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.

Advanced Therapy Associates, LLC (NPI 1558506857)

Field	Value
Entity Type	Organization
Organization	Advanced Therapy Associates, LLC
Address	9212 N Kelley Ave Ste 200
City	Oklahoma City
State	OK
ZIP	73131
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 16, 2008

Payer Source	Total Paid
Medicaid	$12.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	142,200	$60	$9.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	23,980	$60	$1.5M
T1017	Targeted case management, each 15 minutes	17,910	$70	$1.2M
H0032	Mental health service plan development by non-physician	2,590	$80	$201.6K
H0031	Mental health assessment, by non-physician	1,570	$100	$159.9K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1,390	$70	$92.8K
96101	N/A	670	$120	$77.4K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	2,090	$30	$52.2K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	520	$100	$51.5K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	440	$80	$34.2K

Showing 1–10 of 15

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

Advanced Therapy Associates, LLC — 7 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	9	620	6,640	$70	$1.2M
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…	1,416	1,680	820	$90	$307K
H2017	Psychosocial rehabilitation services, per 15 minutes	9	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…	1,610	1,750	870	$70	$254.4K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	4	40	330	$180	$107.1K
99204	The provider sees a new 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 provider…	619	720	120	$150	$94.5K
T1017	Targeted case management, each 15 minutes	8	280	930	$30	$88.4K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	11	40	190	$110	$55.2K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	11	40	170	$100	$44.5K
96101	N/A	4	30	100	$180	$41.3K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Advanced Therapy Associates, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emily Pollard	OK	Pain Medicine Physician	$584K	$0
Scott Shadfar	OK	Facial Plastic Surgery Physician	$225K	$0
Michael Murphy	OK	Diagnostic Radiology Physician	$201.8K	$2.2K
Candiece Miller	OK	Physician Assistant	$11.2K	$0

Advanced Therapy Associates, LLC — Billing Profile & Reimbursement Data

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Advanced Therapy Associates, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References