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 1467407395)

Key Findings

Field	Value
Entity Type	Organization
Organization	Oaklawn Psychiatric Center, Inc.
Address	330 Lakeview Dr
City	Goshen
State	IN
ZIP	46528
Taxonomy	Psychiatric Hospital
NPI Enumerated	May 22, 2006

Payer Source	Total Paid
Medicaid	$53.9M
Medicare	$0

This provider is effectively single-payer by scale: there is no Medicare billing on file and lifetime Medicaid revenue totals $53.9M, indicating the organization’s financial footprint in claims data is driven entirely by Medicaid. Analysts should treat Medicaid performance as the primary lens for competitive and utilization insights.

Revenue is highly concentrated in a small set of outpatient behavioral-health codes: the top three Medicaid codes (90834, 90853, 99214) account for 57.7% of total Medicaid revenue. Those codes individually contribute $13.9M (25.8% for 90834), $10.3M (19.1% for 90853), and $6.9M (12.8% for 99214), demonstrating dependence on psychotherapy, group therapy, and higher-level E/M visits.

The code mix and volumes point to a hospital-run behavioral health operation with heavy emphasis on psychotherapy and group modalities: 90834 (psychotherapy, 38–52 minutes) generated $13.9M and 90853 (group psychotherapy, 45–60 minutes) generated $10.3M, while G0463 (hospital outpatient clinic visit) produced $6.4M (11.8% of Medicaid revenue). Together these items suggest the provider operates a high-throughput outpatient clinic model embedded in a psychiatric hospital setting.

The provider is a major statewide participant for its top behavioral-health services. 90853 ranks #3 of 217 providers in-state (99th percentile), 90834 ranks #12 of 584 (98th percentile), and 99214 ranks #46 of 2122 (98th percentile), indicating the organization provides far greater volumes of these services than typical in-state peers.

Several codes are statistical outliers versus peers, indicative of above-typical intake and evaluation activity: 90791 (psychiatric evaluation) generated $3.1M (5.7% of revenue) and ranks #4 of 521 providers in-state (99th percentile, labeled an "extreme outlier"). Family psychotherapy codes also stand out — 90847 produced $2.7M (5.1%) and ranks #3 of 195 (99th percentile, "extreme outlier") — signaling unusually high use of family-involved care.

The provider offers a full range of psychotherapy session lengths and intensities, from brief sessions (90832: $2.4M, 4.4%, rank #25 of 428, 94th percentile) to extended sessions (90837: $4.2M, 7.8%, rank #16 of 687, 98th percentile). This spread indicates care pathways that include short, standard, and extended individual therapy visits alongside substantial group therapy capacity.

Telehealth and lower-revenue ancillary codes are present but minor contributors to dollars: Q3014 (telehealth originating site) appears with 15.5K claims for $108.3K (0.2% of Medicaid revenue) and ranks #6 of 55 in-state (91st percentile). These figures suggest telehealth is used at scale for encounters but contributes only a small share of overall Medicaid payments.

The provider has long operational tenure in the NPI file, enumerated 2006-05-22 (~20 years ago), and combines that longevity with concentrated Medicaid revenues and high-percentile ranks across core psychiatric codes. Together these signals point to an established, Medicaid-focused psychiatric hospital that captures outsized state share for psychotherapy, group therapy, and hospital outpatient clinic services.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	126,540	$110	$13.9M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	177,270	$60	$10.3M
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…	61,260	$110	$6.9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	78,660	$80	$6.4M
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…	40,040	$110	$4.2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	26,280	$120	$3.1M
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…	44,640	$60	$2.7M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	21,870	$110	$2.4M
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…	13,740	$100	$1.4M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	11,540	$90	$1.1M

Showing 1–10 of 17

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. — 9 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	5	100	2,210	$70	$926K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	12	580	710	$60	$582.9K
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…	46	2,120	870	$60	$450.6K
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…	16	690	1,070	$80	$422.3K
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…	278	2,380	920	$50	$376.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	3	220	1,380	$20	$360.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	25	430	630	$40	$243.8K
H0038	Self‑help/peer services, per 15 minutes	62	80	1,080	$60	$219.4K
90899	Use 90899 to report psychiatric services or procedures that do not have a specific code.	6	20	930	$110	$206.5K
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…	3	200	540	$60	$167.3K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good To Grow Dental Center, PLLC	IN	Pediatric Dentistry	$0	$4.5M
Goshen City Behavioral Health LLC	IN	Behavior Analyst	$0	$4.2M
Maple City Health Care Center, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$2.5M
Megan Keim	IN	Chiropractor	$44.5K	$0
Suzanne Ginter	IN	Audiologist	$3.8K	$0

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

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Oaklawn Psychiatric Center, 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oaklawn Psychiatric Center, Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46M
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