Oatmeal Healthoatmealhealth.com · public-data estimate, October 2026

OU Health

Lung screening gap across 20 counties in Oklahoma

110,000to210,000adults in its service area qualify for lung cancer screening and are not being screened

About 1,800 people here are diagnosed with lung cancer each year, and 65% are found at a late stage, when it is hardest to treat.

Explore the screening network
TXOKKS
20 counties2 acute care hospitalsService area
130,000 to 230,000adults likely qualify under USPSTF 2021 criteria (estimate)
1,200lung cancer deaths a year in these counties, 2020 to 2024
10.4%of eligible adults screened in the state, vs 18.2% nationally

Estimates from public data only; no patient information. Sources and method below.

Where the eligible adults live

The counties where most of OU Health's Medicare inpatients live. Darker areas hold more adults who likely qualify, which is where outreach would start. Hover or tap any area for its estimate.

Adults likely eligible, per neighborhood

0+160+200+240+290+350+430+

Acute care hospital in this system

Counties in the service area

CountyAdults likely eligibleLung cancer deaths per 100kMedicare screens billed locally, 2024
Oklahoma County33,200 to 67,80038.12,043
Tulsa County29,800 to 56,50034.3784
Cleveland County11,600 to 23,00033.1148
Canadian County6,900 to 11,90032.5None billed locally
Comanche County6,000 to 9,60042.2None billed locally
Pottawatomie County4,400 to 6,80052.9None billed locally
Payne County2,800 to 5,50035.3None billed locally
Garfield County3,100 to 5,50037.6None billed locally
Grady County3,200 to 5,40045.7None billed locally
Logan County2,800 to 4,60035.3None billed locally
Carter County3,000 to 4,50051.0None billed locally
Stephens County2,900 to 4,30048.1None billed locally
Kay County2,600 to 4,20051.8None billed locally
McClain County2,400 to 3,70043.1None billed locally
Lincoln County2,300 to 3,60049.8None billed locally
Pontotoc County2,000 to 3,30044.020
Caddo County1,800 to 2,90059.6None billed locally
Garvin County1,700 to 2,70052.5None billed locally
Seminole County1,700 to 2,50060.2None billed locally
Custer County1,100 to 2,30033.4None billed locally

16 of the 20 counties had no Medicare lung screening reads billed from a local address in 2024. County names link to their Missing Millions page.

What closing the gap would mean

If screening in these counties rose from 10.4% to the national rate of 18.2%, about 9,800 to 18,000 more people would be screened each year.

In the National Lung Screening Trial, low-dose CT screening lowered lung cancer deaths by 20% compared with chest X-ray. Today about 65% of lung cancers here are found at a late stage.

Illustrative estimate: eligible adults (range) times the change in screening rate. Not a forecast or a guarantee.

Each year in these counties

1,800new lung cancers
1,200found at a late stage
1,200lung cancer deaths

NCI and CDC State Cancer Profiles, annual averages.

Screening at OU Health today

Clinicians at OU Health locations billed 192 low-dose CT lung screening reads to Medicare fee-for-service in 2024. Including Medicare Advantage and other insurers, we estimate about 340 to 960 screenings a year.

Most adults who qualify see a primary care clinician every year. We count 745 primary care clinicians, 29 pulmonologists and 8 thoracic surgeons practicing at OU Health locations. A 20 pack-year smoking history is often missing from structured EHR fields, so many eligible patients are never flagged.

CMS Medicare Physician and Other Practitioners 2024 (CPT 71271); clinicians matched to OU Health by practice address using the AHRQ Compendium of U.S. Health Systems 2023, so reads billed by outside radiology groups are not included. The all-payer estimate scales Medicare fee-for-service by the local Medicare Advantage share (44%, CMS) and, at the high end, by the share of eligible adults under 65 (64%).

2 acute care hospitals

  • Ou Medical CenterOklahoma City, OK
  • Ou Medicine IncEdmond, OK

Find them, reach them, give radiologists a second opinion

LungIQ Find

Reads clinical notes, diagnoses and medications in the EHR and returns a ranked list of patients likely eligible, including those whose pack-year history is missing. Start with a CSV export refreshed every 1, 3 or 6 months, or connect through FHIR or HL7.

LungNAV Reach

An AI patient navigator that texts and calls patients in 70+ languages, answers questions about the scan, and hands each patient to your scheduling team or nurse navigators with a call summary.

LungAI Second opinion

Gives radiologists a malignancy risk score for each nodule, factoring in change since the prior scan, inside the PACS and CADe software they already use. The radiologist makes the final call.

LungAI is an investigational medical device and has not been cleared by FDA. It is not commercially available in the United States.

How we estimate the gap

Modeled estimates from public data. They are not a count of OU Health patients and contain no patient information.

  • Service area: CMS Hospital Service Area File 2025 (counties within 120 miles of a system hospital holding 80% of its Medicare inpatients, plus any county with at least 1%); hospitals from the AHRQ Compendium of U.S. Health Systems, 2023.
  • Eligible adults, low estimate: Oatmeal Health Missing Millions (Census 2025 population, CDC PLACES smoking, USPSTF 2021).
  • Eligible adults, high estimate: University of Minnesota National Lung Cancer Screening Estimates (Haynes 2026), which also counts former smokers.
  • Screening rate: American Lung Association, State of Lung Cancer 2025.
  • Lung cancer cases and deaths: NCI and CDC State Cancer Profiles (incidence 2019 to 2023, deaths 2020 to 2024).
  • Screening volume: CMS Medicare Physician and Other Practitioners, 2024; CMS Medicare Advantage State/County Penetration, September 2026.

LungAI is an investigational medical device and has not been cleared by FDA. Oatmeal Health is preparing a 510(k) premarket notification. LungAI is not commercially available in the United States.

See OU Health's own numbers

In a 30 minute review we replace these public estimates with counts from your own records and agree on what a first program would look like.