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.

Looking Up Counseling (NPI 1265986772)

Field	Value
Entity Type	Organization
Organization	Looking Up Counseling
Address	203 E Main St
City	Madill
State	OK
ZIP	73446
Taxonomy	Mental Health Counselor
NPI Enumerated	August 12, 2016

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	26,000	$60	$1.6M
T1017	Targeted case management, each 15 minutes	1,570	$110	$166.8K
H0032	Mental health service plan development by non-physician	540	$70	$38K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	180	$180	$33.1K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	160	$200	$31.4K
H0031	Mental health assessment, by non-physician	170	$100	$17.5K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	180	$80	$14.4K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	160	$30	$4.8K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	160	$20	$3.8K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	50	$60	$2.5K

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

Looking Up Counseling — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	127	620	6,640	$70	$1.2M
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	22	40	330	$180	$107.1K
T1017	Targeted case management, each 15 minutes	108	280	930	$30	$88.4K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	21	40	190	$110	$55.2K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	20	40	170	$100	$44.5K
H0032	Mental health service plan development by non-physician	48	370	80	$60	$21.2K
H0031	Mental health assessment, by non-physician	53	280	50	$90	$17.5K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	20	40	150	$40	$16.9K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	38	150	60	$20	$5.9K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	4	10	40	$70	$4.1K

Nearby Providers

Other providers in the same ZIP code as Looking Up Counseling, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marshall County Hma LLC	OK	Rural Health Clinic/Center	$0	$4.3M
Marshall County Hma, LLC	OK	Critical Access Hospital	$0	$3M
Texomacare	OK	Family Medicine Physician	$0	$2.3M
Southeastern Oklahoma Family Services, Inc.	OK	Community/Behavioral Health Agency	$0	$1.9M
Marshall County Ems District	OK	Land Ambulance	$382.2K	$802.8K
Shannon Goodwin Chambers	OK	Family Medicine Physician	$215.4K	$0
Darin Goldsmith	OK	Physical Therapist	$109.9K	$0

Looking Up Counseling — Billing Profile & Reimbursement Data

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Looking Up Counseling — Billing Profile & Reimbursement Data

Sign up for Looking Up Counseling — 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