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.

Absentee Shawnee Tribal Health Authority, Inc. (NPI 1124152962)

Field	Value
Entity Type	Organization
Organization	Absentee Shawnee Tribal Health Authority, Inc.
Address	15951 Little Axe Dr
City	Norman
State	OK
ZIP	73026
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	March 15, 2007

Payer Source	Total Paid
Medicaid	$31.1M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and all recorded federal fee-for-service revenue comes from Medicaid, with total Medicaid revenue of $31.1M. In practical terms the organization functions as effectively single-payer (Medicaid) in the federal claims dataset rather than a mixed Medicare/Medicaid billing operation.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and a single code, T1015, accounts for the entire $31.1M Medicaid total. That level of concentration means the provider's Medicaid financial performance is highly dependent on reimbursement and utilization patterns tied to T1015.

T1015 (Clinic visit/encounter, all-inclusive) dominates clinical activity with 51.5K claims and an average paid-per-claim of $603, producing $31.1M in revenue. The provider ranks #14 of 143 providers in-state for T1015 (91th percentile; typical, unremarkable volume for this code), indicating a relatively strong statewide presence for this bundled clinic-visit code even as the dataset characterizes the volume as typical.

The presence of dental procedure codes (D1120, D0120, D1208) in the file indicates some pediatric preventive and evaluation dental services are billed, but their revenue impact is negligible: D1120 generated $4.3K, D0120 $476, and D1208 $0. These dental lines rank very low among in-state peers (for example, D1120 ranks #446 of 474 providers in-state, 6th percentile), so dental activity appears to be a marginal adjunct rather than a material revenue stream.

From a business/service-line perspective, the dominance of T1015 — a bundled clinic visit/encounter code — suggests the organization operates as a multi-specialty clinic or comprehensive encounter-based outpatient site of care rather than a procedure-driven specialty practice. The billing mix implies emphasis on visit-based primary care/ambulatory services and care management captured under an all-inclusive encounter code.

Competitive standing for Medicaid: despite the single-code concentration, the provider’s T1015 rank (#14 of 143, 91th percentile) shows it is a notable participant in-state for that code but not a statewide monopoly; the other billed codes place the provider at the low end of statewide dental service volumes. Analysts should view the provider as a modest-to-strong regional clinic for encounter-based billing with limited diversification into other high-revenue procedure codes.

Tenure in federal billing records is established: NPI enumerated 2007-03-15 (~19 years ago), indicating nearly two decades of potential operational history in the Medicare/Medicaid ecosystem. That longevity supports interpreting observed patterns as established operational choices (encounter-based billing) rather than a short-term reporting anomaly.

Given the concentration of Medicaid revenue in a single code (T1015 at $31.1M and 100.0% of Medicaid revenue), the provider’s reimbursement and utilization risk is concentrated; changes in state Medicaid rates, coding guidance for all-inclusive clinic encounters, or eligibility/volume shifts could materially affect overall revenue. The negligible Medicare presence means there is limited offset from other federal payer mixes if Medicaid reimbursement were to change.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	51,540	$600	$31.1M
D1120	Prophylaxis–child	20	$270	$4.3K
D0120	Periodic oral evaluation - established patient	20	$30	$480
D1208	Topical application of fluoride - excluding varnish	20	$0	$0

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

Absentee Shawnee Tribal Health Authority, Inc. — 0 of 3 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	14	140	7,150	$220	$4.4M
D1120	Prophylaxis–child	446	470	730	$30	$77.5K
D0120	Periodic oral evaluation - established patient	515	540	910	$20	$61.2K
D1208	Topical application of fluoride - excluding varnish	309	340	550	$10	$33.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Absentee Shawnee Tribal Health Authority, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Absentee Shawnee Tribal Health Authority, Inc.	OK	Multi-Specialty Clinic/Center	$0	$15.8M
Sanjaykumar Hapani	OK	Hematology & Oncology Physician	$2M	$0
Christine Codding	OK	Rheumatology Physician	$597.4K	$0
Archana Gautam	OK	Cardiovascular Disease Physician	$392.9K	$0
James Stewart	OK	MOHS-Micrographic Surgery Physician	$386.2K	$0
Tariq Mahmood	OK	Medical Oncology Physician	$253.8K	$17.8K
Brian Morgan	OK	Ophthalmology Physician	$224.8K	$0
Salomi Salins	OK	Clinical Neurophysiology Physician	$219.6K	$0
Venkata Rama Gopala Damera	OK	Nephrology Physician	$217.5K	$0
Ashish Masih	OK	Neurology Physician	$217.2K	$0

Nearby Providers

Other providers in the same ZIP code as Absentee Shawnee Tribal Health Authority, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ronald Sutor	OK	Cardiovascular Disease Physician	$56.3K	$0
Robert White	OK	Internal Medicine Physician	$25.1K	$0
Kari Campbell	OK	Family Nurse Practitioner	$5.1K	$0

Absentee Shawnee Tribal Health Authority, Inc. — Billing Profile & Reimbursement Data

Sign up for Absentee Shawnee Tribal Health Authority, Inc. — Billing Profile & Reimbursement Data policy alerts

Absentee Shawnee Tribal Health Authority, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References