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.

Keetoowah - Cherokee Treatment Services (NPI 1124228127)

Field	Value
Entity Type	Organization
Organization	Keetoowah - Cherokee Treatment Services
Address	2727 E Admiral Pl
City	Tulsa
State	OK
ZIP	74110
Taxonomy	Substance Use Disorder Rehabilitation Hospital Unit
NPI Enumerated	July 19, 2007

Payer Source	Total Paid
Medicaid	$29M
Medicare	$0

Key Findings

This provider is effectively single‑payer on file: there is no Medicare billing on file and all reported government revenue is Medicaid, totaling $29M. The absence of Medicare activity indicates the organization’s operations and revenue are concentrated in Medicaid-funded behavioral health services rather than Medicare-covered inpatient or geriatric care models.

Revenue is extremely concentrated in a small set of time‑based behavioral health codes: the precomputed top three Medicaid codes (H0004, H2015, 99214) account for 94.6% of this provider’s total Medicaid revenue. In particular, H0004 alone generates $23.5M (81.2% of Medicaid revenue), making it by far the dominant revenue driver in the billing mix.

The code mix (H0004 – per 15 minutes counseling; H2015 – comprehensive community support per 15 minutes; T1017 – targeted case management per 15 minutes) points to a service model built around time‑based outpatient counseling, community support, and case management rather than fee‑for‑service procedural interventions. This aligns with the provider taxonomy (Substance Use Disorder Rehabilitation Hospital Unit) and suggests high volumes of brief, repeated encounters focused on counseling and care coordination.

On competitive standing for the dominant counseling code, H0004 ranks #38 of 621 providers in‑state (94th percentile) and is described as typical in volume terms; this percentile indicates the provider is a leading statewide performer for behavioral health counseling by minutes billed and revenue, which likely contributes to its outsized Medicaid revenue share. That high rank for a single code explains much of the provider’s Medicaid market footprint.

For comprehensive community support services, H2015 accounts for $2.9M (10.1% of Medicaid revenue) and ranks #15 of 150 in‑state (91th percentile). This position signals a strong in‑state presence for community support programs, reinforcing the organization’s role in non‑acute, community‑based behavioral health service delivery.

Medical evaluation and management (99214) represents $971.5K (3.4% of Medicaid revenue) and ranks #621 of 1680 in‑state (63th percentile), indicating a typical, middle‑tier volume of moderate‑complexity established patient visits. The presence of 99214 at this level suggests the provider integrates some conventional E/M medical management into its behavioral health services but is not a major primary‑care or high‑volume physician practice.

Smaller supporting codes (T1017 $711.3K, H0032 $144K, H0031 $59.6K, 98968 $53.6K, 90853 $8.6K, etc.) collectively show the organization bills for case management, service planning, non‑physician assessments, telephonic counseling, and limited group therapy. Most of these codes are described as typical or unremarkable in volume and rank in mid‑percentiles across peers, indicating modest diversification beyond the dominant counseling and community support lines.

The provider’s NPI tenure (NPI enumerated 2007-07-19 (~19 years ago)) indicates an established operation with a long billing history in Medicaid. Combined with the extreme revenue concentration in a few Medicaid codes, this tenure suggests operational stability but also exposes the organization to meaningful revenue risk if state Medicaid policies, rates, or utilization for time‑based behavioral health services change.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	55,690	$420	$23.5M
H2015	Comprehensive community support services, per 15 minutes	4,330	$670	$2.9M
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…	1,550	$630	$971.5K
T1017	Targeted case management, each 15 minutes	1,020	$700	$711.3K
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…	710	$610	$431.5K
H0032	Mental health service plan development by non-physician	240	$600	$144K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	100	$640	$62.1K
H0031	Mental health assessment, by non-physician	100	$620	$59.6K
98968	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	110	$480	$53.6K
H2011	Crisis intervention service, per 15 minutes	70	$640	$44.8K

Showing 1–10 of 13

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

Keetoowah - Cherokee Treatment Services — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	298	530	140	$450	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	38	620	6,640	$70	$1.2M
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…	621	1,680	820	$90	$307K
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…	943	1,750	870	$70	$254.4K
99204	The provider sees a new 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 provider…	532	720	120	$150	$94.5K
T1017	Targeted case management, each 15 minutes	136	280	930	$30	$88.4K
H2015	Comprehensive community support services, per 15 minutes	15	150	770	$40	$73.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	13	10	100	$40	$57.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	39	80	60	$130	$32.7K
H0032	Mental health service plan development by non-physician	90	370	80	$60	$21.2K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Keetoowah - Cherokee Treatment Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palmer Continuum Of Care, Inc.	OK	Substance Abuse Rehabilitation Facility	$0	$3.9M
Keetoowah Cherokee Treatment Services	OK	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.7M

Keetoowah - Cherokee Treatment Services — Billing Profile & Reimbursement Data

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Keetoowah - Cherokee Treatment Services — 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