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 Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana 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. Indiana (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.

Oaklawn Psychiatric Center, Inc. (NPI 1306923479)

Field	Value
Entity Type	Organization
Organization	Oaklawn Psychiatric Center, Inc.
Address	2600 Oakland Ave
City	Elkhart
State	IN
ZIP	46517
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$46M
Medicare	$0

Key Findings

OAKLAWN PSYCHIATRIC CENTER, INC. reports $46M in lifetime Medicaid revenue and has no Medicare billing on file, making its billing base effectively single-payer Medicaid. Its NPI was enumerated on 2006-11-01 (~20 years ago), indicating a long-tenured presence in the community.

Revenue is highly concentrated: the top three Medicaid codes (H2014, T1016, H2017) account for 97.5% of the provider's total Medicaid revenue. H2014 alone represents 66.1% of Medicaid revenue, followed by T1016 at 24.8% and H2017 at 6.5%, leaving only a small residual across other codes.

The code mix indicates an operational focus on programmatic, community-based behavioral health services: H2014 (skills training and development, per 15 minutes) and H2017 (psychosocial rehabilitation, per 15 minutes) are time-based rehabilitative services, while T1016 (case management, each 15 minutes) shows sustained case-management activity. High claim volumes for H2014 (307K claims, $99 avg paid/claim) and T1016 (285.5K claims, $40 avg paid/claim) suggest recurrent, session-based delivery models rather than episodic outpatient physician visits.

Competitive standing varies by service line: for H2014 the provider ranks #15 of 48 in-state (70th percentile) and is described as having typical, unremarkable volume for the code, indicating it is a moderate statewide participant in skills training. For T1016 the provider ranks #6 of 52 (90th percentile), positioning it as one of the larger in-state billers for case management even though the data labels the volume as typical for that code.

For psychosocial rehabilitation services (H2017) the provider ranks #3 of 16 in-state (87th percentile) with $3M in revenue from 22.6K claims at a $132 avg paid/claim; this rank shows a relatively strong statewide position in H2017 despite that code contributing a smaller share (6.5%) of total Medicaid revenue. Other service lines are modest contributors: H0031 (mental health assessment) generated $570.5K (7.3K claims, $78 avg), and T2022 (case management per month) generated $465.8K (541 claims, $861 avg), both ranking in the mid to lower percentiles in-state.

Several low-revenue codes (H0004, H0015, H0034 and others) collectively account for minimal dollars relative to the top three codes, reinforcing that the provider’s business is dominated by a few session-based Medicaid services rather than a broad spread of distinct service lines. This pattern—large volumes of short-interval billable units—aligns with community mental health center models that rely on group/individual skill-building and intensive case management.

The extreme concentration (97.5% of Medicaid revenue from three codes) implies that reimbursement, coverage, or utilization changes to H2014 and T1016 would materially affect the provider’s revenue profile. Analysts should note the structural dependence on time-based rehabilitative and case-management payments when assessing financial resilience or payer negotiation exposure.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	306,980	$100	$30.4M
T1016	Case management, each 15 minutes	285,530	$40	$11.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	22,580	$130	$3M
H0031	Mental health assessment, by non-physician	7,310	$80	$570.5K
T2022	Case management, per month	540	$860	$465.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	880	$100	$83.2K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	780	$40	$32.8K
H0034	Medication training and support, per 15 minutes	990	$20	$18.9K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Oaklawn Psychiatric Center, Inc. — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	15	50	75,600	$130	$34.8M
T1016	Case management, each 15 minutes	6	50	8,980	$30	$3.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	55	70	3,960	$130	$1.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	3	20	4,500	$120	$1.4M
T2022	Case management, per month	58	100	710	$180	$1.1M
H0031	Mental health assessment, by non-physician	19	40	6,070	$70	$724.3K
H0034	Medication training and support, per 15 minutes	26	30	7,890	$20	$529.8K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	43	70	1,520	$100	$429.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Oaklawn Psychiatric Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oaklawn Psychiatric Center, Inc.	IN	Psychiatric Hospital	$0	$53.9M
Oaklawn Psychiatric Center, Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$23.4M
Timothy Mcfadden	IN	Psychiatry Physician	$30.1K	$0
Daniel Kinsey	IN	Child & Adolescent Psychiatry Physician	$1.3K	$0
Lisa Levin	IN	Clinical Social Worker	$1K	$0

Nearby Providers

Other providers in the same ZIP code as Oaklawn Psychiatric Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hewitt Dental Group Of Elkhart, Ltd.	IN	General Practice Dentistry	$0	$3.7M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$3.3M
Harley Yoder	IN	Family Medicine Physician	$81.6K	$0
Timothy Quist	IN	Primary Podiatric Medicine Podiatrist	$25.8K	$0

Oaklawn Psychiatric Center, Inc. — Billing Profile & Reimbursement Data

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Oaklawn Psychiatric Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Oaklawn Psychiatric Center, Inc. — Billing Profile & Reimbursement Data policy alerts

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