Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

MERCY CLINIC OKLAHOMA COMMUNITIES

Family Medicine·OKLAHOMA CITY, OK·NPI: 1386874550Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $45.2M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$45.2M

$45,244,566

Total Claims

683K

Beneficiaries

649K

1.1 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$4.3M
-3%
2019
$4.2M
-28%
2020
$3.0M
+65%
2021
$5.0M
+98%
2022
$9.8M
+7%
2023
$10.5M
-21%
2024
$8.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 27% of total spending.

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$12.1M

146K claims · 26.7%

Your Cost: $82.65/claim|Median: $53.41
1.5× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$10.2M

160K claims · 22.5%

Your Cost: $63.59/claim|Median: $37.81
1.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$5.6M

45K claims · 12.4%

Your Cost: $124.53/claim|Median: $85.65
1.5× median
99284Top 25%

Emergency dept visit, high complexity

$5.0M

50K claims · 11.0%

Your Cost: $99.18/claim|Median: $69.51
1.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.5M

17K claims · 3.3%

Your Cost: $86.82/claim|Median: $69.35
1.3× median
99283Normal range

Emergency dept visit, moderate complexity

$1.3M

22K claims · 2.9%

Your Cost: $57.72/claim|Median: $42.48
1.4× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.1M

12K claims · 2.5%

Your Cost: $92.64/claim|Median: $75.18
1.2× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$1.0M

22K claims · 2.3%

Your Cost: $46.08/claim|Median: $17.85
2.6× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$728K

405 claims · 1.6%

Your Cost: $1,796.73/claim|Median: $1,482.45
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$718K

18K claims · 1.6%

Your Cost: $39.85/claim|Median: $23.99
1.7× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$712K

22K claims · 1.6%

Your Cost: $32.00/claim|Median: $39.63
0.8× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$685K

7,971 claims · 1.5%

Your Cost: $85.94/claim|Median: $57.85
1.5× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$577K

5,149 claims · 1.3%

Your Cost: $112.08/claim|Median: $84.03
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$338K

3,668 claims · 0.7%

Your Cost: $92.19/claim|Median: $74.82
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$314K

7,492 claims · 0.7%

Your Cost: $41.93/claim|Median: $25.06
1.7× median
87430Top 25%

$308K

21K claims · 0.7%

Your Cost: $14.64/claim|Median: $9.41
1.6× median
99291Top 25%

Critical care, first 30-74 minutes

$264K

1,857 claims · 0.6%

Your Cost: $142.15/claim|Median: $101.24
1.4× median
99223Top 25%

Initial hospital care, per day, high complexity

$245K

2,309 claims · 0.5%

Your Cost: $106.17/claim|Median: $67.32
1.6× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$231K

3,627 claims · 0.5%

Your Cost: $63.59/claim|Median: $43.85
1.5× median
87804Top 10%

Influenza virus detection, rapid test

$227K

8,133 claims · 0.5%

Your Cost: $27.89/claim|Median: $12.59
2.2× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$173K

3,150 claims · 0.4%

Your Cost: $54.79/claim|Median: $35.30
1.6× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$167K

12K claims · 0.4%

Your Cost: $14.13/claim|Median: $11.48
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$131K

1,462 claims · 0.3%

Your Cost: $89.81/claim|Median: $74.09
1.2× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$106K

1,212 claims · 0.2%

Your Cost: $87.71/claim|Median: $74.78
1.2× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$98K

5,756 claims · 0.2%

Your Cost: $16.95/claim|Median: $9.80
1.7× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$97K

1,292 claims · 0.2%

Your Cost: $74.91/claim|Median: $47.65
1.6× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$86K

893 claims · 0.2%

Your Cost: $96.74/claim|Median: $80.15
1.2× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$84K

1,079 claims · 0.2%

Your Cost: $78.03/claim|Median: $51.25
1.5× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$75K

1,160 claims · 0.2%

Your Cost: $65.08/claim|Median: $37.22
1.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$75K

1,627 claims · 0.2%

Your Cost: $45.88/claim|Median: $54.68
0.8× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$67K

745 claims · 0.1%

Your Cost: $89.42/claim|Median: $62.48
1.4× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$58K

1,453 claims · 0.1%

Your Cost: $40.02/claim|Median: $29.03
1.4× median
87426Top 10%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$51K

1,195 claims · 0.1%

Your Cost: $43.03/claim|Median: $30.04
1.4× median
36415Top 25%

Collection of venous blood by venipuncture

$48K

15K claims · 0.1%

Your Cost: $3.32/claim|Median: $1.57
2.1× median
87420Normal range

$45K

3,636 claims · 0.1%

Your Cost: $12.27/claim|Median: $9.78
1.3× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$41K

694 claims · 0.1%

Your Cost: $59.66/claim|Median: $40.11
1.5× median
76830Normal range

Ultrasound, transvaginal

$39K

601 claims · 0.1%

Your Cost: $65.15/claim|Median: $57.47
1.1× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$36K

88 claims · 0.1%

Your Cost: $405.53/claim|Median: $470.36
0.9× median
99309Normal range

Nursing facility care, subsequent, low complexity

$35K

2,002 claims · 0.1%

Your Cost: $17.27/claim|Median: $14.00
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$30K

1,937 claims · 0.1%

Your Cost: $15.56/claim|Median: $9.56
1.6× median
90472Top 10%

Immunization administration, each additional vaccine

$26K

818 claims · 0.1%

Your Cost: $32.02/claim|Median: $11.79
2.7× median
54150Normal range

$24K

264 claims · 0.1%

Your Cost: $92.79/claim|Median: $84.60
1.1× median
95886Normal range

$23K

244 claims · 0.0%

Your Cost: $92.57/claim|Median: $67.70
1.4× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$22K

290 claims · 0.0%

Your Cost: $74.66/claim|Median: $111.02
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$20K

3,838 claims · 0.0%

Your Cost: $5.32/claim|Median: $7.18
0.7× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$20K

500 claims · 0.0%

Your Cost: $39.92/claim|Median: $33.72
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$20K

138 claims · 0.0%

Your Cost: $142.61/claim|Median: $111.09
1.3× median
87400Top 25%

$19K

786 claims · 0.0%

Your Cost: $24.62/claim|Median: $8.40
2.9× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$19K

183 claims · 0.0%

Your Cost: $101.86/claim|Median: $72.71
1.4× median
92567Normal range

$18K

1,408 claims · 0.0%

Your Cost: $13.06/claim|Median: $11.50
1.1× median

Other Top Providers in Oklahoma

View all →

State of Oklahoma Dept of Human Services

Case Management

$224.5M

State of Oklahoma Dept. of Human Services

Case Management

$187.3M

Chickasaw Nation Division of Health

General Acute Care Hospital

$161.9M

180 Medical INC

Durable Medical Equipment & Medical Supplies, Cust

$157.9M

Similar Providers

Other top providers in Family Medicine

Dap Health, Inc.

El Cajon, CA

$270.2M

Adelante Healthcare, Inc.

Phoenix, AZ

$245.9M

Fast Pace Medical Clinic PLLC

Spring Hill, TN

$179.4M

← All providersAll providers in Oklahoma →How we detect fraud →