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 1265529168)

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	$224.5M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and total Medicaid revenue is reported as $224.5M. The absence of any Medicare activity indicates the entity’s financial footprint is concentrated entirely within Medicaid programs rather than split across payers.

Medicaid revenue concentration is extreme: a single code, G9012, accounts for 100.0% of the provider's total Medicaid revenue. This indicates the organization’s service mix is almost exclusively focused on the specific case management activity described by G9012 rather than a diversified set of billed services.

The code mix and top revenue-driving code suggest the provider operates as a dedicated case management agency. G9012 is described as Other specified case management service not elsewhere classified, and the fact that 493.4K claims under this code produced $224.5M in revenue implies high-volume, programmatic delivery of case management services rather than episodic clinical procedures.

Despite the large absolute Medicaid revenue, the provider’s competitive standing for its primary code is modest in-state: G9012 ranks #2 of 3 providers in Oklahoma and is at the 50th percentile. That percentile placement signals the provider has typical, unremarkable volume relative to the small set of in-state peers offering that same code.

Claim-level economics for the principal code show 493.4K claims paid at an average of $455 per claim leading to the $224.5M total, which highlights an operational model driven by high claim volume with consistent per-claim reimbursement. This pricing and volume profile is consistent with ongoing, recurring case management encounters billed under a standardized code.

The NPI was enumerated around 2006-10-10 (about 20 years ago), indicating long-tenured participation in publicly funded programs. That tenure supports operational stability and suggests established workflows for administering and billing the case management services captured by G9012.

Given the provider derives all reported Medicaid revenue from a single, narrowly defined code, its business and financial risk are concentrated in the demand and reimbursement policies affecting that specific case management service. Any policy or rate changes to G9012 or eligibility shifts in populations served could materially affect revenue, since there is no Medicaid revenue diversification across other service codes.

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	493,380	$460	$224.5M

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 — 0 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	2	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	$187.4M
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

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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