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.

Oklahoma Mental Health Council (NPI 1558576645)

Field	Value
Entity Type	Organization
Organization	Oklahoma Mental Health Council
Address	7777 E Us Highway 66
City	El Reno
State	OK
ZIP	73036
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 11, 2007

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

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
T1041	Medicaid certified community behavioral health clinic services, per month	11,520	$730	$8.4M
G9002	Coordinated care fee, maintenance rate	320	$150	$46.7K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	50	$1,010	$46.5K
G9009	Coordinated care fee, risk adjusted maintenance, level 3	100	$350	$34.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	860	$0	$0
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…	480	$0	$0
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…	460	$0	$0
H0002	Behavioral health screening to determine eligibility for admission to treatment program	280	$0	$0
H0004	Behavioral health counseling and therapy, per 15 minutes	2,660	$0	$0
H0031	Mental health assessment, by non-physician	20	$0	$0

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

Oklahoma Mental Health Council — 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	26	100	4,790	$880	$8.3M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	107	530	140	$450	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	418	620	6,640	$70	$1.2M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	52	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…	1,005	1,680	820	$90	$307K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	34	40	140	$970	$285.1K
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…	1,037	1,750	870	$70	$254.4K
G9002	Coordinated care fee, maintenance rate	44	70	630	$140	$216.3K
H2015	Comprehensive community support services, per 15 minutes	46	150	770	$40	$73.8K
T1027	Family training and counseling for child development, per 15 minutes	38	60	220	$30	$39.9K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Oklahoma Mental Health Council, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$38.4M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$13M
Oklahoma Mental Health Council	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$9.9M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$9.1M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$8.8M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$7.2M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$5M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$4.4M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$3.1M

Nearby Providers

Other providers in the same ZIP code as Oklahoma Mental Health Council, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthcare One Associates PLLC	OK	Clinic/Center	$0	$9M
El Reno Indian Health Center	OK	Public Health or Welfare Agency	$0	$4.6M
Clinton Strong	OK	Family Medicine Physician	$97.1K	$0
Jana Thomas	OK	Family Nurse Practitioner	$59.5K	$0
Christopher Redden	OK	Family Nurse Practitioner	$57K	$0
John Ditmars	OK	Podiatrist	$32.5K	$0
Kristi Parish	OK	Family Nurse Practitioner	$32.4K	$0
Alisha Cerda	OK	Family Nurse Practitioner	$30.8K	$0
Angela Upton	OK	Family Nurse Practitioner	$27.5K	$0
Cheston Ellis	OK	Primary Care Nurse Practitioner	$26.4K	$0

Oklahoma Mental Health Council — Billing Profile & Reimbursement Data

Sign up for Oklahoma Mental Health Council — Billing Profile & Reimbursement Data policy alerts

Oklahoma Mental Health Council — Billing Profile & Reimbursement Data

Sign up for Oklahoma Mental Health Council — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References