Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidOklahoma Healthcare Services, LLC
    Ask Trek AI about this page

    Oklahoma Healthcare Services, LLC — Billing Profile & Reimbursement Data

    NPI 1013023464 · Tulsa, OK · Home Health Agency

    Customize your policy alerts

    Sign up for Oklahoma Healthcare Services, LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Oklahoma Healthcare Services, LLC is a home health agency provider located in Tulsa, Oklahoma. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOklahoma Healthcare Services, LLC
    Address2437 S Sheridan Rd
    CityTulsa
    StateOK
    ZIP74129
    TaxonomyHome Health Agency
    NPI EnumeratedAugust 21, 2006

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

    Payer SourceTotal Paid
    Medicaid$32.8M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer in scale: there is no Medicare billing on file while total Medicaid revenue is $32.8M, and the NPI was enumerated on 2006-08-21 (~20 years ago), indicating a long-tenured Medicaid-focused operation rather than a mixed Medicare/Medicaid payer mix.

    Revenue is extremely concentrated in a narrow set of Medicaid services: the precomputed top 3 Medicaid codes account for 98.5% of this provider's total Medicaid revenue, led by T1019 with $24.1M (73.6% of Medicaid revenue), followed by T1016 with $7.3M (22.2%), and T1002 with $881.9K (2.7%).

    The code mix aligns with a high-volume personal care and care‑coordination home health model: T1019 (personal care services) is the largest revenue driver, T1016 (case management) is the second‑largest, and T1002 (RN services, up to 15 minutes) supplies the clinical nursing component. This combination suggests an operational emphasis on frequent, non‑skilled personal care supported by case management and targeted skilled nursing.

    Claims and unit economics reinforce a high-frequency, low-dollar unit business: T1019 shows 492.4K claims at $49 avg paid/claim, T1016 shows 102.7K claims at $71 avg paid/claim, and T1002 shows 12.2K claims at $72 avg paid/claim, consistent with many short, repeated service units rather than fewer high-dollar encounters.

    Competitive standing varies by code but is strong overall in-state for the provider’s focal services: T1019 ranks #1 of 3 providers in-state (100th percentile) yet is described as "typical, unremarkable volume" in the dataset, while T1016 ranks #13 of 137 (91th percentile) and T1002 ranks #5 of 49 (92th percentile), indicating a dominant position for the core personal‑care line and above‑typical participation in case management and RN services.

    Smaller ancillary codes contribute marginally to revenue but still place the provider above median activity in-state: G0300 generated $236.6K (0.7% of Medicaid revenue) and ranks #3 of 20 (89th percentile), G0299 generated $185.4K (0.6%) and ranks #6 of 19 (72th percentile), and T1001 generated $73.5K (0.2%) and ranks #7 of 17 (63th percentile); each is labeled in the record as "typical, unremarkable volume."

    From a business risk/opportunity perspective, the provider’s reliance on T1019 and T1016 (which together account for the majority of Medicaid revenue) concentrates revenue exposure to policy or utilization changes affecting personal care services and case management. The absence of Medicare billing further concentrates payer risk entirely within Medicaid reimbursement dynamics and state policy changes.

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…492,390$50$24.1M
    T1016Case management, each 15 minutes102,660$70$7.3M
    T1002Rn services, up to 15 minutes12,250$70$881.9K
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes4,470$50$236.6K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes2,900$60$185.4K
    T1001Nursing assessment / evaluation1,110$70$73.5K

    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

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…110143,250$50$12M
    T1016Case management, each 15 minutes131403,200$60$2.3M
    T1001Nursing assessment / evaluation720310$60$415K
    T1002Rn services, up to 15 minutes5501,690$80$367.6K
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes320140$60$199.6K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes6201,830$70$188.8K

    Nearby Providers

    Other providers in the same ZIP code as Oklahoma Healthcare Services, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tulsa Emergency Medical Center IncOKUrgent Care Clinic/Center$0$23.7M
    Community Health Connection IncOKFederally Qualified Health Center (FQHC)$0$14.1M
    Shortline Dental PLLCOKGeneral Practice Dentistry$0$10.3M
    Family & Children's Services, IncOKCommunity/Behavioral Health Agency$0$5.1M
    Estrellitas Pediatrics Christy Stewart Aprn, CnpOKPrimary Care Nurse Practitioner$0$4.7M
    Dental Depot Of TulsaOKGeneral Practice Dentistry$0$4.3M
    Cardelyn Dds Inc PCOKDentist$0$4.1M
    Morton Comprehensive Health Services, IncOKFederally Qualified Health Center (FQHC)$0$2.9M
    Anew Dawn Counseling Services LLCOKMental Health Counselor$0$2.6M
    Family Hope House, PLLCOKMental Health Counselor$0$2M

    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
    Oklahoma Healthcare Services, LLC — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma