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.

Effective Teaching And Learning Institute (NPI 1033271895)

Field	Value
Entity Type	Organization
Organization	Effective Teaching And Learning Institute
Address	1717 E Skelly Dr Ste A
City	Tulsa
State	OK
ZIP	74105
Taxonomy	Marriage & Family Therapist
NPI Enumerated	December 15, 2006

Payer Source	Total Paid
Medicaid	$22M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only billing entity: there is no Medicare billing on file and the practice reports $22M in lifetime Medicaid revenue. Its NPI was enumerated on 2006-12-15 (~20 years ago), indicating an established presence in Tulsa, OK.

The revenue-driving services are narrowly focused on home care training sessions: S5116 (Home care training, non-family; per session) and S5111 (Home care training, family; per session). S5116 shows 67.7K claims at $288 avg paid/claim and S5111 shows 9.4K claims at $264 avg paid/claim, which aligns with a session-based, direct-service model rather than procedure- or facility-based care.

Revenue concentration is extreme within Medicaid: the precomputed top-3 codes account for 100.0% of the provider's Medicaid revenue, with S5116 representing 88.7% of Medicaid revenue and S5111 representing 11.3%. This indicates a very narrow service mix and material financial dependence on these two home-care-training codes.

Operational scale is driven largely by S5116: that single code generated $19.5M in revenue on 67.7K claims, while S5111 generated $2.5M on 9.4K claims. The high claim volumes for session-based codes imply an operational model optimized for frequent, short encounters and capacity to deliver many home training sessions.

Competitive standing in-state is strong for these codes: the provider ranks #1 of 2 for S5116 and #1 of 3 for S5111, and is at the 100th percentile for both codes. However, the plain-English characterization provided — "typical, unremarkable volume" — suggests that while the provider is the top reporter of these codes in-state, its volumes fall within the normal distribution for these service lines rather than being anomalously high.

From a risk and strategy perspective, the combination of single-payer concentration (Medicaid only) and reliance on a couple of session codes creates sensitivity to Medicaid policy or reimbursement changes that affect S5116 and S5111. Any changes to coverage, prior authorization, or per-session rates for these codes could meaningfully impact the practice's revenue given that S5116 and S5111 together comprise the entirety of reported Medicaid revenue.

The provider taxonomy as Marriage & Family Therapist combined with the dominant use of S5116 and S5111 suggests a business model focused on in-home behavioral health or caregiver/family skills training and support. This alignment indicates potential opportunities to expand into adjacent Medicaid-covered, session-based behavioral health services, but also implies limited diversification outside family- and caregiver-training encounters.

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
S5116	Home care training, non-family; per session	67,660	$290	$19.5M
S5111	Home care training, family; per session	9,420	$260	$2.5M

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

Effective Teaching And Learning Institute — 2 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
S5116	Home care training, non-family; per session	1	10	37,120	$270	$10.1M
S5111	Home care training, family; per session	1	10	2,890	$220	$914.1K

Nearby Providers

Other providers in the same ZIP code as Effective Teaching And Learning Institute, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Therapysource For Kids, Inc.	OK	Hearing and Speech Clinic/Center	$0	$10.7M
Barton Trentham	OK	Psychologist	$0	$4.1M
Spring Dental Specialty, PLLC	OK	General Practice Dentistry	$0	$3.8M
Kenneth Garner	OK	General Practice Dentistry	$0	$3.2M
Therapeutic Services, Inc., P.C.	OK	Community/Behavioral Health Agency	$0	$2.4M
Etl Plus, Inc.	OK	Case Management Agency	$0	$1.8M
Anthony Economou	OK	Glaucoma Specialist (Ophthalmology) Physician	$330.8K	$0
David Hansen	OK	Clinical Neuropsychologist	$160.5K	$24.8K
John Bassett	OK	Physical Therapist	$116.9K	$0
Brooke Mcqueen	OK	Epilepsy Physician	$95.1K	$0

Effective Teaching And Learning Institute — Billing Profile & Reimbursement Data

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Effective Teaching And Learning Institute — 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

Nearby Providers

Frequently Asked Questions

References