Physician

Shannon K Oates, MD

According to 2025 Medicare claims, Shannon Oates, MD (NPI: 1235198342) practices endocrinology in the Lafayette-West Lafayette, IN market, with the plurality of this provider's patient population coming from Tippecanoe, IN. This provider's primary affiliated billing organization is ARNETT CLINIC, LLC (NPI: 1164490843; TIN: 352030653) and primary practice location at 47904-3055. Oates is affiliated with the Franciscan ACO, Inc. (ACO ID: A2550), IRCCO (ACO ID: A2619), Main Street Rural Health Cedar ACO LLC (ACO ID: A5502), and Indiana University Health ACO, Inc. (ACO ID: D0034), participating under both the MSSP and REACH models.

Oates' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 847 traditional Medicare patients, billed 6,233 HCPCS/CPT codes, and received $180,466 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 7,742 prescription claims across 773 beneficiaries totaling $2,601,172 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 1,627 claims. Open Payments data shows 1 records totaling $22. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $100,679 to $180,466. Similarly, Part D prescription costs have risen steadily, from $1,477,640 to $2,601,172. For DME billing, reported payments moved sharply higher in recent years, from $95,415 to $459,297.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	712	2,086	$100,679
2016	719	2,762	$107,017
2017	764	4,503	$134,357
2018	636	4,698	$131,621
2019	750	4,239	$121,140
2020	757	4,425	$120,773
2021	670	4,875	$144,537
2022	822	5,691	$150,393
2023	792	4,749	$137,447
2024	847	6,233	$180,466

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	609	8,086	$1,477,640
2016	645	8,443	$1,778,525
2017	710	8,730	$1,948,900
2018	695	7,889	$1,929,480
2019	690	7,188	$1,989,084
2020	792	7,466	$2,340,338
2021	804	7,139	$2,727,843
2022	739	6,795	$2,946,806
2023	731	6,970	$3,122,235
2024	773	7,742	$2,601,172

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	854	2,522	$156,155
2016	866	2,336	$127,966
2017	733	2,073	$192,760
2018	739	2,362	$240,175
2019	670	2,353	$332,034
2020	608	2,271	$339,467
2021	532	2,190	$348,131
2022	524	2,287	$386,770
2023	487	2,270	$412,850
2024	480	1,627	$493,292

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	464	758	$85
95251	Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	183	335	$25
J0897	Injection, denosumab, 1 mg	47	4,560	$20
96372	Injection of drug or substance under skin or into muscle	48	77	$11
77080	Dxa bone density measurement of hip, pelvis, spine	318	318	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mounjaro	Tirzepatide	455	16,080	$589,123
Ozempic	Semaglutide	206	7,726	$245,832
Trulicity	Dulaglutide	179	7,522	$240,242
Jardiance	Empagliflozin	158	11,498	$222,364
Humalog Kwikpen U-200	Insulin Lispro	32	1,391	$106,290

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	165	685	$317,460
E0784	External ambulatory infusion pump, insulin	Y	20	148	$49,979
A4238	Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	19	74	$34,807
A4224	Supplies for maintenance of insulin infusion catheter, per week	N	43	145	$34,349
J1817	Insulin for administration through dme (i.e., insulin pump) per 50 units	N	26	112	$34,131

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$22	Insulet Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Shannon K. Oates, MD?

Tedicare shows public-source Medicare data for Shannon K. Oates, MD (NPI 1235198342), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Shannon K. Oates, MD have ACO affiliation data?

Shannon K. Oates, MD is shown with ACO affiliation data for Franciscan ACO, Inc. (MSSP, ACO ID A2550), IRCCO (MSSP, ACO ID A2619), Main Street Rural Health Cedar ACO LLC (MSSP, ACO ID A5502), and Indiana University Health ACO, Inc. (REACH, ACO ID D0034).

What billing organization is linked to Shannon K. Oates, MD?

Shannon K. Oates, MD is linked to ARNETT CLINIC, LLC (billing NPI 1164490843) in the available physician profile data.

Does Shannon K. Oates, MD have Open Payments data?

Shannon K. Oates, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.