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.

Improving Lives Counseling Services, Inc. (NPI 1487967444)

Field	Value
Entity Type	Organization
Organization	Improving Lives Counseling Services, Inc.
Address	6216 S Lewis Ave
City	Tulsa
State	OK
ZIP	74136
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 20, 2010

Payer Source	Total Paid
Medicaid	$21.1M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-only biller: there is no Medicare billing on file and lifetime Medicaid revenue is reported as $21.1M. The NPI was enumerated on 2010-07-20 (~16 years ago), indicating a sustained presence in the market but with concentration in a single public payer.

Revenue is highly concentrated in a very small set of procedure codes: the top three Medicaid codes together account for 97.0% of the provider's total Medicaid revenue. Specifically, H0004 generated $18.1M (85.9% of Medicaid revenue), T1017 generated $1.8M (8.7%), and H0032 generated $504.6K (2.4%), making the organization heavily dependent on these lines.

The code mix indicates a service model centered on high-volume, short-interval behavioral health counseling and case management rather than long, traditional psychotherapy sessions. H0004 (Behavioral health counseling and therapy, per 15 minutes) alone shows 266K claims at a $68 avg paid/claim, which is consistent with an operational model built around frequent 15-minute units of care.

Targeted case management and non-physician care coordination are important secondary service lines: T1017 (Targeted case management, each 15 minutes) posted 39.9K claims at a $46 avg paid/claim and H0032 (Mental health service plan development by non-physician) recorded 6.6K claims at a $76 avg paid/claim. These volumes suggest integrated care-management and plan-development activities supporting the counseling services rather than episodic or intensive specialty care.

Competitive standing within the state is exceptionally strong on the top codes: H0004 ranks #3 of 621 providers in-state (100th percentile; extreme outlier) and T1017 ranks #2 of 284 providers in-state (100th percentile; extreme outlier), while H0032 ranks #3 of 366 providers in-state (99th percentile; extreme outlier). Those ranks indicate the provider is a major statewide player for high-volume behavioral counseling and targeted case management.

There is clear operational and revenue concentration risk because a single code, H0004, contributes $18.1M (85.9%) of Medicaid revenue and the top three codes together make up 97.0% of Medicaid revenue. Any policy, reimbursement, or utilization change affecting 15-minute counseling units would materially impact the provider’s financial profile.

Other billed codes appear marginal by comparison and reflect typical, lower-volume activity: H0031 produced $475K (2.3% of Medicaid revenue) and H2017 produced $144.8K (0.7%), while add-on and longer psychotherapy codes such as 90785 and 90837 contribute negligible revenue. H2017’s rank (#91 of 240, 62th percentile) is described as typical and unremarkable, reinforcing that the organization’s distinct footprint is in short-interval counseling/case management.

The reimbursement pattern shows reliance on high claim volume at modest per-claim rates—examples include $68 avg paid/claim for H0004, $46 for T1017, and $76 for H0032—indicating the business model scales by units of service rather than high-margin, low-frequency procedures. For analysts, this underscores the importance of monitoring utilization trends, state policy changes, and peer-provider shifts in 15-minute behavioral health codes.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	266,050	$70	$18.1M
T1017	Targeted case management, each 15 minutes	39,900	$50	$1.8M
H0032	Mental health service plan development by non-physician	6,640	$80	$504.6K
H0031	Mental health assessment, by non-physician	4,750	$100	$475K
H2017	Psychosocial rehabilitation services, per 15 minutes	2,160	$70	$144.8K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	4,160	$1	$16.7K
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…	60	$10	$500

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

Improving Lives Counseling Services, Inc. — 4 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	3	620	6,640	$70	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	91	240	1,280	$50	$259.4K
T1017	Targeted case management, each 15 minutes	2	280	930	$30	$88.4K
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…	210	270	350	$60	$57.4K
H0032	Mental health service plan development by non-physician	3	370	80	$60	$21.2K
H0031	Mental health assessment, by non-physician	2	280	50	$90	$17.5K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	11	100	350	$1	$8.1K

Nearby Providers

Other providers in the same ZIP code as Improving Lives Counseling Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Hospital, Inc.	OK	General Acute Care Hospital	$0	$43.2M
Warren Clinic Inc	OK	General Practice Physician	$0	$40.2M
Specialized Home Nursing, Inc.	OK	Home Health Agency	$0	$21.5M
Saint Francis Outreach Services LLC	OK	Clinical Medical Laboratory	$5.4M	$15.7M
Preferred Family Health Care, Inc.	OK	Community/Behavioral Health Agency	$0	$19.4M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$18.9M
Emergency Medicine Physicians Of Tulsa County, LLC	OK	Emergency Medicine Physician	$0	$18M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$14.1M
Home Therapy Resources, Inc.	OK	Pediatric Physical Therapist	$0	$9.4M
Counseling & Recovery Services Of Oklahoma, Inc.	OK	Community/Behavioral Health Agency	$0	$8.7M

Improving Lives Counseling Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Improving Lives Counseling Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Improving Lives Counseling Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Improving Lives Counseling Services, 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

Nearby Providers

Frequently Asked Questions

References