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.

Oklahoma Mental Health Council (NPI 1245445337)

Field	Value
Entity Type	Organization
Organization	Oklahoma Mental Health Council
Address	4400 N Lincoln Blvd
City	Oklahoma City
State	OK
ZIP	73105
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 11, 2007

Payer Source	Total Paid
Medicaid	$38.4M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports Total Medicaid revenue of $38.4M, making its Medicaid business effectively the sole public-payer footprint on record. Its NPI was enumerated 2007-05-11 (~19 years ago), indicating nearly two decades of operation in the market.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with T1041 alone generating $38.1M (99.3% of its Medicaid revenue). This indicates that a single monthly-certified community behavioral health clinic payment stream dominates the organization's Medicaid receipts.

T1041 (Medicaid certified community behavioral health clinic services, per month) shows 52.2K claims and a $730 avg paid/claim for $38.1M in revenue and ranks #2 of 97 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). The volume and payment pattern are consistent with operation as a certified community behavioral health clinic (CCBHC) or similar comprehensive behavioral health program paid via monthly per-client rates.

G9002 (Coordinated care fee, maintenance rate) contributes $259.3K (0.7% of Medicaid revenue) across 2.1K claims with a $126 avg paid/claim and ranks #15 of 70 providers in-state (80th percentile; typical, unremarkable volume). This secondary fee suggests the provider also receives separate coordination or maintenance payments alongside the primary monthly clinic payments.

Several high-volume service codes appear with large claim counts but record $0 avg paid/claim — for example H2015 (16.1K claims, ranks #3 of 150 in-state, 99th percentile; extreme outlier) and H0004 (13.6K claims, ranks #206 of 621 in-state, 67th percentile). The presence of many $0-paid encounters (including H0031, H0032, H2011, and others) alongside a dominant T1041 stream suggests reimbursement may be bundled under the monthly certified clinic payment or there are reporting/claim adjudication nuances that shift revenue recognition to T1041.

Clinically, the claim mix includes crisis intervention (H2011), behavioral health screening and admission eligibility (H0002), psychosocial rehabilitation (H2017), mental health assessments and service plan development (H0031, H0032), and counseling/therapy (H0004). This breadth of codes aligns with comprehensive outpatient behavioral health services and supports the interpretation that the organization provides assessment-to-treatment and crisis response functions typical of community behavioral health agencies.

From a competitive standing perspective, the provider is a statewide leader on the core monthly clinic payment (T1041) given its #2 of 97 rank and 99th percentile placement, marking it as a dominant volume player for that revenue stream. Other codes where it ranks highly (for example H2015 rank #3 of 150, and H0002 rank #9 of 151) reinforce that it operates at scale relative to most in-state peers for certain service lines, even if those codes do not drive recorded Medicaid revenue.

The provider's revenue concentration in a single certified-clinic code creates operational and payment risk: because $38.1M of the $38.4M Medicaid revenue is tied to T1041, any policy or rate change to that code could materially affect revenue. Analysts should treat this profile as a high-concentration, single-stream Medicaid billing model and verify whether other recorded claim volumes with $0 payments reflect bundled reimbursement, alternate payment models, or reporting artifacts before assuming supplemental fee-for-service revenue.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	52,240	$730	$38.1M
G9002	Coordinated care fee, maintenance rate	2,060	$130	$259.3K
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…	130	$0	$0
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	10	$0	$0
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,…	2,190	$0	$0
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…	6,030	$0	$0
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…	2,280	$0	$0
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	100	$0	$0
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	10	$0	$0
H0002	Behavioral health screening to determine eligibility for admission to treatment program	1,320	$0	$0

Showing 1–10 of 19

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

Oklahoma Mental Health Council — 1 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	2	100	4,790	$880	$8.3M
T1016	Case management, each 15 minutes	134	140	3,200	$60	$2.3M
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,…	58	530	140	$450	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	206	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…	496	1,680	820	$90	$307K
H2017	Psychosocial rehabilitation services, per 15 minutes	163	240	1,280	$50	$259.4K
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…	267	1,750	870	$70	$254.4K
G9002	Coordinated care fee, maintenance rate	15	70	630	$140	$216.3K
H2015	Comprehensive community support services, per 15 minutes	3	150	770	$40	$73.8K
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…	26	80	60	$130	$32.7K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Oklahoma Mental Health Council, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$13M
Oklahoma Mental Health Council	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$9.9M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$9.1M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$8.8M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$8.5M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$7.2M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$5M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$4.4M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$3.1M

Nearby Providers

Other providers in the same ZIP code as Oklahoma Mental Health Council, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Oklahoma Department Of Human Services	OK	Case Management Agency	$0	$21.6M
Drug Recovery Inc	OK	Addiction (Substance Use Disorder) Counselor	$0	$7.2M
Oklahoma Mental Health Council	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.2M
Drug Recovery Inc	OK	Addiction (Substance Use Disorder) Counselor	$0	$3.8M
National Seating & Mobility, Inc.	OK	Durable Medical Equipment & Medical Supplies	$0	$3.8M
New Day Recovery Youth And Family Services Inc	OK	Community/Behavioral Health Agency	$0	$3.2M
Oklahoma State Department Of Education	OK	Case Management Agency	$0	$2.9M
Life Resources Family & Children Services, Inc.	OK	Community/Behavioral Health Agency	$0	$2.6M
Ocean Dental, PC	OK	General Practice Dentistry	$0	$2.5M
Analytical Edge Laboratories LLC	OK	Clinical Medical Laboratory	$121.5K	$47.3K

Oklahoma Mental Health Council — Billing Profile & Reimbursement Data

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Oklahoma Mental Health Council — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References