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.

Inspire Counseling & Psychological Services, LLC (NPI 1194114801)

Field	Value
Entity Type	Organization
Organization	Inspire Counseling & Psychological Services, LLC
Address	114 S 7th Ave
City	Durant
State	OK
ZIP	74701
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 19, 2015

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	29,080	$70	$2M
H0032	Mental health service plan development by non-physician	140	$70	$10.1K
H0031	Mental health assessment, by non-physician	30	$100	$2.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	40	$50	$1.7K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	20	$30	$380
T1017	Targeted case management, each 15 minutes	20	$10	$240

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

Inspire Counseling & Psychological Services, LLC — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	109	620	6,640	$70	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	227	240	1,280	$50	$259.4K
T1017	Targeted case management, each 15 minutes	268	280	930	$30	$88.4K
H0032	Mental health service plan development by non-physician	133	370	80	$60	$21.2K
H0031	Mental health assessment, by non-physician	180	280	50	$90	$17.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	128	150	60	$20	$5.9K

Nearby Providers

Other providers in the same ZIP code as Inspire Counseling & Psychological Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
People First Industries Of Bryan County Inc	OK	Durable Medical Equipment & Medical Supplies	$0	$49.3M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$40.3M
Durant Hma LLC	OK	General Acute Care Hospital	$0	$13M
Center For Psychological Development, Inc.	OK	Mental Health Counselor	$0	$12.7M
Lighthouse Behavioral Wellness Centers	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.8M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$7.8M
Durant Hma Physician Management, LLC	OK	Internal Medicine Physician	$0	$6.9M
Riverbend Counseling Services, LLC	OK	Community/Behavioral Health Agency	$0	$6.8M
Family Care Center Of Durant PC	OK	Family Nurse Practitioner	$0	$4.1M
Heart And Medical Center Inc	OK	Internal Medicine Physician	$0	$4M

Inspire Counseling & Psychological Services, LLC — Billing Profile & Reimbursement Data

Sign up for Inspire Counseling & Psychological Services, LLC — Billing Profile & Reimbursement Data policy alerts

Inspire Counseling & Psychological Services, LLC — Billing Profile & Reimbursement Data

Sign up for Inspire Counseling & Psychological Services, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References