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.

Shelby Healthcare Ok LLC (NPI 1285224923)

Field	Value
Entity Type	Organization
Organization	Shelby Healthcare Ok LLC
Address	301 N Harvey Ave Ste 215
City	Oklahoma City
State	OK
ZIP	73102
Taxonomy	Home Health Agency
NPI Enumerated	January 26, 2021

Payer Source	Total Paid
Medicaid	$11.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	25,530	$440	$11.1M
T1002	Rn services, up to 15 minutes	30	$50	$1.4K

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

Shelby Healthcare Ok LLC — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	5	10	25,530	$350	$24.3M
T1002	Rn services, up to 15 minutes	48	50	1,690	$80	$367.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ssm Health Care Of Oklahoma, Inc.	OK	General Acute Care Hospital	$0	$46.8M
Emergency Physicians Of Mid-america, P.C.	OK	Emergency Medicine Physician	$0	$29.2M
Oklahoma State Department Of Health	OK	Clinic/Center	$0	$7.8M
State Of Oklahoma	OK	Clinic/Center	$0	$6.9M
Wound Management Of Oklahoma, Inc.	OK	Durable Medical Equipment & Medical Supplies	$0	$6.2M
Oklahoma State Department Of Health	OK	Clinical Medical Laboratory	$0	$5.1M
Oklahoma State Department Of Health	OK	Public Health or Welfare Agency	$0	$3.8M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$1.9M
State Of Oklahoma	OK	Public Health or Welfare Agency	$546.3K	$162.5K
Syed Ahmed	OK	Family Medicine Physician	$439.4K	$0

Shelby Healthcare Ok LLC — Billing Profile & Reimbursement Data

Sign up for Shelby Healthcare Ok LLC — Billing Profile & Reimbursement Data policy alerts

Shelby Healthcare Ok LLC — Billing Profile & Reimbursement Data

Sign up for Shelby Healthcare Ok LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References