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.

Preferred Family Health Care, Inc. (NPI 1508243262)

Field	Value
Entity Type	Organization
Organization	Preferred Family Health Care, Inc.
Address	6440 S Lewis Ave Ste 2200
City	Tulsa
State	OK
ZIP	74136
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 1, 2015

Payer Source	Total Paid
Medicaid	$19.4M
Medicare	$0

Key Findings

PREFERRED FAMILY HEALTH CARE, INC. has no Medicare billing on file and reported $19.4M in lifetime Medicaid revenue, making it effectively a Medicaid-focused provider in this dataset. Its NPI was enumerated on 2015-05-01 (≈11 years ago), indicating roughly a decade of activity under the current registration and an established presence in the Oklahoma market.

Revenue is highly concentrated in a small set of Medicaid codes: the top three codes (H0004, G9009, G9010) together account for 95.1% of the provider's total Medicaid revenue. Individually, H0004 drives $13.2M (67.8%), G9009 contributes $3.7M (18.9%), and G9010 contributes $1.6M (8.4%), indicating the business is narrowly dependent on a few high-revenue service lines.

The dominance of H0004 (Behavioral health counseling and therapy, per 15 minutes) — 219.2K claims at $60 avg paid/claim yielding $13.2M — points to an operational model built around frequent, short-interval therapy sessions. This coding mix is characteristic of high-volume outpatient behavioral health or community mental health operations that deliver many 15-minute therapy units rather than low-frequency, high-acuity medical visits.

High volumes in coordinated care fees (G9009: 12.3K claims, $297 avg paid/claim, $3.7M; G9010: 1.9K claims, $865 avg paid/claim, $1.6M) indicate the provider also participates in risk-adjusted maintenance/coordinated-care payment arrangements. The presence of multiple G90xx maintenance codes suggests sustained engagement in case rate or care management programs that supplement per-unit therapy revenue.

Competitively, the provider is an outlier statewide on its largest codes: H0004 ranks #4 of 621 providers in-state (100th percentile; extreme outlier), G9009 ranks #2 of 73 (99th percentile; extreme outlier), and G9010 ranks #2 of 44 (98th percentile; extreme outlier). These rankings portray the organization as a dominant Medicaid provider for these specific behavioral health and coordinated-care services within Oklahoma.

Targeted case management (T1017) is a secondary but meaningful service line with 14.3K claims and $487.2K in revenue (2.5% of Medicaid revenue); it ranks #14 of 284 providers in-state (95th percentile; notably above typical). This supports a broader service mix that includes case coordination and suggests care-continuity functions beyond therapy sessions alone.

Several other codes appear at modest volumes and typical state percentiles, such as 99214 (1.2K claims, $100.9K; 57th percentile) and H2017 (1.6K claims, $97.6K; 56th percentile), indicating limited traditional office-based E/M and psychosocial rehabilitation activity compared with the core therapy and coordinated-care lines. These secondary services together represent only small shares of total Medicaid revenue and are not primary revenue drivers.

The provider faces concentration risk because nearly all Medicaid revenue is tied to a narrow set of codes (top three = 95.1%). Any policy, reimbursement, or programmatic changes that affect H0004 or the G90xx coordinated-care payments could materially impact overall revenue, so payer negotiations and contract design around these specific codes will be critical to financial stability.

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	219,250	$60	$13.2M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	12,350	$300	$3.7M
G9010	Coordinated care fee, risk adjusted maintenance, level 4	1,880	$870	$1.6M
T1017	Targeted case management, each 15 minutes	14,330	$30	$487.2K
G9005	Coordinated care fee, risk adjusted maintenance	220	$450	$101K
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…	1,160	$90	$100.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	1,570	$60	$97.6K
G9002	Coordinated care fee, maintenance rate	520	$130	$65K
H0032	Mental health service plan development by non-physician	860	$70	$60.8K
G9001	Coordinated care fee, initial rate	310	$50	$17K

Showing 1–10 of 14

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

Preferred Family Health Care, Inc. — 4 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	4	620	6,640	$70	$1.2M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	2	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…	725	1,680	820	$90	$307K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	2	40	140	$970	$285.1K
H2017	Psychosocial rehabilitation services, per 15 minutes	106	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…	1,484	1,750	870	$70	$254.4K
G9002	Coordinated care fee, maintenance rate	37	70	630	$140	$216.3K
G9005	Coordinated care fee, risk adjusted maintenance	7	20	120	$450	$99.6K
T1017	Targeted case management, each 15 minutes	14	280	930	$30	$88.4K
H0034	Medication training and support, per 15 minutes	37	60	200	$30	$23.7K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Preferred Family Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preferred Family Healthcare Inc	AR	Community/Behavioral Health Agency	$0	$2.8M
John Martinez	MO	Nephrology Physician	$120.2K	$0
Tammy Hudson	IL	Adult Health Nurse Practitioner	$38.8K	$0
Dwayne Narayan	AL	Psychiatry Physician	$17.3K	$2.1K

Nearby Providers

Other providers in the same ZIP code as Preferred Family Health Care, 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
Improving Lives Counseling Services, Inc.	OK	Community/Behavioral Health Agency	$0	$21.1M
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

Preferred Family Health Care, Inc. — Billing Profile & Reimbursement Data

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Preferred Family Health Care, 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