ROBERTA SUE HEUSTIS, LADC, (US)

NPI 1396947305, individual, Tulsa, OK, Counselor, Addiction (Substance Use Disorder)

Evidence tier

informational

Medicaid dollars per patient on code H0004 ($1227 per patient-month) sit in the top 5% of every provider billing that code.
97% of Medicaid dollars are on codes with a history of abuse.

score 37 of 100, rank 9846, $985K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	ROBERTA SUE HEUSTIS, LADC, (US)
Type	Individual
Status	Active
NPI issued	June 1, 2007, last updated November 12, 2014
Practice location	2727 E ADMIRAL PL, Tulsa, OK 74110-5436, 918-835-3017
Mailing address	18921 W WEKIWA RD LOT 31, Sand Springs, OK 74063-5970
Specialties	Counselor, Addiction (Substance Use Disorder) (101YA0400X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
H0004	Behavioral health counseling and therapy per 15 minhistory of abuse	$2.4M	97%	$1K	$174 (top 5% from $559)	98th percentile
98968	Telephone medical discussion provided by nonphysician professional, 21-30 minutes	$46K	2%	$859	$38 (top 5% from $253)	too few months to rank
H0032	Medicaid service code	$24K	1%	$644	$98 (top 5% from $675)	too few months to rank

In this area

22 providers in Tulsa County, OK carry an indicator in the public record, with $8.7M at stake between them. The most common is part of a provider network, on 11 of them, followed by more hours than a day holds on 9. 2 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	LADD ATKINS Tulsa, OK, ranked 27	$10K	Listed on the Medicare revocation list since October 30, 2023. Medicaid still paid claims in 2 later months, $10,085 in total. and 2 more
1	MELISSA FIKE Owasso, OK, ranked 622	$0	Adjudicated (pleaded guilty) per a Department of Justice release dated March 25, 2024. No Medicaid payments in the last 12 observed months.
3	SEASONS HOSPICE INC Tulsa, OK, ranked 2525	$0	Part of provider network D1-00134, ranked 134 nationally.
3	TULSA HILLS COMMUNITY INC Tulsa, OK, ranked 3149	$0	Part of provider network D1-00075, ranked 75 nationally.
3	HOSPICE OF NORTHEAST OKLAHOMA, LLC Tulsa, OK, ranked 3203	$0	Part of provider network D1-00112, ranked 112 nationally.
3	HEALTHCARE INNOVATIONS OF OKLAHOMA, LLC Broken Arrow, OK, ranked 3910	$0	Part of provider network D1-00112, ranked 112 nationally.
3	CONHOLD OF OWASSO LLC Owasso, OK, ranked 4471	$0	Part of provider network D1-00112, ranked 112 nationally.
3	CARE PLUS HOME HEALTH CARE INC Tulsa, OK, ranked 4835	$0	Part of provider network D1-00044, ranked 44 nationally.

All 22 in OK

Recent enforcement in OK

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedJun 24, 2026

NDOK Announces Charges Related to the 2026 National Health Care Fraud Takedown

Bowles, operator of three pharmacies, allegedly submitted false claims for reimbursement for COVID-19 tests to Medicare and Medicaid, and a civil forfeiture complaint alleged Dameion Ray improperly used approximately $300,000 of a $600,000 Child Care Desert Grant to purchase real property.

DOJIndictedJun 23, 2026

Western District of Oklahoma Cases Filed as Part of National Health Care Fraud Takedown

Two defendants operating a durable medical equipment company were indicted for submitting fraudulent TRICARE claims for more than 650,000 in-person CPAP-related services they did not provide, and a speech-language pathologist was charged in a civil complaint with submitting more than $2.5 million in false claims to Medicare, Oklahoma Medicaid, and TRICARE for services not rendered or not medically necessary.

DOJSentencedMay 1, 2026

Oklahoma City Woman Sentenced to Federal Prison for $1.1 Million Health Care Fraud Scheme

Allmon submitted thousands of false and fraudulent claims to Blue Cross Blue Shield for behavioral health counseling sessions purportedly provided to family members, including claims of treating beneficiaries for more than 24 hours in a single day.

DOJCivil settlementJan 22, 2026

Traditions Health Agrees to Pay $34M to Resolve False Claims Act Liability Relating to Home Health Services Following Self Disclosure

Traditions submitted claims to Medicare for home health services that were not medically necessary from its McAlester, Oklahoma location and paid remuneration to physician-medical directors in Oklahoma and Texas who referred Medicare beneficiaries to it for home health services.

DOJSentencedOct 14, 2025

Compounding Pharmacy Owner Sent Back to Prison

Compounding pharmacy owner previously convicted of conspiracy to offer and pay health care kickbacks was sentenced for violating supervised release by failing to make restitution payments and concealing accounts, businesses, and asset transfers from Probation.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

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