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    OpenPayerNPI Medicare & MedicaidScott Cooper
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    Scott Cooper — Billing Profile & Reimbursement Data

    NPI 1427335348 · Ardmore, OK · Medical Physician Assistant

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    Scott Cooper is a medical physician assistant provider located in Ardmore, Oklahoma. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationScott Cooper
    Address1420 12th Ave Nw
    CityArdmore
    StateOK
    ZIP73401
    TaxonomyMedical Physician Assistant
    NPI EnumeratedNovember 6, 2011

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

    Payer SourceTotal Paid
    Medicare$4.4M
    Medicaid$0

    Key Findings

    SCOTT COOPER is effectively a Medicare-focused Medical Physician Assistant: lifetime Medicare revenue is $4.4M while Medicaid revenue is none, indicating this provider operates as a single-payer (Medicare) biller in the available data. The absence of Medicaid billing on file suggests limited or no participation in state Medicaid programs rather than balanced payer mix.

    Revenue is highly concentrated in a very small set of procedure/product codes: the precomputed top-3 Medicare codes account for 98.7% of the provider’s total Medicare revenue, which signals that a narrow set of services or products drives almost all billing. This concentration implies financial exposure to changes in reimbursement or utilization rules for those specific codes.

    The dominant revenue driver is A2001 (Innovamatrix ac, per square centimeter), which produced $2.5M in revenue and represents 56.6% of this provider’s Medicare revenue; the provider ranks #2 of 37 providers nationally for this code (97th percentile) and is described as notably above typical national volume. This establishes SCOTT COOPER as a major user of A2001 relative to national peers and suggests an operational focus on wound dressings/skin substitute matrix products.

    Q4262 (Dual layer impax membrane, per square centimeter) is the second major contributor with $1.8M in revenue and 41.5% of Medicare revenue; the provider ranks #57 of 141 providers nationally (60th percentile) with typical, unremarkable volume. Together with A2001, Q4262 composes the vast majority of billings and points to a service line centered on layered skin substitute/advanced wound-care materials rather than traditional E/M visits.

    Clinical mix beyond the top two codes includes home visit E/M codes and skin substitute graft codes at much smaller revenue share: 99349 accounts for $24.4K (0.6% of Medicare revenue) and 15271/15275 appear on the roster with $21.7K and $16.7K respectively, each ranking in high national percentiles (15271 at 93th, 15275 at 92th) despite modest dollar contribution. This pattern indicates ancillary wound-care services and some home-based E/M activity but underscores that product/application codes, not E/M, are the business core.

    Competitive standing is mixed by code: the provider is a national leader for A2001 (top-of-market rank and 97th percentile), a routine participant for Q4262 (60th percentile), and a typical performer for home-visit E/M codes like 99349 (77th percentile). For payers and network planners, this means the provider should be considered a high-volume source for A2001 supplies nationally, while their involvement in other categories is more ordinary and lower-dollar.

    The provider’s NPI has been enumerated since 2011-11-06 (~15 years), indicating an established tenure in Medicare billing; this longevity combined with the skew toward device/product add-on codes suggests a mature, specialized practice pattern focused on advanced wound-care products rather than broad primary-care panels. Analysts evaluating contracting or utilization management should prioritize audit and negotiation levers around A2001 and Q4262 reimbursement and utilization, given their outsized contribution to the $4.4M Medicare lifetime revenue.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A2001Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)2,970$830$2.5M
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)1,720$1,060$1.8M
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…300$80$24.4K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.230$90$21.7K
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…170$100$16.7K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.140$80$11.4K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…110$50$4.8K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…20$90$2K
    99342The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…40$40$1.8K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…20$30$550

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A20011102,970$830$2.5M
    Q42621101,590$1,040$1.7M
    9934928130120$70$19.8K
    110425114090$60$11.1K
    15271530100$90$10.9K
    1527522070$100$7.9K
    993483511070$40$6.2K
    110452930130$20$4.8K
    99344396030$90$3.8K
    9934252020$50$1.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Scott Cooper, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of Santa ClaraCAFederally Qualified Health Center (FQHC)$0$175.9M
    Mercy Clinic Oklahoma CommunitiesOKFamily Medicine Physician$0$45.4M
    Todd MolletOKMOHS-Micrographic Surgery Physician$2.1M$0
    Tracye FowlerOKFamily Nurse Practitioner$880.1K$0
    Cherian KarunapuzhaOKNeurology Physician$809.4K$0
    Mohammad GhaniOKInterventional Cardiology Physician$396.7K$0
    David SchomasMORadiation Oncology Physician$328.3K$0
    Marguerite ButcheeOKNeurology Physician$303.3K$0
    Faustino KazenskeOKOrthopaedic Surgery Physician$293.5K$0
    Astrid MorrisonOKRadiation Oncology Physician$283.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Scott Cooper, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chickasaw Nation Division Of HealthOKPrimary Care Clinic/Center$0$30.6M
    Mercy Hospital Ardmore, Inc.OKGeneral Acute Care Hospital$0$18.1M
    Lighthouse Behavioral Wellness CentersOKMental Health Clinic/Center (Including Community Mental Health Center)$0$9.3M
    Lighthouse Behavioral Wellness CentersOKCommunity/Behavioral Health Agency$0$7.6M
    Good Shepherd Community Clinic, Inc.OKFederally Qualified Health Center (FQHC)$0$6M
    Southern Oklahoma Ambulance Service, Inc.OKLand Ambulance$1.1M$3.5M
    Lynch Family Services LLCOKMental Health Clinic/Center (Including Community Mental Health Center)$0$4.5M
    Lighthouse Behavioral Wellness CentersOKCommunity/Behavioral Health Agency$0$4.2M
    Family Practice AssociatesOKFamily Medicine Physician$0$4.2M
    Mental Health Services Of Southern OklahomaOKMental Health Clinic/Center (Including Community Mental Health Center)$0$3.8M

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oklahoma Distribution
    Scott Cooper — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma