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.

Refuge Behavioral Health PLLC (NPI 1104193093)

Field	Value
Entity Type	Organization
Organization	Refuge Behavioral Health PLLC
Address	201 S Murray St
City	Tishomingo
State	OK
ZIP	73460
Taxonomy	Clinic/Center
NPI Enumerated	November 21, 2011

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	72,970	$70	$4.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	1,670	$50	$79.9K
T1017	Targeted case management, each 15 minutes	1,920	$30	$57.5K
H0032	Mental health service plan development by non-physician	20	$60	$1.5K
H0031	Mental health assessment, by non-physician	10	$90	$1.1K

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

Refuge Behavioral Health PLLC — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	24	620	6,640	$70	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	102	240	1,280	$50	$259.4K
T1017	Targeted case management, each 15 minutes	94	280	930	$30	$88.4K
H0032	Mental health service plan development by non-physician	283	370	80	$60	$21.2K
H0031	Mental health assessment, by non-physician	248	280	50	$90	$17.5K

Nearby Providers

Other providers in the same ZIP code as Refuge Behavioral Health PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sisterly Care Health Services LLC.	OK	Home Health Agency	$0	$48.4M
Chickasaw Nation Division Of Health	OK	Primary Care Clinic/Center	$0	$18M
Family Health Center Of Southern Oklahoma Inc	OK	Federally Qualified Health Center (FQHC)	$0	$10.6M
Mercy Hospital Tishomingo, Inc.	OK	Critical Access Hospital	$0	$3.7M
Victory Home Health, LLC	OK	Home Health Agency	$0	$3.5M
Southern Oklahoma Treatment Services, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.6M
Pennington Creek Lifehouse	OK	Case Management Agency	$0	$2.2M
Southeastern Oklahoma Family Services, Inc	OK	Community/Behavioral Health Agency	$0	$1.8M
Johnston County Emergency Medical Services	OK	Intermediate Emergency Medical Technician	$295.8K	$758.6K
Bobby Priddy	OK	Family Nurse Practitioner	$13.5K	$0

Refuge Behavioral Health PLLC — Billing Profile & Reimbursement Data

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Refuge Behavioral Health PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References