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.

State Of Oklahoma Dept. Of Human Services (NPI 1174610075)

Field	Value
Entity Type	Organization
Organization	State Of Oklahoma Dept. Of Human Services
Address	2400 N Lincoln Blvd
City	Oklahoma City
State	OK
ZIP	73125
Taxonomy	Case Management Agency
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicaid	$187.4M
Medicare	$0

Key Findings

STATE OF OKLAHOMA DEPT. OF HUMAN SERVICES is effectively a single‑payer Medicaid billing entity: it reports no Medicare revenue on file and $187.4M in lifetime Medicaid revenue, indicating that its operational footprint and revenue base are concentrated entirely in Medicaid-funded case management services. This profile implies the organization’s financial and service strategy is oriented toward state Medicaid programs rather than Medicare beneficiary care pathways.

Medicaid revenue is highly concentrated in a single code: G9012 accounts for $187.4M and is listed as 100.0% of this provider’s total Medicaid revenue. That concentration signals that nearly all billed activity for this NPI is for the narrowly described service G9012 (Other specified case management service not elsewhere classified), so the provider’s service-line exposure is tightly focused on this case management category.

The scale of G9012 activity is large in absolute terms: 814.8K claims at an average paid/claim of $230 produced the full $187.4M Medicaid revenue. Those volumes indicate high transaction volume and recurring unit-level billing consistent with an ongoing population‑level case management program rather than episodic or one-off services.

Competitive standing within the state: this provider ranks #1 of 3 providers in-state for G9012 and is at the 100th percentile among in-state peers. That ranking identifies the NPI as the leading Medicaid biller of this specified case management code in Oklahoma, making it a major statewide participant for this service line rather than a marginal or occasional provider.

Tenure is long: the NPI was enumerated on 2006-10-10 (approximately 20 years ago). This long active period supports the interpretation that the provider has an established role in Medicaid case management administration and has maintained billing relationships with the state over a multi-decade span.

The code-level characterization suggests an administrative/coordination service model: G9012’s description (other specified case management service not elsewhere classified) and its complete dominance of revenue implies the organization’s operations center on care coordination, eligibility or service planning functions billable to Medicaid rather than clinical procedural care. This aligns with the taxonomy listed as Case Management Agency.

Because all reported Medicaid revenue is concentrated in a single, state‑level case management code, the provider has limited coding diversification risk but increased exposure to any Medicaid policy, reimbursement, or programmatic changes affecting G9012. Any state-level redefinition, rate change, or utilization management applied to this code would disproportionately affect the provider’s revenue base.

Although the provider is the top in-state biller of G9012, the dataset lists only three in-state billers for this code. That small competitive set suggests the market for billed G9012 services in Oklahoma is narrow and possibly conducted by a few large administrative entities, reinforcing the provider’s influential position for this particular Medicaid service line.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9012	Other specified case management service not elsewhere classified	814,830	$230	$187.4M

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

State Of Oklahoma Dept. Of Human Services — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9012	Other specified case management service not elsewhere classified	1	10	493,380	$310	$142M

Nearby Providers

Other providers in the same ZIP code as State Of Oklahoma Dept. Of Human Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Oklahoma Dept Of Human Services	OK	Case Management Agency	$0	$224.5M
State Of Oklahoma Dept. Of Human Services	OK	Community/Behavioral Health Agency	$0	$50.2M

State Of Oklahoma Dept. Of Human Services — Billing Profile & Reimbursement Data

Sign up for State Of Oklahoma Dept. Of Human Services — Billing Profile & Reimbursement Data policy alerts

State Of Oklahoma Dept. Of Human Services — Billing Profile & Reimbursement Data

Sign up for State Of Oklahoma Dept. Of Human Services — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References