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.

Family & Children's Services, Inc (NPI 1275142663)

Field	Value
Entity Type	Organization
Organization	Family & Children's Services, Inc
Address	5310 E 31st St
City	Tulsa
State	OK
ZIP	74135
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 30, 2020

Payer Source	Total Paid
Medicaid	$25.4M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation: Total Medicaid revenue is $25.4M and there is no Medicare billing on file. The absence of Medicare activity suggests the organization’s business and patient mix are concentrated in Medicaid-funded community behavioral health services rather than dual Medicare/Medicaid populations.

Revenue is extremely concentrated in a small set of Medicaid codes: the precomputed top 3 codes account for 98.5% of this provider’s Medicaid revenue, with T1041 alone representing $24.1M (94.8% of total Medicaid revenue). That concentration implies the provider’s financial performance and risk exposure are highly dependent on continued reimbursement and enrollment for that single monthly community behavioral health clinic service.

The code mix points to a community behavioral health clinic model. The dominant code T1041 (T1041 – Medicaid certified community behavioral health clinic services, per month) plus substantial billing for H0004 (behavioral health counseling and therapy) and G9009 (coordinated care fee, risk adjusted maintenance, level 3) indicate the organization bills ongoing monthly clinic payments, individual counseling sessions, and a care coordination/maintenance fee stream rather than episodic medical procedures.

Competitive standing on the state Medicaid landscape is mixed: for its largest line T1041 the provider ranks #8 of 97 (93th percentile; typical, unremarkable volume for this code), which represents a strong statewide presence but is characterized in the data as typical rather than an outlier. Other high‑revenue lines are not dominant statewide—H0004 ranks #84 of 621 (87th percentile; typical, unremarkable volume for this code) and G9009 ranks #19 of 73 (75th percentile; typical, unremarkable volume for this code).

Certain service lines show notably high relative activity: targeted case management T1017 has 14.6K claims and $233.2K revenue and ranks #12 of 284 (96th percentile; notably above typical state volume for this code), indicating the provider is especially active in targeted case management relative to peers even though that code is a small share of total dollars. This suggests a meaningful operational emphasis on case management capacity in addition to the monthly clinic billing.

Operational footprint and scale are visible in claim volumes: the dominant T1041 presents 28.7K claims and H0004 shows 34.2K claims, which together reflect substantial recurring service encounters underlying the large Medicaid revenue base. Those high claim counts support the interpretation that the provider delivers frequent, ongoing behavioral health contact rather than one‑off interventions.

The provider has been enumerated for a multi‑year period (NPI enumerated 2020-07-30 (~6 years ago)), indicating it is an established Medicaid billing entity with several years of operational history since NPI registration. Tenure combined with the concentrated revenue mix suggests an operational focus that has been stable across the available reporting window.

Several codes appear with claims but $0 reported average paid per claim (for example H2017, H2019, 90837 and 90847 show $0 avg paid/claim in the file), which may reflect encounter reporting, non‑fee payments, or zero‑paid lines in the dataset rather than fee‑for‑service revenue. Analysts should treat those zero‑payment codes separately when modeling cash flow or service intensity because they are not contributing to reported Medicaid revenue in this file.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	28,700	$840	$24.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	34,190	$20	$683.8K
G9009	Coordinated care fee, risk adjusted maintenance, level 3	830	$300	$247.7K
T1017	Targeted case management, each 15 minutes	14,570	$20	$233.2K
T1016	Case management, each 15 minutes	1,370	$40	$58.7K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	420	$110	$44.5K
H0032	Mental health service plan development by non-physician	330	$50	$17.7K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	10	$870	$10.4K
H0031	Mental health assessment, by non-physician	170	$60	$9.6K
T1027	Family training and counseling for child development, per 15 minutes	120	$20	$2.6K

Showing 1–10 of 18

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

Family & Children's Services, Inc — 1 of 14 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	8	100	4,790	$880	$8.3M
T1016	Case management, each 15 minutes	78	140	3,200	$60	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	84	620	6,640	$70	$1.2M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	19	70	320	$320	$317.4K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	43	40	140	$970	$285.1K
H2017	Psychosocial rehabilitation services, per 15 minutes	53	240	1,280	$50	$259.4K
T1017	Targeted case management, each 15 minutes	12	280	930	$30	$88.4K
H2015	Comprehensive community support services, per 15 minutes	105	150	770	$40	$73.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	171	270	350	$60	$57.4K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	31	30	190	$60	$50.1K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Family & Children's Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
D & D Services Inc	OK	Nursing Care Agency	$0	$119.1M
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa	OK	Pediatrics Physician	$0	$43.2M
Grand Lake Mental Health Center, Inc.	OK	Community/Behavioral Health Agency	$0	$38.5M
Creoks Mental Health Services	OK	Community/Behavioral Health Agency	$0	$17.3M
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa	OK	Internal Medicine Physician	$0	$15.6M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$11.4M
Therapy 4 Kids Inc	OK	Pediatric Occupational Therapist	$0	$8.4M
Life Senior Services, Inc	OK	Case Management Agency	$0	$6.9M
Counseling & Recovery Services Of Oklahoma, Inc.	OK	Community/Behavioral Health Agency	$0	$5.8M
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.6M

Family & Children's Services, Inc — Billing Profile & Reimbursement Data

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Family & Children's Services, Inc — 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

Nearby Providers

Frequently Asked Questions

References