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.

Hope Community Services, Inc. (NPI 1386775039)

Field	Value
Entity Type	Organization
Organization	Hope Community Services, Inc.
Address	6100 S Walker Ave
City	Oklahoma City
State	OK
ZIP	73139
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 7, 2007

Payer Source	Total Paid
Medicaid	$16.1M
Medicare	$0

Key Findings

HOPE COMMUNITY SERVICES, INC. is effectively a single-payer Medicaid provider: it reports no Medicare billing on file and $16.1M in lifetime Medicaid revenue, indicating its operations and reimbursement risk are concentrated in Medicaid rather than split across Medicare and Medicaid. The NPI was enumerated 2007-03-07 (~19 years ago), so the organization has an established Medicaid presence.

Revenue is highly concentrated in a few service lines: the precomputed top three Medicaid codes (T1041, G9002, H0004) account for 87.9% of the provider's Medicaid revenue. The three dominant revenue drivers are T1041 at $10.6M (65.9%), G9002 at $2.7M (16.4%), and H0004 at $904.9K (5.6%), which signals reliance on a narrow set of behavioral health service payments.

T1041 (Medicaid certified community behavioral health clinic services, per month) is the single largest revenue source at $10.6M revenue (65.9% of this provider's total Medicaid revenue), but the provider’s rank of #31 of 97 in-state (69th percentile) is described as typical and unremarkable for volume. This combination — a dominant revenue share alongside an unremarkable percentile rank — suggests HOPE’s business model captures large share of its own revenue from standard monthly clinic billing rather than by having unusually high state-wide volume for that code.

G9002 (Coordinated care fee, maintenance rate) is a distinctive strength: 21K claims generating $2.7M (16.4% of Medicaid revenue) and ranking #1 of 70 providers in-state (100th percentile; extreme outlier). Being an extreme outlier for G9002 indicates HOPE is a major outlier in delivering coordinated care maintenance payments statewide and likely participates heavily in coordinated care or care-management programs relative to peers.

H0004 (Behavioral health counseling and therapy, per 15 minutes) contributes meaningful secondary revenue at $904.9K (5.6% of Medicaid revenue) with 17.7K claims and a #175 of 621 in-state rank (72th percentile; typical, unremarkable volume). This pattern indicates capacity and throughput for time-based therapy services, but the provider’s therapy volume is within typical state norms rather than being a statewide leader.

Several non-physician assessment and planning codes show markedly high relative standing: H0032 (mental health service plan development) yields $178K (1.1%) and ranks #5 of 366 (99th percentile; notably above typical state volume), and H0031 (mental health assessment) yields $152.7K (0.9%) and also ranks #5 of 275 (99th percentile; notably above typical state volume). Together these findings indicate HOPE delivers a notably high volume of non-physician assessments and plan development compared with most in-state peers, supporting a service-line emphasis on intake, assessment, and care planning.

HOPE also reports extreme outlier activity for initial screening: H0002 (behavioral health screening) appears as $101.2K (0.6% of Medicaid revenue) and ranks #1 of 151 providers in-state (100th percentile; extreme outlier). This reinforces the picture of a provider that is unusually active in front-end screening and care-coordination processes relative to other Medicaid behavioral health providers in Oklahoma.

Taken together, these data portray HOPE as an established (~19 years) Medicaid-centered community/behavioral health agency that is commercially concentrated: a majority of its Medicaid revenue is tied to certified community behavioral health clinic monthly billing and coordinated-care maintenance fees (top three codes = 87.9%). Competitively, the provider is a major statewide outlier for coordinated care fees and behavioral health screening, while maintaining typical state-level volumes for its largest monthly clinic billing and therapy codes, suggesting a focused operational model emphasizing care coordination and intake/assessment services rather than uniformly high volume across all behavioral health procedure codes.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	10,320	$1,030	$10.6M
G9002	Coordinated care fee, maintenance rate	21,050	$130	$2.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	17,740	$50	$904.9K
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…	13,020	$50	$612K
H2017	Psychosocial rehabilitation services, per 15 minutes	5,750	$60	$322K
T1017	Targeted case management, each 15 minutes	6,990	$30	$195.8K
H0032	Mental health service plan development by non-physician	2,870	$60	$178K
H0031	Mental health assessment, by non-physician	1,680	$90	$152.7K
H2015	Comprehensive community support services, per 15 minutes	6,010	$20	$138.1K
99203	The provider sees a new 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 provider…	1,430	$90	$122.7K

Showing 1–10 of 22

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

Hope Community Services, Inc. — 4 of 20 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	31	100	4,790	$880	$8.3M
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,…	253	530	140	$450	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	175	620	6,640	$70	$1.2M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	65	70	320	$320	$317.4K
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…	1,060	1,680	820	$90	$307K
S9485	Crisis intervention mental health services, per diem	8	20	460	$200	$294.1K
H2017	Psychosocial rehabilitation services, per 15 minutes	48	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…	105	1,750	870	$70	$254.4K
G9002	Coordinated care fee, maintenance rate	1	70	630	$140	$216.3K
G9005	Coordinated care fee, risk adjusted maintenance	16	20	120	$450	$99.6K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hope Community Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Candice Breeden	OK	Physician Assistant	$95.5K	$0

Nearby Providers

Other providers in the same ZIP code as Hope Community Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$53.3M
Ace Hts, Inc	OK	Developmentally Disabled Services Day Training Agency	$0	$29.9M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$5M
New Life Youth's & Family Counseling Services, Inc	OK	Community/Behavioral Health Agency	$0	$3.5M
Dental Depot 62nd & South Western PLLC	OK	General Practice Dentistry	$0	$3.5M
Dental Depot South	OK	General Practice Dentistry	$0	$3.4M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$3.1M
Oklahoma Center For Orthopaedic & Multi-specialty Surgery, LLC	OK	General Acute Care Hospital	$0	$2.8M
Empowerment Community Services	OK	Community/Behavioral Health Agency	$0	$2.6M
Dental Depot Orthodontics South PLLC	OK	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.5M

Hope Community Services, Inc. — Billing Profile & Reimbursement Data

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Hope Community 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

Related Providers

Nearby Providers

Frequently Asked Questions

References