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.

Hearts Of Hope LLC (NPI 1407103146)

Field	Value
Entity Type	Organization
Organization	Hearts Of Hope LLC
Address	400 S Broadway Ste 9
City	Edmond
State	OK
ZIP	73034
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 13, 2012

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	33,370	$60	$2.1M
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	1,580	$1	$6.3K
H0032	Mental health service plan development by non-physician	100	$60	$6.3K
T1017	Targeted case management, each 15 minutes	20	$70	$1.3K

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

Hearts Of Hope LLC — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	89	620	6,640	$70	$1.2M
T1017	Targeted case management, each 15 minutes	265	280	930	$30	$88.4K
H0032	Mental health service plan development by non-physician	155	370	80	$60	$21.2K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	27	100	350	$1	$8.1K

Nearby Providers

Other providers in the same ZIP code as Hearts Of Hope LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integris Health Edmond, Inc	OK	General Acute Care Hospital	$0	$4.1M
Diagnostic Mobile X-ray Inc	OK	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.1M	$1.1M
Coraspire Mental Health And Wellness Center, Inc.	OK	Community/Behavioral Health Agency	$0	$2.2M
Heartland Pathology Consultants, PC	OK	Anatomic Pathology Physician	$419.3K	$1.4M
Douglas Beall	OK	Diagnostic Radiology Physician	$763.1K	$0
Touchstone Imaging Of Oklahoma, LLC	OK	Physiological Laboratory	$260.5K	$86.6K
Bruce Mackey	OK	Pain Medicine Physician	$345.7K	$0
Breanne Flusche	OK	Family Nurse Practitioner	$299.2K	$0
Vincent Venincasa	OK	Ophthalmology Physician	$249.1K	$0
Rakesh Shrivastava	OK	Cardiovascular Disease Physician	$238.7K	$0

Hearts Of Hope LLC — Billing Profile & Reimbursement Data

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Hearts Of Hope LLC — Billing Profile & Reimbursement Data

Sign up for Hearts Of Hope LLC — 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