment policy or shifts in ED utilization for these specific codes could materially affect revenue. The provider’s long tenure (NPI enumerated 2006-07-28 (~20 years ago)) suggests an established operation, but its apparent dependence on high ED volumes and a small set of revenue drivers is a key strategic and financial characteristic for payers and network analysts to monitor.

    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.

    121 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.65,960$160$10.8M
    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.22,860$230$5.3M
    D9999N/A5,520$910$5M
    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.10,650$330$3.5M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.12,420$130$1.6M
    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.8,680$100$858.9K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.840$460$384.6K
    U0003Infectious 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…4,310$80$327.8K
    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 cm2.2,230$140$305.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.41,670$10$291.7K

    Showing 1–10 of 121

    • 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

    121 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.202301,440$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.72501,820$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.251801,030$200$1M
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.1532001,720$80$645.7K
    D9999N/A240310$690$591.7K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.365070$1,800$496.5K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.7100990$130$405.9K
    95819Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…1010510$370$362.5K
    82657The lab analyst measures the enzyme activity found from within the cells, which can be from a variety of locations including tissue. He uses a nonradioactive substrate for the test. Use this code…210270$20$296.2K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.4770150$450$279K

    Showing 1–10 of 121

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Integris Baptist Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Integris Baptist Medical Center IncOKCustomized Equipment (DME)$0$2.4M
    George ChrysantOKInterventional Cardiology Physician$298.7K$0
    Shazib KhawajaGAInterventional Cardiology Physician$236.8K$0
    Azhar AmilOKCardiovascular Disease Physician$69.6K$0
    Michael MerkeyOKNeurology Physician$52.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Integris Baptist Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Variety Care, IncOKFederally Qualified Health Center (FQHC)$0$14.3M
    Smiling Faces Pediatric Dentistry IncOKGeneral Practice Dentistry$0$14M
    Pediatrix Medical Group Of Oklahoma, P.C.OKNeonatal-Perinatal Medicine Physician$0$11.2M
    Variety Care, Inc.OKFederally Qualified Health Center (FQHC)$0$9.7M
    North Oklahoma County Mental Health CenterOKMental Health Counselor$0$6.3M
    Concepts In Counseling, LLCOKCommunity/Behavioral Health Agency$0$5.8M
    Oklahoma Emergency Physicians LLCOKEmergency Medicine Physician$0$5.2M
    Osu Center For Health SciencesOKClinic/Center$0$4.8M
    Your Key To Change, LLCOKCommunity/Behavioral Health Agency$0$4.8M
    Sumit NandaOKRetina Specialist (Ophthalmology) Physician$4.2M$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.

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Integris Baptist Medical Center Inc — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma