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.

Family & Children's Services, Inc (NPI 1023122439)

Field	Value
Entity Type	Organization
Organization	Family & Children's Services, Inc
Address	650 S Peoria
City	Tulsa
State	OK
ZIP	74120
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 19, 2006

Payer Source	Total Paid
Medicaid	$37.8M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: it reports no Medicare billing on file and $37.8M in lifetime Medicaid revenue, indicating its clinical and billing footprint is concentrated entirely in Medicaid programs. The absence of Medicare activity means comparisons to national Medicare peers are not applicable and strategic risk/market exposure is tied to state Medicaid policy and contracting.

Revenue is extremely concentrated in a single monthly community‑clinic code: T1041 accounts for $34.9M and 92.3% of the provider's Medicaid revenue, and the precomputed top-3 codes together account for 99.7% of total Medicaid revenue. That degree of concentration implies the organization’s financial performance is highly sensitive to reimbursement or eligibility changes affecting T1041 or the Medicaid-certified community behavioral health clinic model.

The code mix and volumes identify the operation as a high-volume community/behavioral health clinic: heavy use of T1041 (medicaid certified community behavioral health clinic services, per month) combined with large counts of H0004 (behavioral health counseling and therapy, per 15 minutes) suggests the provider bills a bundled monthly clinic payment while delivering frequent short-interval therapy encounters. This pattern is consistent with a clinic structured around monthly program enrollment and high-frequency outpatient counseling rather than episodic specialty medical care.

In-state competitive standing for the top revenue drivers is strong: T1041 ranks #5 of 97 providers in Oklahoma (96th percentile) and H0004 ranks #18 of 621 providers (97th percentile), both described as "notably above typical state volume." Those ranks indicate this provider is a major participant in the state’s Medicaid community behavioral health clinic market for those codes.

Lower-revenue codes and service types appear ancillary: codes such as 99213/99214 (office E/M), 90837 (psychotherapy), and various home visit codes are present but generate negligible revenue relative to T1041 (each contributes 0.0% of total Medicaid revenue in the provided breakdown). The presence of these codes at modest paid/claim levels suggests they support clinical care delivery rather than serving as primary revenue streams.

Several behavioral-health care management and coordination codes are reported at very small dollar volumes (for example, H0032 $26.9K, 0.1% of revenue, ranks #12 of 366 and is characterized as typical/unremarkable; G9009/G9010 combined produce only tens of thousands). These entries indicate the provider does perform plan development and some risk‑adjusted coordinated care billing, but these functions are minor contributors to overall Medicaid revenue.

The provider’s NPI tenure—enumerated on 2006-08-19 (~20 years ago)—signals a long-standing presence in the market, which aligns with the large accumulated Medicaid revenue and high state ranking for core clinic services. Longevity combined with top-tier state ranks on T1041 and H0004 suggests established referral relationships and operational capacity to deliver community behavioral health services at scale.

From an operational and payer-strategy perspective, the organization should be viewed as a Medicaid-centric community behavioral health clinic whose fiscal health depends on continued access to T1041 reimbursement and high-volume H0004 counseling throughput; any analysis of competitive risk or contract negotiations should prioritize those code lines and the state-level market positions where the provider ranks in the top percentiles.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	41,420	$840	$34.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	83,450	$30	$2.8M
H0032	Mental health service plan development by non-physician	1,920	$10	$26.9K
G9009	Coordinated care fee, risk adjusted maintenance, level 3	90	$300	$26.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,090	$20	$18.5K
H0031	Mental health assessment, by non-physician	1,010	$10	$13.1K
T1016	Case management, each 15 minutes	300	$40	$11.6K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	10	$870	$10.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,130	$10	$9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	980	$10	$6.9K

Showing 1–10 of 22

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

Family & Children's Services, Inc — 4 of 20 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	5	100	4,790	$880	$8.3M
T1016	Case management, each 15 minutes	102	140	3,200	$60	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	18	620	6,640	$70	$1.2M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	53	70	320	$320	$317.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	773	1,680	820	$90	$307K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	43	40	140	$970	$285.1K
H2017	Psychosocial rehabilitation services, per 15 minutes	108	240	1,280	$50	$259.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	802	1,750	870	$70	$254.4K
T1017	Targeted case management, each 15 minutes	203	280	930	$30	$88.4K
H2015	Comprehensive community support services, per 15 minutes	129	150	770	$40	$73.8K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Family & Children's Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family & Children's Services, Inc	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.2M
Family & Children's Services, Inc	OK	Community/Behavioral Health Agency	$0	$5.1M

Nearby Providers

Other providers in the same ZIP code as Family & Children's Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Dental Group, LLC	OK	Pediatric Dentistry	$0	$12.8M
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa	OK	Professional Counselor	$0	$10.3M
A New Way Center	OK	Community/Behavioral Health Agency	$0	$7.6M
Ob Dental, LLC	OK	General Practice Dentistry	$0	$2.5M
Indian Health Care Resource Center	OK	Clinic/Center	$0	$2.4M
Parkside, Inc.	OK	Adult Mental Health Clinic/Center	$0	$2.2M
Family & Children's Services, Inc	OK	Community/Behavioral Health Agency	$0	$1.8M
Marcelle Nkombengnondo	OK	Family Medicine Physician	$223.6K	$0
Hafida Mumallah	OK	Family Medicine Physician	$112.4K	$0
Jasminder Singh	OK	Hospitalist Physician	$98.2K	$0

Family & Children's Services, Inc — Billing Profile & Reimbursement Data

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Family & Children's Services, 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