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.

Mercy Hospital Ada, Inc (NPI 1952643306)

Mercy Hospital Ada, Inc is a general acute care hospital provider located in Ada, Oklahoma. This profile covers 0 Medicare and 88 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Mercy Hospital Ada, Inc
Address	430 N Monte Vista St
City	Ada
State	OK
ZIP	74820
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 25, 2013

Payer Source	Total Paid
Medicaid	$10.5M
Medicare	$0

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

88 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.	12,910	$320	$4.1M
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.	11,970	$160	$1.9M
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.	7,700	$240	$1.8M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	7,920	$130	$1M
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…	4,280	$50	$192.5K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	1,220	$130	$161.9K
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.	1,000	$160	$157.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	320	$480	$155.5K
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…	1,100	$120	$131.9K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	40	$3,040	$130.5K

Showing 1–10 of 88

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

Mercy Hospital Ada, Inc — 1 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

88 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	69	90	1,320	$240	$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.	51	230	1,440	$170	$1.2M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	492	530	140	$450	$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.	57	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.	19	180	1,030	$200	$1M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	71	80	760	$210	$554.1K
A0425	Ground mileage, per statute mile	89	110	2,080	$60	$501.9K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	31	50	70	$1,800	$496.5K
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	6	10	170	$70	$447.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	12	100	990	$130	$405.9K

Showing 1–10 of 88

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital Ada, Inc	OK	Ambulance	$0	$4.6M
Laishang Zhang	MO	Psychiatry Physician	$221.3K	$6.5K
Joel Sabangan	OK	Pulmonary Disease Physician	$67K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chickasaw Nation Division Of Health	OK	General Acute Care Hospital	$0	$161.8M
Lighthouse Behavioral Wellness Centers	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Journey Therapeutic Services PLLC	OK	Clinical Social Worker	$0	$5.1M
Mccall's Chapel School Inc	OK	Nursing Care Agency	$0	$5M
Central Oklahoma Family Medical Center, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$4.3M
Quickcare Aprn-cnp, LLC	OK	Family Nurse Practitioner	$0	$3.8M
Robert Morton	OK	Psychiatry Physician	$1.3M	$2.2M
A Path Of Care Home Health I, Inc.	OK	Home Health Agency	$0	$3.4M
Air Evac Ems Inc	OK	Air Ambulance	$1.1M	$2.1M
Apex Surgery Center, LLC	OK	Ambulatory Surgical Clinic/Center	$1.9M	$1.2M

Mercy Hospital Ada, Inc — Billing Profile & Reimbursement Data

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Mercy Hospital Ada, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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